4/4/2013. Mike Rizo, Pharm D, MBA, ABAAHP THE PHARMACIST OF THE FUTURE? METABOLIC SYNDROME AN INTEGRATIVE APPROACH

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "4/4/2013. Mike Rizo, Pharm D, MBA, ABAAHP THE PHARMACIST OF THE FUTURE? METABOLIC SYNDROME AN INTEGRATIVE APPROACH"

Transcription

1 METABOLIC SYNDROME AN INTEGRATIVE APPROACH AN OPPORTUNITY FOR PHARMACISTS TO MAKE A DIFFERENCE Mike Rizo, Pharm D, MBA, ABAAHP THE EVOLUTION OF THE PHARMACIST 1920s 1960s 2000s THE PHARMACIST OF THE FUTURE? 1

2 AMERICAN ASSOCIATION OF DISPENSING PHYSICIANS SAYS Patient Compliance and Care Monitoring Studies have estimated that 30-40% of prescribed medications go unfilled. By implementing in-office dispensing you will be able to monitor a patient s treatment and prescription compliance. Inoffice dispensing respects patients time and will increase patient compliance with medication regimens. Safety and Accuracy Physician dispensing allows for a higher level of safety and accuracy. Six to eight percent of patients who receive medication from a pharmacy receive incorrect dosages or drugs. State regulatory boards have imposed harder restrictions for in-office dispensing which has resulted in a reduction of error rates in comparison to filling medication at a retail pharmacy. Source: EMBRACE CHANGE OR BECOME IRRELEVANT Product vs Service? 2

3 DO YOU KNOW WHAT THE NET PROFIT IS IN PHARMACY? 2.9% Source: NCPA Digest 2012 NET PROFIT FOR PHARMACY OVER LAST 10 YEARS Series PHARMA IS NOT PHARMACY, MAKE NO MISTAKE 3

4 NICHE MARKETS ACHIEVEMENTS IN PUBLIC HEALTH, : DECLINE IN DEATHS FROM HEART DISEASE AND STROKE -- UNITED STATES, Despite remarkable progress, heart disease and stroke remain leading causes of disability and death. Source: CDC IT WAS A PROBLEM THEN Landmark epidemiologic investigations, including the cross-country comparisons of Ancel Keys and the Framingham Heart Study, established the major risk factors of high blood cholesterol, high blood pressure, and smoking and dietary factors (particularly dietary cholesterol, fat, and sodium). Source: CDC August 6,

5 STILL A PROBLEM NOW 600,000 people die of heart disease in the US every year That s 1 in every 4 deaths Leading cause of death for both men & women 935,000 Americans have a heart attack every year Coronary heart disease costs over $108.9 billion a year in healthcare services, medications, & lost productivity. Data from 2012 Source: CDC.gov IT WORKED FOR SOME PEOPLE Lipitor, the cholesterol-lowering drug, has become the bestselling pharmaceutical in history. Within the next few years it could very well become the world's first $10- billion-a-year drug. By John Simons January 20, 2003 Source: CNN money TURBO DRUG Lipitor is the biggest selling drug of all time, with cumulative global sales of $131 billion 5

6 WRONG TARGET MAYBE??? TAKE A LOOK AT THIS STATS 1 in 10 U.S. adults has type 2 diabetes. 1 in 400 to 600 children and adolescents in U.S. have type 1 diabetes million new cases of diabetes are diagnosed in the U.S. each year. The cost of diabetes in the U.S. is $220 billion a year and rising. The Centers for Disease Control and Prevention, or CDC, projects that if trends continue, 1 in 3 Americans will have diabetes by UnitedHealth Group projects that half of Americans could have diabetes or prediabetes by 2020, costing $3.35 trillion over the next decade 663f-f24d-443f dfdc97cedc5 US SUGAR CONSUMPTION

