Patient's Query
Hi doctor,
I am a 40-year-old healthy female. I am mildly obese. I have grade 2 diastolic dysfunction, a normal ejection fraction, a structurally normal heart, palpitations, and have NSVT at times. I had no diastolic dysfunction that could be seen on the echocardiogram until three years back. But after that, the condition was diagnosed, and it had reached grade 2. It remained in grade 2 since then. I am currently taking the tablet Metformin 1500 mg for PCOS and the tablet Fluoxetine 60 mg daily. My cardiologist told me that I could live a very long life and that I needed to have a low-sodium diet and exercise regularly. But then I read about grade 2 diastolic dysfunction on the internet, and I felt worried. I have already taken an ECG. I am looking for an honest answer. Kindly help.
Thank you.
Hi,
Welcome to icliniq.com.
I can understand your concern.
For proper evaluation, I need some more information. Please answer the following queries-
Kindly revert with answers so that I can assist you further.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply.
I am asymptomatic. I do not have any issues that you had asked for. The cardiologist also mentioned that the absence of symptoms is a very good sign.
Thank you.
Hello,
Welcome back to icliniq.com.
Glad to have you back.
It is good that you are asymptomatic. However, being asymptomatic does not entirely rule out the danger because there is a chance that the dysfunction can likely progress in the future as it is in the second stage. It does not mean you cannot live long in good health. I need some more information. For how long have you been taking the tablet Metformin? What measures have you taken to lose weight? Your weight is a problem here. When was the last time you checked your fasting blood sugar levels? Kindly reply.
Thank you.
Patient's Query
Hi doctor,
Thanks for the reply.
I have been taking the tablet Metformin for six years. I checked my fasting blood sugar level six months ago and will be checking again soon. It is generally a bit high, ranging from 120 to 130 mg/dL. But my doctor has never prescribed anything other than tablet Metformin as my HbA1c is always in the 5.9 to 6 percent range. Should I repeat the test? Regarding the weight loss, I need to work hard and get in shape. But diet and exercise have always been a struggle for me in terms of consistency. Kindly suggest a diet that is best for my heart and weight loss.
Thank you.
Hi,
Welcome back to icliniq.com.
It is good that your sugar levels are not too elevated. But it is important to keep it in check. I suggest you go for an intensive weight loss regime wherein you will use an eating formula—the 50-25-25 percent eating rule. Your diet will include 25 percent protein, 50 percent fruits and salad, and 25 percent carbohydrates. You must use a medium-sized plate and not a big one. Most importantly you have to exercise. You can start walking for 30 minutes every morning. Start with three days a week.
Do not eat after 7 p.m. Eat only salads and Greek yogurt if needed. Avoid smoking and drinking if you do. Have you ever suffered any form of chest pain that might radiate to other parts of your body like your shoulder, jaw, or back? If so, was it sharp? Have you checked your cholesterol levels? Kindly reply.
I hope this helps.
Thank you.
Patient's Query
Hello doctor,
Thank you for your advice.
I have no chest pain and my cholesterol levels are good. I have no further questions.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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