All adults over the age of 18 are recommended to have an annual lipoprotein analysis. This includes total cholesterol, LDL,
HDL, triglyceride measurement.
All adults over the age of 18 are recommended to check their blood pressure every one to two years.
- Colon cancer:
All adults over the age of 50 are recommended to have occult blood stool screening and a digital rectal exam annually. In
addition, colonoscopy every ten years with flexible sigmoidoscopy every three years is recommended.
- Prostate cancer:
All adults over the age of 50 are recommended to have digital rectal exam and PSA test every year.
- Breast cancer:
All women over the age of 18 are recommended to do self-breast exam monthly. Annual breast exam should start at age 40. All
women should have a baseline mammogram at age 40. Between age 40 and 50, mammogram should be done every one to two years.
Over age 50, on a yearly basis.
- Cervical cancer:
All women over the age of 18 should have base line PAP-smear test and then, every one to three years.
Patients with diabetes should be monitored for Hemoglobin A1C level, microscopic proteinurea and blood pressure every 3 months.
Patients should be screened for peripheral neuropathy and retinopathy on an annual basis. Also, cholesterol measurements
should be evaluated at least, annually.
- Coronary Artery Disease:
Patients with CAD, PVD and Stroke should be monitored and treated for Hypertension, High cholesterol, and Diabetes on a 3 months
basis. Therapeutic management includes diet, exercise and medications when appropriate.
Due to high risk of cardiovascular disease, hypertension and diabetes, obese patients should be treated with diet and medications
when feasible, and possibly with surgery.