7 DIABETES IN U.S. ADULTS FROM WHO IS LIKELY TO HAVE A HEART ATTACK? Source: West Virginia Department of Health & Human Resources GLOBAL WEIGHT MANAGEMENT MARKET BY PRODUCT THROUGH 2014 ($BILLIONS) Source: MarketsandMarkets 7

8 SOME ARE MAKING SURE THE MARKET KEEPS GROWING INTENSIVE LIFESTYLE CHANGES FOR REVERSAL OF CORONARY HEART DISEASE (JAMA DECEMBER 16, 1998, VOL 280, NO. 23) (P=.001 between groups. Twenty-five cardiac events occurred in 28 experimental group patients vs 45 events in 20 control group patients during the 5-year follow-up (risk ratio for any event for the control group, 2.47 [95% confidence interval, ]). Conclusions. More regression of coronary atherosclerosis occurred after 5 years than after 1 year in the experimental group. In contrast, in the control group, coronary atherosclerosis continued to progress and more than twice as many cardiac events occurred WHAT IS METABOLIC SYNDROME? Group of risk factors that occur and increase the risk of coronary artery disease, stroke, and type 2 diabetes Often characterized by excess abdominal fat & insulin resistance 8

9 DIAGNOSIS OF METABOLIC SYNDROME When 3 of 5 of the listed characteristics are present: Abdominal obesity, recognized by increased waist circumference raised triglycerides reduced HDL cholesterol elevated blood pressure raised plasma glucose Probably a large portion of our patients OB Cardiometabolic syndrome from an Integrative approach CARDIOVASCULAR RISK Obesity impacts visceral fat accumulation and metabolic markers in the cardio-endocrine systems. 9

10 HYPERINSULINEMIA Disrupts sodium metabolism; promotes water retention and hypertension Increases oxidative stress(fr) that can initiate atherosclerosis & cancer Decreases daily production of Growth Hormone and decreases conversion of T4 to T3 (functional hypothyroidism) Increases cortisol, poor stress response, decreases immunity Eventually exhausts beta cells of the pancreas Chahwala V, Arora R. Cardiovascular manifestations of insulin resistance. Am J Ther Sep-Oct;16(5):e CORTISOL STRESS TO PANCREAS Cortisol mobilizes glycogen from liver Cortisol decreases insulin sensitivity of receptor cells, decreasing glucose uptake Cortisol increases insulin secretion Cortisol increases TNF alpha directly increasing insulin resistance at the receptor site. Cortisol increases carb craving patterns and neurotransmitter imbalances Morton NM. Obesity and corticosteroids: 11beta-hydroxysteroid type 1 as a cause and therapeutic target in metabolic disease.mol Cell Endocrinol Mar 25;316(2): Epub 2009 Oct 3. Review. THYROID FUNCTION Production of thyroxine dependent on estrogen and cortisol Conversion of T4 to T3 influenced by insulin, selenium, iodine, zinc, and cortisol Low T4 levels, iodine associated with Breast Cancer Garnerone L, Iorio L, Zelaschi R, Delnevo A, Tufano A, Ambrosi B. Thyroid function and obesity. Minerva Med Oct;101(5):

11 WHAT WE NEED TO BECOME Integrative Clinical Consultant Pharmacist (vision) RPH who has obtained additional training in Integrative and functional medicine in order to assist patients, physicians, and other health care providers with conventional and integrative therapies to enhance patient care. Prioritizing safety and the appropriate use of evidence based clinical information SOME STARTING AREAS FOR INTEGRATIVE PHARMACISTS Weight loss / weight management Nutraceuticals / supplements programs Educational events on preventive approach Exercise programs MEDITERRANEAN DIET STUDY RECENTLY PUBLISHED IN NEJM In conclusion, in this primary prevention trial, we observed that an energy-unrestricted Mediterranean diet, supplemented with extravirgin olive oil or nuts, resulted in a substantial reduction in the risk of major cardiovascular events among high-risk persons. The results support the benefits of the Mediterranean diet for the primary prevention of cardiovascular disease. Source: NEJM 11

