Prostate Cancer
Prostate Cancer
What is the prostate gland?
The prostate gland is part of the male reproductive system (see the picture below). The prostate makes a fluid that mixes with sperm and other fluids during ejaculation. A normal prostate is about the size of a walnut.
What is prostate cancer?
The body is made up of many types of cells. Normally, cells grow, divide and then die. Sometimes, cells mutate (change) and begin to grow and divide more quickly than normal cells. Rather than dying, these abnormal cells clump together to form tumors. If these tumors are cancerous (also called malignant tumors), they can invade and kill your body's healthy tissues. From these tumors, cancer cells can metastasize (spread) and form new tumors in other parts of the body. By contrast, noncancerous tumors (also called benign tumors) do not spread to other parts of the body. Prostate cancer is abnormal cells in the prostate gland.
Like many types of cancer, prostate cancer can be aggressive. This means it grows quickly and can spread to other parts of the body. (When cancer spreads, doctors say the cancer has "metastasized.") Prostate cancer can also grow more slowly.
If you have prostate cancer, it is important for your doctor to monitor the growth of your cancer carefully. If left completely unchecked, the cancer can grow quickly and spread to other organs in your body. This makes treatment much more difficult.
Like many types of cancer, prostate cancer can be aggressive. This means it grows quickly and can spread to other parts of the body. (When cancer spreads, doctors say the cancer has "metastasized.") Prostate cancer can also grow more slowly.
If you have prostate cancer, it is important for your doctor to monitor the growth of your cancer carefully. If left completely unchecked, the cancer can grow quickly and spread to other organs in your body. This makes treatment much more difficult.
Who is at risk for prostate cancer?
Prostate cancer is the most common type of cancer found in American men, other than skin cancer.
Although men of any age can get prostate cancer, it is found most often in men over age 50. In fact, more than 8 of 10 men with prostate cancer are over the age of 65.
For unknown reasons, African-American men are at higher risk than Caucasian men. Men with a family history of prostate cancer are at higher risk, too. In this case, family history means that your father or a brother had prostate cancer.
Men who are obese and eat a diet high in fat are also at a higher risk for prostate cancer.
Although men of any age can get prostate cancer, it is found most often in men over age 50. In fact, more than 8 of 10 men with prostate cancer are over the age of 65.
For unknown reasons, African-American men are at higher risk than Caucasian men. Men with a family history of prostate cancer are at higher risk, too. In this case, family history means that your father or a brother had prostate cancer.
Men who are obese and eat a diet high in fat are also at a higher risk for prostate cancer.

Possible Symptoms of Prostate Cancer
Prostate cancer, especially in its early stages, often does not have any symptoms. Symptoms are more likely to appear as the cancer grows.
Call your doctor if you have any of these symptoms:
Call your doctor if you have any of these symptoms:
- Difficulty starting to urinate
- Less force to the stream of urine
- Dribbling after you finish urinating
- Frequent urination, especially at night
- Blood or pus in the urine
- Pain while urinating
- Pain with ejaculation
- Hip and lower back pain that does not go away over time
- Pain in the lower part of your pelvis
- Unintended weight loss and/or loss of appetite

