Heart Disease Risks       Original Post 2/5/19

Dr. Shannon Evans, DO, IFMCP • April 2, 2019

Why is heart disease such a big deal?

Unfortunately, heart disease is the leading cause of death in the US for both men & women. 1 in every 4 adult deaths is caused by heart disease. The good news is that it can mostly be prevented!


Most of you know the common risk factors for heart disease include: smoking, high blood pressure, high cholesterol, diabetes, genetics, being physically inactivity, unhealthy eating, being overweight and women who are in menopause—who’s estrogen has decreased (estrogen is cardio protective). What about the people who have died of a heart attack that were eating healthy, exercising and did not seem to have any of these risk factors? What about them? Why did they have a heart attack? Obviously, there is more to learn about what other risks there are to developing heart disease or having a heart attack.


Dental Health

Your dental health is important to your heart health. Several studies have correlated a relationship associated with periodontal disease and heart disease. The conclusion of several studies indicate that periodontal disease increases the risk for heart disease. Are you taking the time to brush and floss regularly? Are you going routinely to your dentist/hygienist? Are you staying away from tobacco? Are you eating a clean, unprocessed and healthy diet?


Comprehensive Cholesterol Panel

Does your generic cholesterol panel look ok? Guess what? This is not the whole story! Do you know if your LDL (“bad cholesterol”) is big & fluffy or small & sticky? You can have a normal LDL level on a regular, generic cholesterol panel, but if the majority of your LDL is small and sticky this is a risk factor for heart disease. Small & sticky LDL can easily get into your arteries causing plaque that could rupture, causing a heart attack or stroke. Do you know if your HDL (“good cholesterol”) is large or small? Your HDL is like a garbage truck that goes around and picks up the LDL you don’t need or that is left over. How helpful is a small garbage truck? Wouldn’t it be important to know what kind of help your HDL is offering? Depending on the comprehensive cholesterol panel that you and your doctor choose, you can also learn more about your genetics, if you absorb too much cholesterol, if you make too much cholesterol; other markers are also available to help in determining your risk factor and treatment plan.


Inflammation

Acute or short term inflammation is a part of your body’s appropriate immune system response to an acute injury or illness that is helpful to heal your body. However, long term or chronic inflammation is not helpful to your body! Chronic inflammation can cause constant irritation to your arteries, promote growth of plaques in your arteries, and trigger blood clots leading to heart attacks.

Certain blood tests can help to evaluate if inflammation may be an issue for you. One blood test that can be obtained is a hs-CRP. High sensitivity C-reactive protein (hs-CRP) is a protein that your liver produces in response to injury or illness. A high or elevated CRP tells you that you have inflammation, but does not give you specifics on where the inflammation is coming from. Elevated hs-CRP is a risk factor for heart disease. Other labs can also be helpful in determining if you have chronic inflammation.


Insulin Resistance

First of all what is insulin resistance? Insulin resistance is when your muscles, fat & liver don’t respond normally to insulin and don’t take up glucose (otherwise known as sugar) from the blood stream like it is suppose to. Insulin functions as a messenger to talk with your muscles, fat & liver. When a person has insulin resistance there is a breakdown in the communication with insulin and your muscles/fat/liver. The pancreas, which produces insulin, notices that the sugar is not being taken care of appropriately and that the sugar is still hanging out in the blood stream and thinks that if it sends more messages (produces more insulin)—the rest of the body will finally listen and take care of this sugar in the blood stream. As a result, people with insulin resistance have a higher than normal insulin level. High insulin levels can cause an increase in skin tags and/or darkened skin in the armpits or neck. Insulin resistance is associated with heart disease. A healthy diet and exercise can help to decrease insulin resistance.


Anger

Yes, can you believe it? Researchers at Harvard Medical School performed a 7 year study involving 3,886 patients that showed your risk for having a heart attack is higher following an episode involving anger. The more intense the anger, the higher the risk for a heart attack! What happens when you become angry? Anger triggers a rise in stress hormones, these stress hormones cause biochemical changes in our bodies leading to an elevation in blood pressure & blood vessel constriction putting strain on our hearts. Finding ways to be happy and not letting things build up in anger is something to strive for. Meditation, prayer and taking quiet time for yourself daily helps to decrease your stress, anxiety and anger.


