Weight Management Flashcards
Weight management
Weight, height, BMI + longitudinal parameters
What is growth potential - mid parental height/parental weight
History - diet, exercise, medications
Any previous organic investigations
Consider CAUSES and COMPLICATIONS of obesity
Exam: BP, acanthosis nigricans, joint issues, sleep/OSA
Consider FBE, UEC, LFT, fasting lipids, BSL/HbA1c, TFTs, urine cortisol, liver USS, sleep ox, genetics (PWS)
Consider self esteem/bullying
Getting family on board with plan
Be realistic - ?modify soft drink, portion sizes, few snacks, engaging in activities child enjoys
Consider dietician involvement / weight management clinic
Consider self esteem / mental health issues
Regular monitoring
Weight stabalisation vs loss
Metformin (controversial)
Surgical management