How does my doctor check my prostate?
Your doctor may examine your prostate by putting a gloved, lubricated finger a few inches into your rectum to feel your prostate gland. This is called a digital rectal exam. A normal prostate feels firm. If there are hard spots on the prostate, your doctor may suggest additional testing to check for prostate cancer.
What is the PSA test?
Another way to check for prostate cancer is with a blood test called the PSA test. PSA is short for prostate-specific antigen. Men who have prostate cancer may have a higher level of PSA in their blood. However, the PSA level can also be high because of less serious causes, such as infection.
What are the treatment options for prostate cancer?
If prostate cancer is caught early and before it has spread to other parts of the body, it can often be treated successfully.
For early stages of prostate cancer, one option is "watchful waiting." Watchful waiting means seeing your doctor often so he or she can track the cancer. This can include frequent blood tests and rectal exams to check the growth of the cancer. This may be a good option for those with slow-growing cancer, or men who are elderly and/or in poor health. At any time during watchful waiting, you can choose to switch to another treatment.
It is important to realize that watchful waiting does not involve medication or treatment that will kill the cancer. It is just an observation period. If the cancer suddenly starts to grow more quickly or begins to cause symptoms, you may need to switch to a more aggressive treatment option.
Surgery, radiation and drug therapy are options that can treat your prostate cancer. These treatments can cause side effects, such as impotence and incontinence, but these side effects usually disappear after treatment
For early stages of prostate cancer, one option is "watchful waiting." Watchful waiting means seeing your doctor often so he or she can track the cancer. This can include frequent blood tests and rectal exams to check the growth of the cancer. This may be a good option for those with slow-growing cancer, or men who are elderly and/or in poor health. At any time during watchful waiting, you can choose to switch to another treatment.
It is important to realize that watchful waiting does not involve medication or treatment that will kill the cancer. It is just an observation period. If the cancer suddenly starts to grow more quickly or begins to cause symptoms, you may need to switch to a more aggressive treatment option.
Surgery, radiation and drug therapy are options that can treat your prostate cancer. These treatments can cause side effects, such as impotence and incontinence, but these side effects usually disappear after treatment
Choleterol
Cholesterol: What Your Level Means
What is cholesterol?
Cholesterol is a waxy substance your body uses to protect nerves, make cell tissues and produce certain hormones. All the cholesterol your body needs is made by your liver. Cholesterol in the food you eat (such as eggs, meats and dairy products) is extra, and too much cholesterol can have negative impacts on your health.
Why is a high cholesterol level unhealthy?
While some cholesterol is needed for good health, too much cholesterol in your blood can raise your risk of having a heart attack or stroke.
The extra cholesterol in your blood may be stored in your arteries (blood vessels that carry blood from your heart to the rest of your body). Buildup of cholesterol (called plaque) in your arteries will cause your arteries to narrow and harden (called atherosclerosis). Large deposits of cholesterol can completely block an artery.
If an artery that supplies blood to the muscles in your heart becomes blocked, a heart attack can occur. If an artery that supplies blood to your brain becomes blocked, a stroke can occur.
The extra cholesterol in your blood may be stored in your arteries (blood vessels that carry blood from your heart to the rest of your body). Buildup of cholesterol (called plaque) in your arteries will cause your arteries to narrow and harden (called atherosclerosis). Large deposits of cholesterol can completely block an artery.
If an artery that supplies blood to the muscles in your heart becomes blocked, a heart attack can occur. If an artery that supplies blood to your brain becomes blocked, a stroke can occur.
When should I start having my cholesterol level checked?
Men aged 35 and older and women aged 45 and older should have their cholesterol checked yearly. Depending on what your cholesterol level is and what other risk factors for heart disease you have (see the box below), you may need to have it checked more often.

Risk factors for heart disease
- Having already had a heart attack
- Being a man 45 years of age or older
- Being a women 55 years of age or older
- Being a woman who is going through menopause or has completed menopause
- Having an immediate family member (parent or sibling) who had heart disease
- Smoking cigarettes
- Having high blood pressure or diabetes
- Being overweight or obese
- Being inactive

Are there different types of cholesterol?
Yes. Cholesterol travels through the blood in different types of packages, called lipoproteins.
Low-density lipoproteins (LDL) deliver cholesterol to the body. High-density lipoproteins (HDL) remove cholesterol from the bloodstream.
This explains why too much LDL cholesterol is bad for the body, and why a high level of HDL is good. It's the balance between the types of cholesterol that tells you what your cholesterol level means (see the box below).
For example, if your total cholesterol level is high because of a high LDL level, you may be at higher risk of heart disease or stroke. If your total level is high only because of a high HDL level, you're probably not at higher risk.
Low-density lipoproteins (LDL) deliver cholesterol to the body. High-density lipoproteins (HDL) remove cholesterol from the bloodstream.
This explains why too much LDL cholesterol is bad for the body, and why a high level of HDL is good. It's the balance between the types of cholesterol that tells you what your cholesterol level means (see the box below).
For example, if your total cholesterol level is high because of a high LDL level, you may be at higher risk of heart disease or stroke. If your total level is high only because of a high HDL level, you're probably not at higher risk.

Total cholesterol level
- Less than 200 is best.
- 200 to 239 is borderline high.
- 240 or more means you're at increased risk for heart disease.
LDL cholesterol levels
- Below 100 is ideal for people who have a higher risk of heart disease.
- 100 to 129 is near optimal.
- 130 to 159 is borderline high.
- 160 or more means you're at a higher risk for heart disease.
HDL cholesterol levels
- Less than 40 means you're at higher risk for heart disease.
- 60 or higher greatly reduces your risk of heart disease.

