Health Check: Safety from 35

Doing more for the health and taking care of the check-ups: After the age of 35, men and women are entitled to a health check every three years for the early detection of cardiovascular diseases, diabetes mellitus and kidney disease. What is the check-up 35 and what do the results mean? We inform about the basic health check.

What does the health check from 35?

The basic health check consists of a comprehensive recording of the medical history and pre-existing conditions as well as the survey of the whole body status, thus:

  • head
  • neck
  • thorax
  • lung
  • belly
  • size
  • mass
  • Skin color
  • muscle tone
  • balance
  • reflexes

In addition, the vaccination status is also checked. In addition, the following measures are for check-up 35.

Overall history and blood test at check-up 35

Also the Medical history of the immediate family is charged. Individual risks that may arise from genetic predisposition are taken into account.

At the accompanying blood test the total cholesterol and glucose levels are measured. The Urine examination on protein, glucose, erythrocytes, leucocytes and nitrite is also part of the "all-round appointment".

From the results, a complete lipid profile is prepared comprising total cholesterol, LDL and HDL cholesterol, and triglycerides. Also, sugar levels and blood pressure are checked.

Laboratory tests of blood and urine

This means the laboratory values:

  • blood sugar (Glucose): An elevated blood sugar level can be a sign of diabetes (diabetes mellitus). Normal values: Fasting blood sugar: 70 to 110 milligrams per deciliter of blood (mg / dl).
  • cholesterol (CHOL): Cholesterol comes in two components: The "good" HDL cholesterol transports the blood lipids from the body tissue and provides some protection against arteriosclerosis. The "bad" LDL cholesterol deposits on the arterial walls and increases the risk of cardiovascular disease. During the routine check, the total cholesterol in the blood is determined. Normal values: up to 200 mg / dl blood.
  • triglycerides (TG): Triglycerides are among the blood lipids. High levels of triglycerides are a risk factor for coronary heart disease, especially when combined with high LDL cholesterol levels. Normal fasting: up to 150 mg / dl blood.
  • creatinine: Every muscle movement produces the metabolite creatinine, which is excreted in the urine via the kidneys. How much creatinine circulates in the blood depends on the functioning of the kidneys and on the available muscle mass. An excessive level of keratin may therefore indicate a kidney problem. Normal values: Women: 0.6 to 1.1 mg / dl blood; Men: 0.7 to 1.3 mg / dl.
  • Uric acid: Uric acid is the end product in the metabolism. The body also produces uric acid from foods such as meat and offal. If too much uric acid accumulates in the body, or if excretion is inhibited by alcohol, it deposits in the form of crystals in the joints or kidneys. Painful gouty knots and kidney stones are the result. Normal values: Women: 2.5 to 5.9 mg / dl blood; Men: 3.5 to 7.1 mg / dl.
  • Red blood cells (Erythrocytes): The red blood cells transport the oxygen from the lungs to the whole body. Too few erythrocytes are indicative of anemia (anemia), too high an amount to interfere with blood cell formation. Normal values: Women: 3.5 to 5.0 million per microliter of blood (ml / yl); Men: 4.3 to 5.9 million / y.
  • White blood cells (Leukocytes): The white blood cells play an important role in the defense against pathogens. A change in the leukocyte count may indicate infection or inflammation. Normal values: Men and women: 4,000 to 10,000 per microliter of blood.

Where and when is a check-up 35 possible?

The preventive check-up can be carried out by all general practitioners, general practitioners or internists.

Both women and men over the age of 35 have every three years Eligible for a full check-up. Also before the age of 35 the examination is paid once (from the age of 18) by the health insurance. However, the urine examination is omitted, the examination of the blood takes place only with the appropriate risk profile.

Knowledge and prevention

The health examination is crucial for the medical care of patients and should not be underestimated. The regular examination offers the opportunity to identify potential risk factors at an early stage and to treat them accordingly or at least to observe them. Even many small changes in almost all areas of daily life can prove to be a major change in the direction of disease in terms of individual health.

Almost every second participant in a screening test actually detects a disease or corresponding risk factors. If they are detected early, these factors can usually be resolved by behavioral changes or illnesses treated in a timely manner.

Other important check-ups

Although the health check above 35 includes the total cholesterol level, it does not include a number of other important blood levels. For example, those who, for example, would like to inform themselves regularly about their liver enzymes without the medically justified need, must bear the costs themselves.

In addition, at the age of 40, one should regularly measure his intraocular pressure every 2 years; from 40 years even every year. The glaucoma examination is at ophthalmologist carried out, but the costs taken over by the health insurance companies only in justified exceptional cases.

Forget the dentist Not! Diseased teeth are often associated with other diseases, especially from the rheumatic type. Shifts in the jaw can be the cause of headaches and neck problems, so going to the dentist is definitely worth it.

The aim of all precautionary examinations is to record the onset of disorders in good time so that severe and, above all, permanent functional disorders of the organs can be prevented by initiating a therapy. Timely diagnosis is and remains the best treatment in most cases: the sooner you can treat, the better your chances of recovery.

Cancer prevention is particularly important

Under this motto are also the numerous programs for cancer screening, which are supported by the health insurance companies. While women are examined for cancer of the genitalia from the age of 20 and on breast cancer from the age of 30, the men of 45 years or older focus on the prostate examination.

From the 55th Age can be made in men and women colonoscopy in the context of colorectal cancer screening. If there is no medical need for a previous follow-up examination, it will be repeated every 10 years at the expense of the health insurance company.

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