12 This is more like it WHERE DO PATIENTS GO TO GET THEIR SUPPLEMENTS? Source: AccentHealth YOU MUST GET EXPOSED, ENOUGH HIDING BEHIND THE COUNTER. Added value to me and my customers 12

13 THE BUSINESS LIFE CYCLE, INNOVATE OR DISAPPEAR THE DEVOLUTION OF THE PHARMACIST 1920s 1960s 2000s THANK YOU You have to take risks. We will only understand the miracle of life fully when we allow the unexpected to happen. Paulo Coelho 13

Who typically has Metabolic Syndrome? According to the American Heart Association, three groups of people often have metabolic syndrome:

Who typically has Metabolic Syndrome? According to the American Heart Association, three groups of people often have metabolic syndrome: Metabolic Syndrome By Seth Bilazarian, MD, FACC, FSCAI, RPVI Clinical and Intervential Cardiologist What is the Metabolic Syndrome? The Metabolic Syndrome is a collection of five problems that greatly

More information

Diabetes and Heart Disease

Diabetes and Heart Disease Diabetes and Heart Disease Diabetes and Heart Disease According to the American Heart Association, diabetes is one of the six major risk factors of cardiovascular disease. Affecting more than 7% of the

More information

REACH Risk Evaluation to Achieve Cardiovascular Health

REACH Risk Evaluation to Achieve Cardiovascular Health Dyslipidemia and type 1 diabetes mellitus History: A 15-year-old girl is seen in the endocrinology clinic for a routine follow-up visit for type 1 diabetes. She was diagnosed with diabetes at 12 years

More information

Is Insulin Effecting Your Weight Loss and Your Health?

Is Insulin Effecting Your Weight Loss and Your Health? Is Insulin Effecting Your Weight Loss and Your Health? Teressa Alexander, M.D., FACOG Women s Healthcare Associates www.rushcopley.com/whca 630-978-6886 Obesity is Epidemic in the US 2/3rds of U.S. adults

More information

PowerPoint Lecture Outlines prepared by Dr. Lana Zinger, QCC CUNY. 12a. FOCUS ON Your Risk for Diabetes. Copyright 2011 Pearson Education, Inc.

PowerPoint Lecture Outlines prepared by Dr. Lana Zinger, QCC CUNY. 12a. FOCUS ON Your Risk for Diabetes. Copyright 2011 Pearson Education, Inc. PowerPoint Lecture Outlines prepared by Dr. Lana Zinger, QCC CUNY 12a FOCUS ON Your Risk for Diabetes Your Risk for Diabetes! Since 1980,Diabetes has increased by 50 %. Diabetes has increased by 70 percent

More information

Diabetes and Stroke. Understanding the connection between diabetes and the increased risk of stroke

Diabetes and Stroke. Understanding the connection between diabetes and the increased risk of stroke Diabetes and Stroke Understanding the connection between diabetes and the increased risk of stroke Make the Connection Almost 26 million people in the U.S. roughly 8 percent of the population have diabetes.

More information

Nutrition. Type 2 Diabetes: A Growing Challenge in the Healthcare Setting NAME OF STUDENT

Nutrition. Type 2 Diabetes: A Growing Challenge in the Healthcare Setting NAME OF STUDENT 1 Nutrition Type 2 Diabetes: A Growing Challenge in the Healthcare Setting NAME OF STUDENT 2 Type 2 Diabetes: A Growing Challenge in the Healthcare Setting Introduction and background of type 2 diabetes:

More information

Getting Off the Chronic Disease Merry-Go-Round: What s the Weight of the Research?