All of these risk factors: dental health, cholesterol, inflammation and anger are mostly modifiable! Self care is a must! It is so important to put yourself first!


Talk to your doctor or schedule an appointment with Dr. Shannon at New Beginnings Functional Medicine Clinic to find out your risks and how you can modify your risks.



References:

https://www.nhlbi.nih.gov/health-topics/education-and-awareness/heart-truth/listen-to-your-heart

https://www.nhlbi.nih.gov/health-topics/ischemic-heart-disease

https://www.nhlbi.nih.gov/health-topics/education-and-awareness/heart-truth/listen-to-your-heart

https://www.perio.org/consumer/gum-disease-and-heart-disease

https://www.cdc.gov/heartdisease/facts.htm

https://www.hopkinsmedicine.org/health/healthy_heart/know_your_risks/fight-inflammation-to-help-prevent-heart-disease

https://www.mayoclinic.org/diseases-conditions/heart-disease/in-depth/heart-disease/art-20049357

https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/prediabetes-insulin-resistance

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4472609/

https://academic.oup.com/edrv/article/27/3/242/2355180

https://www.webmd.com/heart-disease/news/20161010/anger-heavy-exertion-fast-track-to-a-heart-attack#2

https://hms.harvard.edu/news/study-anger-heart-attacks-strongly-linked

https://www.ajconline.org/article/S0002-9149(13)00896-5/fulltext


By Dr. Shannon Evans, DO, IFMCP June 13, 2025
I am sure you know that diabetics pay close attention to their blood sugar or blood glucose levels. In my opinion, I think everyone should know if their blood sugar is balanced or not! First off, let’s talk about what your blood sugar level is: A blood sugar level or otherwise known as blood glucose is the amount of sugar or glucose in your blood. Sugar comes from carbohydrates in food and drinks you put into your body. Sugar or glucose is your body’s main source of energy. Your blood can carry sugar all over your body. Your liver can also release stored glucose, if your body needs some energy. How does your liver get glucose? Your liver can get the glucose you ate from your gut, specifically your intestines and then stores it. Your liver does so many important things and this is just one of many! What are the benefits to having a continuously balanced blood sugar level? •Great way to help with optimizing your health and healing your body! •Steady energy throughout the day. •Better focus and memory •Stable mood •Better sleep •Hormone balance including adrenals, thyroid and sex hormones •Stress resilience •Nervous system more balanced and less likely to be stuck in fight or flight mode •Organs functioning optimally •Optimal metabolism •Less inflammation •Improved immune function •Better resilience Testing to find out about your blood sugar level: 1- Finger stick test . You get a drop of blood from your finger, put the drop of blood on a test strip, then put the test strip in the glucose meter and within seconds you find out what your blood glucose is at that current point in time. 2- Lab draw taken from your vein . This also tells you at the current time what your blood sugar level is. This is more accurate than a finger stick test. 3- Hemoglobin A1c test . This can be obtained with a lab draw or finger stick test. This tells you what your average sugar level is for a 3 month period. What we are looking for with this test is how much sugar is hanging off of your red blood cells and this will give you a clue about your average sugar level for a 3 month period. For the typical person, your red blood cells last a total of 3 months in your body. 4- Continuous glucose monitor . You wear a sensor this is usually placed on the back of your arm for ~10-14 days to continuously measure your sugar level 24/7 using an app on your phone or a reader. What are the drawbacks to each test: 1-Finger stick test is not always accurate and is only giving you a one time snap shot of what your sugar level is doing currently. 2-Lab draw is pretty accurate but is also only giving you a one time snap shot of what your sugar level is doing currently. 3-Hemoglobin A1c test. It sounds like a great test because you are getting info about a three month period. But the problem is, you are getting the average, you are not seeing if there are highs or lows. 4-CGM (continuous glucose monitor). Not always accurate. Sensors sometimes malfunction. Certain things can throw off the readings such as going thru a metal detector, laying on your arm that has the sensor or being in a hot environment like a sauna, hot tub or bath. What is the best way to see if your blood sugar level is balanced? With the technology that is currently available, I am a big fan of continuous glucose monitors . This is a way we can get the most thorough data about what your sugar level is doing 24/7 for 10-14 days. You will be able to see if your blood sugar is actually balanced 24/7. This means you don’t want to see ups and downs. You want your blood