British lt pp metabolic syndrome for forum 30.10.11.24.00

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Pia Gali de Morgenstern. Module 8. Learning Technologies for the Classroom. British Council. Venezuela

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British lt pp metabolic syndrome for forum 30.10.11.24.00

  1. 1. International Certificate Physical Fitness, Overweight, Obesity and Metabolic Syndrome MD Pia Gali de Morgenstern Internal Medicine Endocrinology S.V.M.I. S.V.E.M
  2. 2. AGENDA <ul><li>Let´s know our patientes </li></ul><ul><li>Information vs desinformation </li></ul><ul><li>Endocrinology (hormones) </li></ul><ul><li>Nutrients </li></ul><ul><li>Glicemia regulators </li></ul><ul><li>a. Insulin </li></ul><ul><li>b. Glucagon </li></ul><ul><li>Metabolic Syndrome( Definition) </li></ul><ul><li>Obesity – Abdominal Circunference </li></ul><ul><li>Insulin Resistence </li></ul><ul><li>Hyperglicemia, Diabetes y Prediabetes </li></ul><ul><li>Lipoproteíns </li></ul><ul><li>Blood Presure </li></ul><ul><li>Policyistic ovary syndrome </li></ul><ul><li>Treatment </li></ul><ul><li>Hypoglicemia </li></ul>
  3. 3. Pacients come very confused and say : <ul><li>“ I have hyperinsulinism” </li></ul><ul><li>“ I have high insulin” </li></ul><ul><li>“ I have insulin resistence ” </li></ul><ul><li>“ Someone told me that I will suffer from </li></ul><ul><li>diabetes” </li></ul><ul><li>“ Am I diabetic?” </li></ul>
  4. 4. <ul><li>“ I lose weight very fast but </li></ul><ul><li>l gain twice the weight…! </li></ul>
  5. 5. The patient expectations…
  6. 6. <ul><li>Metabolic Syndrome </li></ul><ul><li>Obesity </li></ul><ul><li>Disorder in body composition where there is an                         excess of body fat </li></ul>
  7. 7. Life style Speed Proximity Sedentarism Quality Quantity Metabolic Syndrome Obesity
  8. 8. Energy Insulin
  9. 9. Basal Glicemia(mg/dL). ) Normal Glicemia < 100 Diabetes ≥ 126 Glucose Tolerance Test ¿? Between 100 y 125
  10. 10. Stress increases levels of glicemia Diabetes
  11. 11. Adapted by MD Pia Gali de Morgenstern Myocardial Infarction Blood flow Arterial obstruction Blood flow miocardial infarction Metabolic Syndrome Aterosclerosis
  12. 12. “ I need to do excercise…”
  13. 13. Metabolic Syndrome Treatment <ul><li>Pharmacological treatment </li></ul><ul><li>Sibutramine: October 8 th 2010: FDA announced the withdrawal of Sibutramine from the market because it incresed risk of myocardial infarction (based on SCOUT study 2010) </li></ul>
  14. 14. Diabetes Mellitus Preventive treatment Taking care of foot
  15. 15. Diabetes Mellitus Treatment Hypoglicemia : is the most frecuent complication in the diabetes treatment
  16. 16. And… don´t forget the prevention

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