Getting Off the Chronic Disease Merry-Go-Round: What s the Weight of the Research? Getting Off the Chronic Disease Merry-Go-Round: What s the Weight of the Research? Jody Dushay, MD MMSc Beth Israel Deaconess Medical Center Boston, MA Session 445 No disclosures Disclosure Jody Dushay,

More information

YOUR LAST DIET IDEAL PROTEIN

YOUR LAST DIET IDEAL PROTEIN YOUR LAST DIET IDEAL PROTEIN OBJECTIVES Explain the science and history that supports the Ideal Protein Diet method. Describe the risks and benefits of diet participation. Give you the details of what

More information

Prevention of and the Screening for Diabetes Part I Insulin Resistance By James L. Holly, MD Your Life Your Health The Examiner January 19, 2012

Prevention of and the Screening for Diabetes Part I Insulin Resistance By James L. Holly, MD Your Life Your Health The Examiner January 19, 2012 Prevention of and the Screening for Diabetes Part I Insulin Resistance By James L. Holly, MD Your Life Your Health The Examiner January 19, 2012 In 2002, SETMA began a relationship with Joslin Diabetes

More information

Metabolic Syndrome Programs Designed to Lower Risks

Metabolic Syndrome Programs Designed to Lower Risks Metabolic Syndrome Programs Designed to Lower Risks BACKGROUND Affecting one in four adults in the U.S., metabolic syndrome is one of the fastest growing healthcare crises facing the nation today. Metabolic

More information

Insulin Resistance and Pre-diabetes

Insulin Resistance and Pre-diabetes 1 of 6 11/17/2009 9:38 PM Insulin Resistance and Pre-diabetes What is insulin resistance? What causes insulin resistance? Metabolic Syndrome What is pre-diabetes? What are the symptoms of insulin resistance

More information

An Overview and Guide to Healthy Living with Type 2 Diabetes

An Overview and Guide to Healthy Living with Type 2 Diabetes MEETING YOUR GOALS An Overview and Guide to Healthy Living with Type 2 Diabetes MEETING YOUR GOALS This brochure was designed to help you understand the health goals to live a healthy lifestyle with type

More information

Cardiovascular Disease Risk Factors

Cardiovascular Disease Risk Factors Cardiovascular Disease Risk Factors Risk factors are traits and life-style habits that increase a person's chances of having coronary artery and vascular disease. Some risk factors cannot be changed or

More information

Pediatric Metabolic Syndrome

Pediatric Metabolic Syndrome University of Michigan Hospitals and Health Centers Pediatric Metabolic Syndrome A growing epidemic Shannon Russell Dietetic Intern June 2012 Overview Causes Risk Factors Signs and Symptoms Identification/Diagnosis

More information

Role of Body Weight Reduction in Obesity-Associated Co-Morbidities

Role of Body Weight Reduction in Obesity-Associated Co-Morbidities Obesity Role of Body Weight Reduction in JMAJ 48(1): 47 1, 2 Hideaki BUJO Professor, Department of Genome Research and Clinical Application (M6) Graduate School of Medicine, Chiba University Abstract:

More information

ACE s Essentials of Exercise Science for Fitness Professionals. Chapter 2: Hormones

ACE s Essentials of Exercise Science for Fitness Professionals. Chapter 2: Hormones ACE s Essentials of Exercise Science for Fitness Professionals Chapter 2: Hormones Learning Objectives This chapter covers how the body responds to the demands of exercise at the cellular level and the

More information

Your Life Your Health Cariodmetabolic Risk Syndrome Part VII Inflammation chronic, low-grade By James L. Holly, MD The Examiner January 25, 2007

Your Life Your Health Cariodmetabolic Risk Syndrome Part VII Inflammation chronic, low-grade By James L. Holly, MD The Examiner January 25, 2007 Your Life Your Health Cariodmetabolic Risk Syndrome Part VII Inflammation chronic, low-grade By James L. Holly, MD The Examiner January 25, 2007 The cardiometabolic risk syndrome is increasingly recognized

More information

Body Composition & Longevity. Ohan Karatoprak, MD, AAFP Clinical Assistant Professor, UMDNJ