What can I do to improve my cholesterol level?
If you have high cholesterol, it may be necessary for you to make some lifestyle changes. If you smoke, stop smoking. Exercise regularly. If you're overweight, losing just 5 to 10 pounds can help lower cholesterol levels. Make sure to eat plenty of fruits, vegetables, whole grains and fish- all of which promote heart health. Avoid saturated and trans fats, which can raise cholesterol levels. Also limit your overall cholesterol intake to less than 300 milligrams (200 milligrams if you have heart disease) per day
Arthritis
Arthritis: How to Stay Active and Independent
What is arthritis?
Arthritis means inflammation of the joints. It causes pain and usually also limits movement of the joints that are affected. There are many kinds of arthritis. A type called osteoarthritis (also called degenerative joint disease) is the most common.
What causes osteoarthritis?
The exact cause isn't known. A person may be at increased risk of osteoarthritis because it runs in the family. Osteoarthritis seems to be related to the wear and tear put on joints over the years in most people. But wear and tear alone don't cause osteoarthritis.
What happens when a joint is affected?
Normally, a smooth layer of cartilage acts as a pad between the bones of a joint. Cartilage helps the joint move easily and comfortably. In some people, the cartilage thins as the joints are used. This is the start of osteoarthritis. Over time, the cartilage wears away and the bones may rub against one another.
Bones may even start to grow too thick on the ends where they meet to make a joint, and bits of cartilage and bone may loosen and get in the way of movement. This can cause pain, joint swelling and stiffness.
Bones may even start to grow too thick on the ends where they meet to make a joint, and bits of cartilage and bone may loosen and get in the way of movement. This can cause pain, joint swelling and stiffness.
Who gets osteoarthritis?
Osteoarthritis is more common in older people because they have been using their joints longer. Using the joints to do the same task over and over or simply using them over time can make osteoarthritis worse.
Younger people can also get osteoarthritis. Athletes are at risk because they use their joints so much. People who have jobs that require the same movement over and over are also at risk. Injuries to a joint can increase the risk of arthritis in the joint later on. Excess weight also can accelerate arthritis in the knees, hips and spine.
Younger people can also get osteoarthritis. Athletes are at risk because they use their joints so much. People who have jobs that require the same movement over and over are also at risk. Injuries to a joint can increase the risk of arthritis in the joint later on. Excess weight also can accelerate arthritis in the knees, hips and spine.
Is there a treatment?
No cure for osteoarthritis has been found. But the right plan can help you stay active, protect your joints from damage, limit injury and control pain. Your doctor will help you create the right plan for you.

Tips on staying active
- Lose weight if you're overweight.
- Exercise regularly for short periods.
- Go to a physical therapist if you can.
- Use canes and other special devices to protect your joints.
- Avoid lifting heavy things.
- Avoid overusing your joints.
- Don't pull on objects to move them--push them instead.
- Take your medicine the way your doctor suggests.
- Use heat and/or cold to reduce pain or stiffness.

Will my arthritis get worse?
Osteoarthritis does tend to get worse over time. But you can do many things to help yourself.
It's important to stay as active as possible. When joints hurt, people tend not to use them and the muscles get weak. This can cause contractures (stiff muscles), and it can make it harder to get around. This causes more pain and the cycle begins again. Ask your doctor to discuss pain control with you so that you can stay active and avoid this problem.
It's important to stay as active as possible. When joints hurt, people tend not to use them and the muscles get weak. This can cause contractures (stiff muscles), and it can make it harder to get around. This causes more pain and the cycle begins again. Ask your doctor to discuss pain control with you so that you can stay active and avoid this problem.
Will medicine help?
Medicines you can buy without a prescription that reduce inflammation, such as aspirin, ibuprofen (one brand name: Motrin), ketoprofen (brand name: Orudis) or naproxen (brand name: Aleve), or pain relievers, such as acetaminophen (one brand name: Tylenol), can help you feel better. Your doctor can also prescribe medicine for you, such as prescription pain relievers or nonsteroidal anti-inflammatory drugs (NSAIDs) used to treat certain types of arthritis. NSAIDs can help by reducing inflammation, swelling and pain in the joints, but not everyone can take them.
Medicine should be used wisely. You only need the amount that makes you feel good enough to keep moving. Using too much medicine may increase the risk of side effects.
Medicine should be used wisely. You only need the amount that makes you feel good enough to keep moving. Using too much medicine may increase the risk of side effects.
Can special devices really help?
Yes. Special devices (see box below) and different ways of doing things can help people with arthritis stay independent for as long as possible. These devices help protect your joints and keep you moving. For example, if you learn to use a cane the right way, you can help reduce the amount of pressure your weight puts on your hip joint when you walk by up to 60%. Talk to your doctor if you think a special device may help your arthritis.