sugar to be balanced—as close to a straight line as possible 24/7. You will also be able to see if certain foods raise your blood sugar. Guess what? In conventional medicine there is a list of foods that are suppose to increase your sugar level. What I have found partnering with patients and looking at their data from their CGMs is that every one is unique and an individual and responds differently to different foods. You will find out what foods increase your blood sugar levels. You will also be able to see how your body responds to simple and complex carbohydrates. For a lot of people, if you don’t have protein and some fat before eating carbs, this can also raise your blood sugar level and put your sugar level out of balance. The amount of carbs also matter. Some people can get away with eating more carbs than others. You will also get the answer about how much your body likes in terms of carbs. You will also get to see if you have any symptoms or your body feels a certain way, if you have low blood sugars or high blood sugars. In conventional medicine, there is a list of symptoms for low and a certain list of symptoms for high blood sugars—but guess what? You are an individual and unique, so your symptoms maybe different than what the “typical symptoms” are. If your body feels stressed, this also affects your blood sugar level. So if you get stressed or angry at someone, you will likely see your blood sugar level increase. If you are exercising too hard and it is too stressful on your body, you can also see an elevation in your sugar level. You may also not feel when you are high or low. What does having a balanced blood sugar look like based on the numbers? Conventional Medicine has outlined what the criteria is for blood sugar numbers that are in prediabetic range or diabetic range, which is helpful. My goal for you is to work towards optimal range for blood sugar levels and have a balanced blood sugar level 24/7, so your body can work optimal! Here is what I have found to be the best ranges for an optimal blood sugar level after working with patients over the years: Fasting blood sugar: 80’s to mid 90’s mg/dL. For some individuals, mid 70’s is optimal. After eating blood sugar or post prandial blood sugar level: I have found that the most optimized patients with a balanced blood sugar level increase their blood sugar no more than 10 mg/dL from their pre-meal blood sugar level. It is okay to have blood sugar level highest before bed even up to 100, since you will not be eating all night and don’t want your blood sugar level plummeting while sleeping. Studies are currently being conducted to figure out what the optimal levels of blood glucose levels should be. It has only been in the last few years that continuous glucose monitors have been available for non-diabetic patients, so as we learn more and continue to conduct more studies, eventually we will have better evidence and wisdom. What the current studies are showing is that optimal levels for fasting blood glucose should be less than 110 mg/dL and after eating the blood sugar should not increase more than 30 mg/dL from pre-meal blood sugar level. Just like everything in life, you don’t want too little or too much when it comes to your blood sugar level—you want it in balance! Are you concerned about your health or a loved one's health and not sure where to begin? Schedule a FREE 15 minute strategy call with New Beginnings. Schedule online or call 970-305-0101. References: https://my.clevelandclinic.org/health/diagnostics/12363-blood-glucose-test https://pmc.ncbi.nlm.nih.gov/articles/PMC5293555/ https://www.ncbi.nlm.nih.gov/books/NBK555976/ https://www.levels.com/blog/what-should-my-glucose-levels-be-ultimate-guide
By Dr. Shannon Evans, DO, IFMCP May 17, 2024
Learn about the benefits to topical castor oil
By Dr. Shannon Evans, DO, IFMCP June 5, 2023
Are you taking time to support your body in detoxing? Learn what organs are key to detoxing and how to support successful detoxing.
By Dr. Shannon Evans, DO, IFMCP October 1, 2021
Learn steps to decrease symptoms & optimize your health!
By Dr. Shannon Evans, DO, IFMCP July 5, 2021
Is Your Sunscreen toxic? Learn about the top three ingredients to stay away from when buying sunscreen!
By Dr. Shannon Evans, DO, IFMCP April 23, 2021
Is an under active thyroid causing your high cholesterol?
By Dr. Shannon Evans, DO, IFMCP January 5, 2021
Information on mRNA vaccinations based on clinical trials from Moderna and Pfizer. Also information from the CDC.
By Dr. Shannon Evans, DO, IFMCP November 13, 2020
LDN can be helpful to balance out a ticked off immune system
By Dr. Shannon Evans, DO, IFMCP October 6, 2020
Struggling with sluggish, mood swings, PMS or weight gain? These can be symptoms of estrogen dominance. Learn 5 ways to balance your estrogen.
By Dr. Shannon Evans, DO, IFMCP August 16, 2020
Learn simple steps to achieving better sleep, finding your calm and reducing stress.
More Posts

