Why 2 Young Women Died of Heart Trouble

18-year-old Félicité Tomlinson reportedly passed away from a heart attack/cardiac arrest. A person in the apartment called for an ambulance, but paramedics pronounced her dead at the scene after failing to revive her. She was the sister of One Direction singer Louis Tomlinson, the oldest of seven siblings.

Her shocking death comes days after former Miss Teenager Universe Lotte van der Zee passed away at 20 after suffering a sudden cardiac arrest the day before her birthday.

Why would young women who seemed healthy die that way so suddenly?

According to HollywoodLife, Dr. Reed Wilson, a Beverly Hills GP and cardiologist  stated, “a heart attack is caused by a blocked artery to the heart. The part of the heart that is supplied by the blood vessel dies and no longer pumps. If the area is small enough the individual can do very well. If it is a large area and there is no longer enough heart to pump, the patient can die. The most common deadly problem following a heart attack are abnormal heart beats that result in deadly arrhythmias and ultimately cardiac arrest where the heart stops.”

Since there were reportedly no warning signs, one can’t help wondering if a defect that went undetected?

Dr. Wilson states “some young adults can be born with abnormalities of the coronary arteries that can lead to sudden death. The heart has two arteries, a right and a left (the left immediately splits into two). But some individuals have just one that supplies the whole heart, while others have arteries that travel in strange directions to get to the heart. Both of these can lead to heart attacks.

EDITOR’S NOTE: A heart attack is when blood flow to the heart is blocked, and sudden cardiac arrest is when the heart malfunctions and suddenly stops beating unexpectedly. A heart attack is a “circulation” problem and sudden cardiac arrest is an “electrical” problem.

On March’s Diabetes Late Nite podcast we spoke to Patricia Addie-Gentle RN, CDE about the findings from a recent study the more young women are having heart attacks. 

The study states that the proportion of heart attack–related hospitalization rates for women ages 35 to 54 increased from 21% to 31% over the last two decades.

Scientists can’t say for sure what’s causing an increase in heart disease among young women, but they do have some ideas. Last month’s study found that not only had hospitalization rates for heart attacks increased among young people since 1995, but that hypertension and diabetes rates had increased as well. The young women in the study were also more likely to be black than the young men, suggesting that heart disease is hitting young black women especially hard.

Another interesting finding was that, compared to the young men in the study, the young women were less likely to have previously been treated for conditions like high blood pressure, high cholesterol, or stroke. This suggests that women are being under-treated this link opens in a new tab for heart disease risk factors, wrote Viola Vaccarino, MD, PhD, an epidemiologist at Emory University, in a commentary published along with the study. Prevention guidelines may also underestimate risk among this age group, she added.

It’s also interesting to note that the estrogen in birth control pills and in hormone patches, implants, vaginal rings and injections can cause an increase in blood clotting, which could result in a heart attack. However, that risk is still very small for most women, especially for those under 35 who do not have other risk factors for heart disease, such as smoking or obesity.

Divabetic will presenting the first-ever Diabetes & Heart Health Escape Room Experience: Clued Inn on Diabetes Alert Day, Tuesday, March 26, 2019 in New York City. Currently we have over 150 pre-registered for Clued Inn but there’s still room for you and your friends to participate! Register now at CluedInn.org.

Why Plan B May Not Be Effective for Plus Size Women

If you weigh more than 176 pounds and find yourself in a situation where your birth control fails, then chances are the morning-after pill might not work for you according to a 2013 study conducted by the CDC.

According to the National Institutes of Health, nearly one-third of adults in the United States are obese. This proportion is certainly higher among people with diabetes; insulin resistance, a hallmark of Type 2 diabetes, and obesity are both elements of the metabolic syndrome. (Other traits are high blood pressure and abnormal blood lipid levels.)

“The average woman in America spends five years trying to get pregnant and 30 years trying not to,” explained Cecile Richards, President of Planned Parenthood in an interview with The New York Times.

Although Plan B manufacturers insist that there are no weight limits, researchers have suggested that women weighing more than 176 pounds should consider taking two of the recommended doses to help ensure effectiveness. With the current cost of Plan B running at close to $50, that would mean women who lie outside the weight range could count on spending more that $100 on emergency contraception.

