Obesity 1-2 Flashcards
(55 cards)
Obesity is diagnosed by what
BMI and waist circumference
WC>40 in men
WC>35 in women
-best if used together
Gold standard to diagnose obesity
Dual energy Xray absorption
What percentage of american adults are overweight or obese
2/3
Complications with obesity
T2 diabetes
Cardiovascular problems
Metabolic syndrome precedes what
diabetes
Metabolic syndrome predisposes people to what conditions
CVD & diabetes
Met syndrome diagnosis
3 of 5
Waist circumference
Hyperglycemia (>100 FBG)
Dyslipidemia
Hypertension
Cause of Met syndrome
Obesity and sedentary lifestyle
Met syndrome is associated with
Obesity that predisposes people to CVD and diabetes
Diabetes can cause
Neuropathy, retinopathy (blindness), circulation problems, nephropathy, CVD!
Diabetes is characterized by what
HYPERGLYCEMIA
Diabetic FBG/ RBG
Normal 80-100
Prediabetic 100-125
Diabetic >125
RBG>200 random blood glucose
Type 2 diabetes
Insufficient insulin production or insulin resistance causes hyperglycemia
Type 2 diabetes- obese?
Pts are often obese and sedentary (not all though)
What diagnosis comes before Type 2 diabetes
Metabolic syndrome
Insulin is what kind of hormone/ secreted from where
Anabolic hormone that signals fed state
Secreted by beta cells of pancreas
Insulin inhibits what
Glucagon, gluconeogenesis/ ketogenesis, lipolysis
Glucagon is what kind of hormone/ secreted from where
Catabolic hormone
secreted from Alpha cells of pancreas
Glucagon stimulates what
glycogenolysis, gluconeogenesis, ketogenesis, lipolysis
Obese people and insulin secretion
Obese people secrete more insulin to have same effect on blood levels than normal people
Hemoglobin A1C
Diagnostic of DM when over 6.5%
Provides estimate of glucose levels from last 3 months
Metformin
Inhibits gluconeogenesis
If metformin isnt working what comes next
Injections of insulin
Obesity can have what effect on liver
Nonalcoholic liver disease- accumulation of TAG in liver, higher risk for liver cancer/ cirrhosis