Special devices for people with arthritis
- Canes, walkers and splints
- Shoe inserts, wedges or pads
- Special fasteners (such as Velcro) on clothing
- Large grips for tools and utensils (wrap foam or fabric around items with narrow handles, like pens)
- Wall-mounted jar openers
- Electric appliances, such as can openers and knives
- Mobile shower heads
- Bath seats and grab bars for the bathtub

Will special exercises really help?
Yes. Exercise keeps your muscles strong and helps you stay flexible. Exercises that don't strain your joints are best. To avoid pain and injury, choose exercises that can be done in small amounts with rest time in between. Dancing, weight lifting and bike riding are good exercises for people with arthritis.
Try tightening your muscles and then relaxing them a number of times. You can do this with all of your major muscle groups. You could also try an "aquacise" program available through your local swimming pool or community center. These programs involve special movements in the pool, with much of your body's weight held up by water.
Talk to your doctor before starting a new exercise program.
Try tightening your muscles and then relaxing them a number of times. You can do this with all of your major muscle groups. You could also try an "aquacise" program available through your local swimming pool or community center. These programs involve special movements in the pool, with much of your body's weight held up by water.
Talk to your doctor before starting a new exercise program.
Should I use heat to ease pain?
Using heat may reduce your pain and stiffness. Heat can be applied through warm baths, hot towels, hot water bottles or heating pads. Try alternating heat with ice packs.
Diabetes
Diabetes: What the Diagnosis Means
If you just found out you have diabetes, you probably have a lot of questions and you may feel a little uncertain. It may help to know you're not alone. In the United States, nearly 16 million people have diabetes. Most of these people lead full, healthy lives. One of the best things you can do for yourself is to learn all you can about diabetes. This handout will tell you some of the basics about diabetes.
What is diabetes?
Your body changes most of the food you eat into glucose (a form of sugar). Insulin is a hormone produced by the pancreas that allows glucose to enter all the cells of your body and be used as energy. Diabetes is a disease that occurs when a person’s body doesn’t make enough insulin or can’t use insulin properly. When you have diabetes, the sugar builds up in your blood instead of moving into the cells. Some, but not all, of the excess sugar is carried out of your body (through urine), and the energy is wasted.
There are two types of diabetes. Type 1 occurs when the body doesn’t produce any insulin. People with type 2 diabetes either don’t produce enough insulin or their cells ignore the insulin. Nearly 95% of people with diabetes have type 2.
There are two types of diabetes. Type 1 occurs when the body doesn’t produce any insulin. People with type 2 diabetes either don’t produce enough insulin or their cells ignore the insulin. Nearly 95% of people with diabetes have type 2.
How can I help myself stay healthy if I have diabetes?
Although diabetes can’t be cured, you can live a long and healthy life. The single most important thing you can do is control your blood sugar level. You can do this by eating right, exercising, maintaining a healthy weight and, if needed, taking oral medicines or insulin.
Eat a healthy diet. The recommended diet for many people who have diabetes is very similar to that suggested for people who don't have diabetes. It's important to eat at least 3 meals per day and never skip a meal. For more information, read our "Diabetes and Nutrition" handout.
Exercise. Exercising will help your body use insulin and lower your blood sugar level. For more information, read our "Diabetes and Exercise" handout.
Maintain a healthy weight. Losing excess weight and maintaining a healthy body weight will help you in 2 ways. First, it helps insulin work better in your body. Second, it will lower your blood pressure and decrease your risk for heart disease.
Take your medicine. If your diabetes can’t be controlled with diet, exercise and weight control, your doctor may recommend medicine or insulin. Oral medicines (taken by mouth) can make your body produce more insulin or help your body use the insulin it makes more efficiently. Some people need to add insulin to their bodies. Always take medicines exactly as your doctor tells you to. For more information, read our "Diabetes Medicines" handout.
Eat a healthy diet. The recommended diet for many people who have diabetes is very similar to that suggested for people who don't have diabetes. It's important to eat at least 3 meals per day and never skip a meal. For more information, read our "Diabetes and Nutrition" handout.
Exercise. Exercising will help your body use insulin and lower your blood sugar level. For more information, read our "Diabetes and Exercise" handout.
Maintain a healthy weight. Losing excess weight and maintaining a healthy body weight will help you in 2 ways. First, it helps insulin work better in your body. Second, it will lower your blood pressure and decrease your risk for heart disease.
Take your medicine. If your diabetes can’t be controlled with diet, exercise and weight control, your doctor may recommend medicine or insulin. Oral medicines (taken by mouth) can make your body produce more insulin or help your body use the insulin it makes more efficiently. Some people need to add insulin to their bodies. Always take medicines exactly as your doctor tells you to. For more information, read our "Diabetes Medicines" handout.
How do I check my blood sugar level?
Your doctor may suggest that you check your blood sugar level (also called blood glucose level) at home. Checking your blood sugar level involves pricking your finger to get a small drop of blood that you put on a test strip. You can read the results yourself or insert the strip into a machine called an electronic glucose meter. To learn more, read our "Monitoring Your Blood Sugar" handout.
Check your blood sugar level as often as your doctor suggests. You may need to check it more often at first, until you get the feel for how it changes and what makes it change.
Check your blood sugar level as often as your doctor suggests. You may need to check it more often at first, until you get the feel for how it changes and what makes it change.
What if my blood sugar gets too low?