Additionally, a 2011 study in the journal Contraceptive, recommends that women who have a body mass index (BMI) of more than 25 should not rely on levonorgestrel or a “normal” dose of Plan B, as an effective emergency contraceptive.

Searching for an alternative?

An IUD is a small, plastic device shaped like a T. The ParaGard (Copper T 380A) is the only non-hormonal IUD available in the US. This IUD has copper (which acts as a spermicide) coiled around it. The IUD irritates the lining of the uterus, which makes it harder for implantation. It also serves as an irritant, so white blood cells migrate to the inflamed uterus and can help to destroy sperm. The IUD is inserted into the uterus by a doctor and has 2 filament strings which hang down into the vagina. A woman can feel the strings to make sure the IUD is still in place. ParaGard can be left in place for up to 10 years.

Another effective option for plus size women is the barrier birth control method. Because they have do not have any hormones, barrier methods also have fewer side effects. is a device that physically blocks sperm from entering the opening of the uterus. Though these contraceptives can be very reliable — they can become less effective if you do not use them the correct way. Because of this, you may be more likely to experience birth control failure (maybe due to not being inserted correctly, at the right time, etc).

Making sure that these methods work as effectively as possible is even more important given the fact that plus size women are at greater risk of pregnancy-related complications. You can increase the effectiveness of these birth control methods by using a double barrier method (such as a condom and spermicide or a diaphragm and a condom — but do NOT use male and female condoms or two condoms).

LISTEN NOW: Mr. Divabetic Show on Premenstrual Dysphoric Disorder (PMDD) on this one hour of wellness with a wow podcast.  PMDD is a severe, sometimes disabling extension of premenstrual syndrome (PMS) that start about 7 to 10 days before a woman gets her monthly period. The American College of Obstetricians and Gynecologists estimates that at least 85 percent of menstruating women have at least one PMS symptom as part of their monthly cycle. PMS is much more common than PMDD.  Biologic, psychological, environmental, and social factors all seem to play a part in PMDD. It is important to note that PMDD is not the fault of the woman suffering from it or the result of a “weak” or unstable personality. It is also not something that is “all in the woman’s head.”

Rather, PMDD is a medical illness that impacts only 3% to 8% of women. Fortunately, it can be treated by a health care professional with behavioral and pharmaceutical options.

Podcast Guests: Dr. Andrea Chisholm OBGYN, Peak 10 Skin founder Connie Elder, We Are Diabetes founder, Asha Brown, and Laura L. who are both living with type 1 diabetes.

Is the IUD The Best Form of Birth Control for Women with Diabetes?

WOMEN HEALTHPODC.002

On the upcoming Women’s Health podcast, Mr. Divabetic will discuss birth control options for women with diabetes with his guest, Dr. Andrea Chisholm MD, FACOG OB-GYN.

According to a new study the  two most effective hormonal birth control methods for women  with diabetes are intrauterine devices (IUDs) and contraceptive implants.

Both forms of birth control are linked with the lowest risk of blood clots in these higher-risk women.

Hormonal contraceptives boost women’s risk for clots, which can lead to heart attack and strokes. That’s a particular problem for women with diabetes, who are at increased risk for blood clots to begin with.

While many contraceptives use a combination of two hormones, estrogen and progestin, the World Health Organization advises that women at increased risk of a blockage caused by a blood clot – known as a thromboembolism – use contraceptives containing only progestin reports FOX News.

Dr. Natalie Whaley, an obstetrician/gynecologist and family planning provider at the University of Rochester Medical Center in New York, said that women with diabetes need to time their pregnancies for a number of reasons, including the fact that having good control of their blood sugar will reduce the risk of miscarriage and fetal anomalies

WOMEN HEALTHPODC.003

 

TUNE IN: Upcoming Special “State of Women’s Health” podcast on Tuesday, December 20, 2016, 6 PM, EST. Guests  include Dr. Andrea Chisholm MD, FACOG, OB-GYN, Poet Lorraine Brooks and PEAK 10 Skincare Founder, Connie Elder. Music by Leona Lewis courtesy of SONY Music.