Dr. Shannon's Blog

By Dr. Shannon Evans, DO, IFMCP June 13, 2025
I am sure you know that diabetics pay close attention to their blood sugar or blood glucose levels. In my opinion, I think everyone should know if their blood sugar is balanced or not! First off, let’s talk about what your blood sugar level is: A blood sugar level or otherwise known as blood glucose is the amount of sugar or glucose in your blood. Sugar comes from carbohydrates in food and drinks you put into your body. Sugar or glucose is your body’s main source of energy. Your blood can carry sugar all over your body. Your liver can also release stored glucose, if your body needs some energy. How does your liver get glucose? Your liver can get the glucose you ate from your gut, specifically your intestines and then stores it. Your liver does so many important things and this is just one of many! What are the benefits to having a continuously balanced blood sugar level? •Great way to help with optimizing your health and healing your body! •Steady energy throughout the day. •Better focus and memory •Stable mood •Better sleep •Hormone balance including adrenals, thyroid and sex hormones •Stress resilience •Nervous system more balanced and less likely to be stuck in fight or flight mode •Organs functioning optimally •Optimal metabolism •Less inflammation •Improved immune function •Better resilience Testing to find out about your blood sugar level: 1- Finger stick test . You get a drop of blood from your finger, put the drop of blood on a test strip, then put the test strip in the glucose meter and within seconds you find out what your blood glucose is at that current point in time. 2- Lab draw taken from your vein . This also tells you at the current time what your blood sugar level is. This is more accurate than a finger stick test. 3- Hemoglobin A1c test . This can be obtained with a lab draw or finger stick test. This tells you what your average sugar level is for a 3 month period. What we are looking for with this test is how much sugar is hanging off of your red blood cells and this will give you a clue about your average sugar level for a 3 month period. For the typical person, your red blood cells last a total of 3 months in your body. 4- Continuous glucose monitor . You wear a sensor this is usually placed on the back of your arm for ~10-14 days to continuously measure your sugar level 24/7 using an app on your phone or a reader. What are the drawbacks to each test: 1-Finger stick test is not always accurate and is only giving you a one time snap shot of what your sugar level is doing currently. 2-Lab draw is pretty accurate but is also only giving you a one time snap shot of what your sugar level is doing currently. 3-Hemoglobin A1c test. It sounds like a great test because you are getting info about a three month period. But the problem is, you are getting the average, you are not seeing if there are highs or lows. 4-CGM (continuous glucose monitor). Not always accurate. Sensors sometimes malfunction. Certain things can throw off the readings such as going thru a metal detector, laying on your arm that has the sensor or being in a hot environment like a sauna, hot tub or bath. What is the best way to see if your blood sugar level is balanced? With the technology that is currently available, I am a big fan of continuous glucose monitors . This is a way we can get the most thorough data about what your sugar level is doing 24/7 for 10-14 days. You will be able to see if your blood sugar is actually balanced 24/7. This means you don’t want to see ups and downs. You want your blood sugar to be balanced—as close to a straight line as possible 24/7. You will also be able to see if certain foods raise your blood sugar. Guess what? In conventional medicine there is a list of foods that are suppose to increase your sugar level. What I have found partnering with patients and looking at their data from their CGMs is that every one is unique and an individual and responds differently to different foods. You will find out what foods increase your blood sugar levels. You will also be able to see how your body responds to simple and complex carbohydrates. For a lot of people, if you don’t have protein and some fat before eating carbs, this can also raise your