People with diabetes are at risk of hypoglycemia, also called low blood sugar. Hypoglycemia occurs when the amount of sugar in your blood drops. The signs of low blood sugar may include having a headache, sweating, and feeling weak or anxious. Talk to your doctor about how to treat hypoglycemia. Usually, you can correct this problem by quickly eating some candy or drinking some regular (not diet) soda or fruit juice.
What health problems can diabetes cause?
Diabetes can be a dangerous and life-threatening disease if you don’t control your blood sugar level. Over time, high blood sugar levels can damage your eyes, blood vessels, nerves and kidneys. Here are some of the problems (also called complications) diabetes can cause:
Blindness: Diabetes can damage the small blood vessels in the retina. It is the leading cause of blindness in people ages 20 to 74. For more information, read our "How to Take Care of Your Eyes and Feet" handout.
Heart disease: People with diabetes are 2 to 4 times more likely to have heart disease and damage to the blood vessels in the heart. This increases their risk of heart attack and stroke. For more information, read our "Diabetes and Heart Disease" handout.
Nerve and blood vessel damage: Damage to blood vessels in the legs can limit the supply of blood to the nerves in the legs and feet. This can make it difficult to feel injuries (such as foot sores). Damage to the blood vessels can also put you at risk for infections and sores that don’t heal. In severe cases, parts of the foot or lower leg may have to be amputated (removed). For more information, read our "Diabetic Neuropathy" handout.
Kidney disease: Diabetes can damage the small blood vessels in the kidneys, which then can’t filter out the body’s waste. In some people, the kidneys stop working completely. These people require dialysis or a kidney transplant. Dialysis is a treatment that eliminates wastes in the blood. For more information, please read our "Diabetic Nephropathy" handout.
The good news is that diabetic complications can often be prevented by taking care of yourself, following your doctor’s orders and controlling your blood sugar level. For more information on how to prevent these problems, please read our "Preventing Diabetic Complications" handout
Blindness: Diabetes can damage the small blood vessels in the retina. It is the leading cause of blindness in people ages 20 to 74. For more information, read our "How to Take Care of Your Eyes and Feet" handout.
Heart disease: People with diabetes are 2 to 4 times more likely to have heart disease and damage to the blood vessels in the heart. This increases their risk of heart attack and stroke. For more information, read our "Diabetes and Heart Disease" handout.
Nerve and blood vessel damage: Damage to blood vessels in the legs can limit the supply of blood to the nerves in the legs and feet. This can make it difficult to feel injuries (such as foot sores). Damage to the blood vessels can also put you at risk for infections and sores that don’t heal. In severe cases, parts of the foot or lower leg may have to be amputated (removed). For more information, read our "Diabetic Neuropathy" handout.
Kidney disease: Diabetes can damage the small blood vessels in the kidneys, which then can’t filter out the body’s waste. In some people, the kidneys stop working completely. These people require dialysis or a kidney transplant. Dialysis is a treatment that eliminates wastes in the blood. For more information, please read our "Diabetic Nephropathy" handout.
The good news is that diabetic complications can often be prevented by taking care of yourself, following your doctor’s orders and controlling your blood sugar level. For more information on how to prevent these problems, please read our "Preventing Diabetic Complications" handout
Heart problem
Heart Attack: Warning Signs and Tips on Prevention
What is a heart attack?
A heart attack (also called myocardial infarction) is when part of the heart muscle is damaged or dies because it isn't receiving oxygen. Oxygen is carried to the heart by the arteries (blood vessels). Most heart attacks are caused by a blockage in these arteries. Usually the blockage is caused by atherosclerosis, which is the buildup of fatty deposits (called plaque) inside the artery. This buildup is like the gunk that builds up in a drainpipe and slows the flow of water.
Heart attacks can also be caused by a blood clot that gets stuck in a narrow part of an artery to the heart. Clots are more likely to form where atherosclerosis has made an artery more narrow.
Heart attacks can also be caused by a blood clot that gets stuck in a narrow part of an artery to the heart. Clots are more likely to form where atherosclerosis has made an artery more narrow.
How do I know if I'm having a heart attack?
The pain of a heart attack can feel like bad heartburn. You may also be having a heart attack if you:
- Feel a pressure or crushing pain in your chest, sometimes with sweating, nausea or vomiting
- Feel pain that extends from your chest into the jaw, left arm or left shoulder.
- Feel tightness in your chest
- Have shortness of breath for more than a couple of seconds
Don't ignore the pain or discomfort. If you think you are having heart problems or a heart attack, get help immediately. The sooner you get treatment, the greater the chance that the doctors can prevent further damage to the heart muscle.
What should I do if I think I am having a heart attack?
Right away, call for an ambulance to take you to the hospital. While you wait for the ambulance to come, chew one regular tablet of aspirin. Don't take the aspirin if you're allergic to aspirin.
If you can, go to a hospital with advanced care facilities for people with heart attacks. In these medical centers, the latest heart attack technology is available 24 hours a day. This technology includes rapid thrombolysis (breaking up clots using medicines called "clot busters"), cardiac catheterization and angioplasty.
In the hospital, you might be given "clot busters" that reopen the arteries to your heart very fast. Nurses and technicians will place an IV line (intravenous line) in your arm to give you medicines. They will also do an electrocardiogram (ECG or EKG), give you oxygen to breathe, and watch your heart rate and rhythm on a monitor.
If you can, go to a hospital with advanced care facilities for people with heart attacks. In these medical centers, the latest heart attack technology is available 24 hours a day. This technology includes rapid thrombolysis (breaking up clots using medicines called "clot busters"), cardiac catheterization and angioplasty.
In the hospital, you might be given "clot busters" that reopen the arteries to your heart very fast. Nurses and technicians will place an IV line (intravenous line) in your arm to give you medicines. They will also do an electrocardiogram (ECG or EKG), give you oxygen to breathe, and watch your heart rate and rhythm on a monitor.

