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Metabolic Syndrome

 
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Metabolic Syndrome - May 18, 2005 7:20:00 AM   
SJBird55

 

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Is this now the terminology to use to describe someone who is obese? Or is this term a subset of obese folks?
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Re: Metabolic Syndrome - May 18, 2005 11:12:00 AM   
JLS_PT_OCS

 

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This is the new term for the prediabetic patients, who don't quite meet the standard to be called diabetes (based on fasting glucose and hemoblobin A1C I think) but who are showing some signs of insulin resistance and other markers of early diabetes.
J

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Re: Metabolic Syndrome - May 18, 2005 11:16:00 AM   
SJBird55

 

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Why did I think it was tied to obesity also?

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Re: Metabolic Syndrome - May 18, 2005 12:48:00 PM   
apolipo

 

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My impression was that Metabolic Syndrome applies to a person with BP, cholesterol, and blood sugar that are all slightly abnormal and who are often borderline obese who go from reasonable healthy to multiple medical problems related to the factors mentioned above. I'm probably off a little, but that is what I have heard.

mike t

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Re: Metabolic Syndrome - May 18, 2005 1:26:00 PM   
jma

 

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This is new to me. I did not see this written in chart with patients who are obese. Just the word obese only.

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Re: Metabolic Syndrome - May 18, 2005 1:35:00 PM   
Jon Newman

 

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Here's a reference

[URL=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15824297]link[/URL]

jon

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[URL=http://www.sonymusic.com/clips/selection/30/064887/064887_03_03_30.wav]Evidence[/URL]

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Re: Metabolic Syndrome - May 18, 2005 1:51:00 PM   
anoopbal

 

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It is not neccassary that people with syndrome X are obese; quite possible to have all the symtoms like dyslipidemia, imapired fasting glucose and hypertrension and yet have a normal BMI. As well, quite real for obese people to have a normal blood lipid profile and fatsing glucose. But most obese tend to have something which can push them closer to beinng categorised. All been said, obesty certainly makes all these pathologies worse.


Anoop

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Re: Metabolic Syndrome - May 18, 2005 2:09:00 PM   
coreconcepts

 

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Mike T's explanation is the most accurate. Syndrome X (or metabolic syndrome) is a cluster of metabolic risk factors as described by Mike T. Obesity being a strong factor. Here are the other components (from americanheart.org);

- Atherogenic dyslipidemia (blood fat disorders ? mainly high triglycerides and low HDL cholesterol ? that foster plaque buildups in artery walls)
- Insulin resistance or glucose intolerance (the body can?t properly use insulin or blood sugar)
Prothrombotic state (e.g., high fibrinogen or plasminogen activator inhibitor [?1] in the blood)
- Raised blood pressure (130/85 mmHg or higher)
Proinflammatory state (e.g., elevated high-sensitivity C-reactive protein in the blood)

Jason - is this a new term for "pre-diabetes"? Although they are closely associted, I don't think they are synonymous terms. I suppose you could view them as almost identical as having one almost invariably means you will have the other. Hba1c tests measure for diabetes. Basically it is how much sugar is sticking to the cells, and is considered to be far more accurate than fasting blood glucose.

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Re: Metabolic Syndrome - May 18, 2005 2:25:00 PM   
anoopbal

 

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I belive though its a cluster of pathologies, insulin resistance is he most common characteristic of this syndrome. Hnec reffered to also as 'insulin resistance syndrome'.

Anoop

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Re: Metabolic Syndrome - May 18, 2005 3:50:00 PM   
SJBird55

 

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Thanks. I knew I had read something, but I couldn't remember what I read. Core, your stuff is jogging my memory. I remember thinking that many of my patients fit into the category, I just couldn't remember the specifics. All I could remember was obesity was tied in somehow.

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Re: Metabolic Syndrome - May 18, 2005 4:13:00 PM   
JLS_PT_OCS

 

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This is a new term for "pre-diabetes".
I work in a hospital with community outreach with MDs, RNs, and CDEs (certified diabetes educators), and that is essentially what their presentations state.

I am not exactly certain about the exact diagnostic criteria.
Probably because I'm not a physician.
:)
J

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Re: Metabolic Syndrome - May 31, 2005 9:39:00 AM   
Dr.Wagner


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It is the "disease" of normalcy...it might as well be called "syndome midwest" as at least 50% of people I see in the ED have all of these criteria. It really bothers me that someone actually sat down and said, "hey, lets put a name to 'out of shape'"

I find it ridiculous absolutely ridiculous.
THe criteria is 3 of 5
Mildly elevated cholesterol or triglycerides,
central obesity, BP of 130/80-85, blood glucose of 100, and this bogus "pro inflammatory state".

In other words, virtually everyone when they present to the ER or physicians office. A blood sugar of 100 is as common as tight hamstrings, I HAVE A SYSTOLIC OF 130.
And "pro inflammatory state", such BS. So the family doc is going to measure EVERYONE for inflammatory markers that are NONSPECIFIC. That is expensive crappy diagnostics.

I say, get on a treadmill and eat an apple...fatty.

Once again the American obcession with labeling EVERYTHING.

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Re: Metabolic Syndrome - May 31, 2005 10:53:00 AM   
Alex Brenner PT MPT OCS

 

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[QUOTE]I say, get on a treadmill and eat an apple...fatty.
Dr. Wagner, DO, PT
[/QUOTE]This is great. Can I have permission to print this out and put on my wall behind my desk right below my PT credentials so that my patients can view it?

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Re: Metabolic Syndrome - May 31, 2005 8:42:00 PM   
SJBird55

 

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Definitely a midwest common thing... lots of fat folks in my area.... and the majority of the patients I see have all those criteria. I always wonder how people get themselves into that kind of shape... I mean, you don't get huge and have all those issues all at once. Maybe people don't notice as they start buying larger clothes sizes? Seems as though one would notice though... And, wouldn't the person actually start feeling less healthy or something?

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Re: Metabolic Syndrome - May 31, 2005 11:21:00 PM   
Dr.Wagner


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Alex, you have my permission and my blessing.

I laughed when I wrote it.

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Re: Metabolic Syndrome - June 1, 2005 2:58:00 AM   
Alex Brenner PT MPT OCS

 

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Wags,
I couldn't stop laughing when I read it!! Its hilarious!

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Re: Metabolic Syndrome - June 1, 2005 10:13:00 AM   
JLS_PT_OCS

 

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Man, love you around here, for comic relief as well. I needed that today, Wags, thanks!
J

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Jason Silvernail DPT
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jasonsilvernail@gmail.com

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Re: Metabolic Syndrome - June 1, 2005 6:46:00 PM   
srcase

 

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SJ,
Yes, I agree that it is way too common, and I work in one of the fattest cities in America (Detroit metro). The worst is when the patients bring in "treats" for us that are so unhealthy and then ask us what we thought of them....how come no one brings us fruit or protein bars or something?? My newest excuse is that I am lactose-intolerant...that about covers every fat-laden "treat" out there!
Sarah

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Re: Metabolic Syndrome - June 1, 2005 7:58:00 PM   
SJBird55

 

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After doing a stint of home health years ago, I'm always a bit frightened to eat something someone actually bakes. I've seen some houses that are quite filthy that just the thought of eating anything from the house would make me want to puke.

I just went in today and got my driver license renewed... do you realize that every 4 years, here in MI we need to tell them our eye color, our height and our weight? Our Secretary of State office could actually track weight gain! So, technically, if one doesn't see a physician very often, the darn secretary of state office could send out a letter letting you know that you gained 10 pounds or more in the last 4 years when they mail out your new driver license!

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