Vu, a 24-year-old, experienced a significant decline in health, gaining 25 kg in one year and developing multiple chronic conditions. Initially attributing frequent headaches and dizziness to lack of sleep, his condition worsened with sudden shortness of breath and a rapid heartbeat. A visit to Tam Anh General Hospital in Ho Chi Minh City revealed dangerously high blood pressure at 180/120 mmHg, necessitating emergency medication.

Diagnosed with grade two obesity, a body mass index (BMI) of 30,5, and visceral fat exceeding safe levels, Vu's case presented a complex medical picture. Dr. Lam Van Hoang, Head of the Department of Endocrinology and Diabetes, noted that Vu concurrently suffered from several metabolic diseases typically seen in older adults: type 2 diabetes, grade two fatty liver, elevated blood uric acid, and dyslipidemia.

Dr. Hoang consults Vu on his treatment. Photo: Tam Anh General Hospital

Dr. Hoang explained that Vu's unhealthy lifestyle and prolonged sleep deprivation were central to his deteriorating health. This pattern not only caused fatigue but also triggered an increased secretion of stress hormones like cortisol and adrenaline. These hormones constrict blood vessels, elevate heart rate, and lead to salt and water retention, ultimately raising blood pressure. Persistent high blood pressure places continuous strain on blood vessels, increasing the risk of stroke and heart failure.

Poor sleep quality directly impacts glucose metabolism, increases insulin resistance, and significantly elevates the risk of developing diabetes. Furthermore, the body responds by increasing hunger-inducing hormones (ghrelin) while reducing satiety-inducing hormones (leptin). This imbalance often leads patients to overeat, particularly at night, which contributes to obesity.

Vu lost nearly 9 kg after one month of treatment. Photo: Tam Anh General Hospital

Vu's treatment plan included new-generation diabetes medication that supports weight loss. Crucially, it also involved comprehensive lifestyle adjustments: reducing late-night hours, incorporating more green vegetables and fruits, limiting sweets and energy drinks, and engaging in regular exercise. Following one month of this regimen, Vu lost nearly 9 kg, and his symptoms of dizziness, rapid heartbeat, and shortness of breath improved.

Doctors advise young people to pay attention to sleep quality. They recommend seeking medical attention for timely examination and intervention if symptoms such as fatigue, headaches, or rapid heartbeat appear.

Duc Hanh

*Patient's name has been changed