Risk factors for a heart attack
- Smoking
- Diabetes
- Increasing age--83% of people who die from heart disease are 65 years of age or older
- High cholesterol level
- High blood pressure
- Family history of heart attack
- Race--African Americans, Mexican Americans, Native Americans and Native Hawaiians are at greater risk.
- Atherosclerosis (hardening of the arteries)
- Lack of exercise
- Stress
- Obesity
- Sex--More males have heart attacks, although heart disease is the leading cause of death for American women.

How can I avoid having a heart attack?
Talk to your family doctor about your specific risk factors (see box above) for a heart attack and how to reduce your risk. Your doctor may tell you to do the following:
- Quit smoking. Your doctor can help you. (If you don't smoke, don't start!)
- Eat a healthy diet. Cut back on foods high in saturated fat and sodium (salt) to lower cholesterol and blood pressure. Ask your doctor about how to start eating a healthy diet.
- Control your blood sugar if you have diabetes.
- Exercise. This sounds hard if you haven't exercised for a while, but try to work up to at least 30 minutes of aerobic exercise (that raises your heart rate) at least 4 times a week.
- Lose weight if you're overweight. Your doctor can advise you about the best ways to lose weight.
- Control your blood pressure if you have hypertension.
Talk to your doctor about whether aspirin would help reduce your risk of a heart attack. Aspirin can help keep your blood from forming clots that can eventually block the arteries.