blood sugar level and put your sugar level out of balance. The amount of carbs also matter. Some people can get away with eating more carbs than others. You will also get the answer about how much your body likes in terms of carbs. You will also get to see if you have any symptoms or your body feels a certain way, if you have low blood sugars or high blood sugars. In conventional medicine, there is a list of symptoms for low and a certain list of symptoms for high blood sugars—but guess what? You are an individual and unique, so your symptoms maybe different than what the “typical symptoms” are. If your body feels stressed, this also affects your blood sugar level. So if you get stressed or angry at someone, you will likely see your blood sugar level increase. If you are exercising too hard and it is too stressful on your body, you can also see an elevation in your sugar level. You may also not feel when you are high or low. What does having a balanced blood sugar look like based on the numbers? Conventional Medicine has outlined what the criteria is for blood sugar numbers that are in prediabetic range or diabetic range, which is helpful. My goal for you is to work towards optimal range for blood sugar levels and have a balanced blood sugar level 24/7, so your body can work optimal! Here is what I have found to be the best ranges for an optimal blood sugar level after working with patients over the years: Fasting blood sugar: 80’s to mid 90’s mg/dL. For some individuals, mid 70’s is optimal. After eating blood sugar or post prandial blood sugar level: I have found that the most optimized patients with a balanced blood sugar level increase their blood sugar no more than 10 mg/dL from their pre-meal blood sugar level. It is okay to have blood sugar level highest before bed even up to 100, since you will not be eating all night and don’t want your blood sugar level plummeting while sleeping. Studies are currently being conducted to figure out what the optimal levels of blood glucose levels should be. It has only been in the last few years that continuous glucose monitors have been available for non-diabetic patients, so as we learn more and continue to conduct more studies, eventually we will have better evidence and wisdom. What the current studies are showing is that optimal levels for fasting blood glucose should be less than 110 mg/dL and after eating the blood sugar should not increase more than 30 mg/dL from pre-meal blood sugar level. Just like everything in life, you don’t want too little or too much when it comes to your blood sugar level—you want it in balance! Are you concerned about your health or a loved one's health and not sure where to begin? Schedule a FREE 15 minute strategy call with New Beginnings. Schedule online or call 970-305-0101. References: https://my.clevelandclinic.org/health/diagnostics/12363-blood-glucose-test https://pmc.ncbi.nlm.nih.gov/articles/PMC5293555/ https://www.ncbi.nlm.nih.gov/books/NBK555976/ https://www.levels.com/blog/what-should-my-glucose-levels-be-ultimate-guide
By Dr. Shannon Evans, DO, IFMCP May 17, 2024
Learn about the benefits to topical castor oil
By Dr. Shannon Evans, DO, IFMCP June 5, 2023
Are you taking time to support your body in detoxing? Learn what organs are key to detoxing and how to support successful detoxing.
By Dr. Shannon Evans, DO, IFMCP October 1, 2021
Learn steps to decrease symptoms & optimize your health!
By Dr. Shannon Evans, DO, IFMCP July 5, 2021
Is Your Sunscreen toxic? Learn about the top three ingredients to stay away from when buying sunscreen!
By Dr. Shannon Evans, DO, IFMCP April 23, 2021
Is an under active thyroid causing your high cholesterol?
By Dr. Shannon Evans, DO, IFMCP January 5, 2021
Information on mRNA vaccinations based on clinical trials from Moderna and Pfizer. Also information from the CDC.
By Dr. Shannon Evans, DO, IFMCP November 13, 2020
LDN can be helpful to balance out a ticked off immune system
By Dr. Shannon Evans, DO, IFMCP October 6, 2020
Struggling with sluggish, mood swings, PMS or weight gain? These can be symptoms of estrogen dominance. Learn 5 ways to balance your estrogen.
By Dr. Shannon Evans, DO, IFMCP August 16, 2020
Learn simple steps to achieving better sleep, finding your calm and reducing stress.
More Posts