Improving Care of Obesity

Question 1

What percentage of diabetes patients have type II diabetes?

Answer 1

95% ish

Question 2

Environmental drivers to obesity

Answer 2

altered food supply
decreased physical activity
stress and distress
drugs

Question 3

Diabetes is the number one cause of these three things

Answer 3

blindness
kidney failure
amputations

Question 4

What is a Hgb A1c measuring?

Answer 4

sugars attached to red blood cells (over the past 3 months) –> if more than 5.7% glycation, type II diabetes

Question 5

How many people have diabetes?

Answer 5

26 million

Question 6

What does the “set point” refer to? What is a study that defends this?

Answer 6

Hormones and metabolism defend the body weight and keep you at a “set” weight; rats when overfed or underfed return to their set weight once they are fed “normally”

Question 7

T/F: gut hormones change persistently to oppose diet-induced weight loss
What is an example of one of these hormones?

Answer 7

True; Ghrelin or CCK

Question 8

When you diet, what happens to your metabolism? (defense of set point)

Answer 8

It slows

Question 9

What BMI warrants surgery?

Answer 9

27

Question 10

Drugs used to treat obesity. Target 5HT receptor.

Answer 10

Qsymia; belviq

Question 11

The big 3 co-morbid conditions with obesity

Answer 11

hypertension
diabetes
sleep apnea

Question 12

Surgery option that is restrictive and hormonal

Creates a new smaller, slender stomach

Answer 12

vertical sleeve gastrectomy

Question 13

Why is the sleeve effective?

Answer 13

the sleeve changes the physiological set point