Pre-DM/ Metabolic disorder

Question 1

Metabolic syndrome- Dx

Answer 1

3 + of following:

• Central obesity by waist circumference
• Hypertriglyceremia
• Low LDL or medication
• HTN >130/85 or medication
• Fasting plasma glucose >100 or medication

Question 2

Metabolic syndrome- Clin significance

Answer 2

• Indication of insulin resistance

- Increased risk of CVD, DM (3-5 fold increase), fatty liver, apnea

Question 3

Metabolic syndrome- Prevention

Answer 3

Prevention of obesity though phys activity and diet

• Restriction of dietary fats
• Tx HTN

Question 4

Pre-diabetes- Dx

Answer 4

• A1c 6.4-5.7

- Fasting glucose 100-125

Question 5

Pre-diabetes- Significance

Answer 5

Progresses to diabetes

- 15-30% with PreDM develop type 2 in 5 yrs

Question 6

Pre-diabetes- Prevention

Answer 6

• Lose weight
• Eat correctly
• Be active