Metabolic Syndrome

Question 1

Metabolic Syndrome is defined as a constellation of _____ or more of the following:

(a) Abdominal obesity
(b) Triglycerides 150mg/dl or higher
(c) HDL <40mg/dl for men or 50mg/dl for women
(d) Fasting glucose of 110mg/dl or higher
(e) Hypertension

Answer 1

3

Question 2

Generally detected on routine screening

(a) _____, ______ and _______ at each clinical encounter.
(b) Waist measurement if BMI _____
(c) _______: Some variation to societal guidelines for screening purposes in patients 20-75 years old, every 5 years is reasonable (2018 American College of Cardiology / American Heart Association)
(d) Fasting Glucose: American Diabetes Association recommends checking fasting glucose or A1C every _____ years in patients with BMI at or greater that 25 with one or more additional risk factors (family history, PCOS, hypertension, hyperlipidemia, high risk ethnicity, cardiovascular disease).

Answer 2

a) Ht, wt and BP
b) >25
c) Lipid screening
d) 3

Question 3

Management of metabolic syndrome

Answer 3

Risk Factor Modification!

Question 4

Risk Factor Modification for metabolic syndrome

Answer 4

(1) Counseling appropriate weight management and physical activity is paramount. Obesity is the most important modifiable risk factor.
(2) Diet modification if needed for improved weight (calories), glucose (simple sugars), or blood pressure control (salt intake).
(3) Nutrition referral advised for tailored dietary counseling.
(4) Metformin may be considered if impaired fasting glucose is present.
(5) Blood pressure medications depending on comorbidities

Question 5

Metabolic Syndrome is defined as 3 ore more of what?

Answer 5

(a) Abdominal obesity
(b) Triglycerides 150mg/dl or higher
(c) HDL <40mg/dl for men or 50mg/dl for women
(d) Fasting glucose of 110mg/dl or higher
(e) Hypertension