KC's metabolic syndrome; 3.19

Question 1

What is needed for the diagnosis of metabolic syndrome?

Answer 1

3+ of the following:
Waistline- men > 40"...women > 35"
BP >130/85...or on BP meds
Fasting TG > 150
Fasting glucose > 100...or on glucose lowering drugs
HDL: men < 40...women < 50

Question 2

What should be the lifestyle goals of a patient with metabolic syndrome?

Answer 2

Limit alcohol intake
Lose weight (5-10% of current)
Exercise (30m brisk walk)
Diet (carbs < 50% total calories)

Question 3

What should be done if lifestyle changes don’t get the patient’s numbers where they should be?

Answer 3

Add drugs…

Question 4

Why is there a concern about metabolic syndrome?

Answer 4

2x risk of heart disease
5x risk of diabetes
(more likely if fat, Mexican, or old)