Nursing 4440A/B Lecture Notes - Lecture 9: Abdominal Obesity, Hyperglycemia, Insulin Resistance
19 Mar 2019
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The cause: mostly related to insulin resistance and central obesity, secondarily related to physical inactivity, ageing, a proinflammatory state, and hormonal changes, can vary according to ethnic group. The metabolic syndrome: heart disease, lipid problems, hypertension, type 2 diabetes, dementia, cancer, polycystic ovarian syndrome, non-alcoholic disease. Increasing age: family history of coronary heart disease, gender (men develop cad at an earlier age than women, race (higher incidence of heart disease in blacks than in whites) Modifiable risk factors: hyperlipidemia, cigarette smoking, tobacco use, hypertension, diabetes, lack of estrogen in women, obesity, physical inactivity. Test blood sugar, call your doctor if really high. Drink glass of juice (15-30g of sugar) or regular soft drink, test blood glucose within 30 minutes, have a light snack. Hypertension: low risk 120/80, medium risk 121-139/80-89, high risk 140+/90. How to reach your goal of blood pressure control: life style risk factor: sodium intake, physical inactivity, weight, alcohol intake, diet.