Body Composition & Longevity. Ohan Karatoprak, MD, AAFP Clinical Assistant Professor, UMDNJ Body Composition & Longevity Ohan Karatoprak, MD, AAFP Clinical Assistant Professor, UMDNJ LONGEVITY Genetic 25% Environmental Lifestyle Stress 75% BMI >30 OBESE 25-30 OVERWEIGHT 18-25 NORMAL WEIGHT 18

More information

Cholesterol a biomolecule Bad cholesterol a strange tale Good cholesterol - indeed

Cholesterol a biomolecule Bad cholesterol a strange tale Good cholesterol - indeed Cholesterol a biomolecule Bad cholesterol a strange tale Good cholesterol - indeed Thomas B. Kuhn: University of Alaska, Cereon Biotechnology LLC This document is protected by copyright Dr. Thomas B. Kuhn

More information

Blood Pressure Weight BMI. Numbers KNOW YOUR LDL/HDL. Triglycerides. holesterol

Blood Pressure Weight BMI. Numbers KNOW YOUR LDL/HDL. Triglycerides. holesterol Blood Pressure Weight BMI Blood Sugar KNOW YOUR holesterol LDLHDL Numbers Triglycerides Your health truly is the most important thing in your life. Knowing your medical history and getting annual checkups

More information

Cholesterol a biomolecule Bad cholesterol a strange tale Good cholesterol - indeed

Cholesterol a biomolecule Bad cholesterol a strange tale Good cholesterol - indeed Cholesterol a biomolecule Bad cholesterol a strange tale Good cholesterol - indeed Thomas B. Kuhn: University of Alaska, Cereon Biotechnology LLC This document is protected by copyright Dr. Thomas B. Kuhn

More information

METABOLIC SYNDROME. Rebecca Rovay-Hazelton, Licensed Nutritionist

METABOLIC SYNDROME. Rebecca Rovay-Hazelton, Licensed Nutritionist METABOLIC SYNDROME Rebecca Rovay-Hazelton, Licensed Nutritionist Blood Sugar Basics Glucose=a simple sugar used for energy from diet, primarily starches, sugar and carbohydrate Insulin=a hormone made in

More information

Population Health Management Program

Population Health Management Program Population Health Management Program Program (formerly Disease Management) is dedicated to improving our members health and quality of life. Our Population Health Management Programs aim to improve care

More information

Cholesterol - New Guidelines and Treatment Protocols

Cholesterol - New Guidelines and Treatment Protocols Cholesterol - New Guidelines and Treatment Protocols By: James L. Holly, MD The New Year brings new opportunities to improve our health. Many of us receive gifts which we can't use because there's too

More information

Type 1 Diabetes ( Juvenile Diabetes)

Type 1 Diabetes ( Juvenile Diabetes) Type 1 Diabetes W ( Juvenile Diabetes) hat is Type 1 Diabetes? Type 1 diabetes, also known as juvenile-onset diabetes, is one of the three main forms of diabetes affecting millions of people worldwide.

More information

HORMONE IMBALANCE MAY BE CAUSING YOUR HEALTH PROBLEMS FINALLY! AN EASY, FIVE STEP SOLUTION!

HORMONE IMBALANCE MAY BE CAUSING YOUR HEALTH PROBLEMS FINALLY! AN EASY, FIVE STEP SOLUTION! HORMONE IMBALANCE MAY BE CAUSING YOUR HEALTH PROBLEMS MEN- Increased body fat (esp. midsection) Loss of sex drive Erectile dysfunction with loss of erections Loss of muscle tone and muscle mass Fatigue

More information

Antipsychotic Medications and the Risk of Diabetes and Cardiovascular Disease

Antipsychotic Medications and the Risk of Diabetes and Cardiovascular Disease Antipsychotic Medications and the Risk of Diabetes and Cardiovascular Disease Patient Tool #1 Understanding Diabetes and Psychiatric Illness: A Guide for Individuals, Families, and Caregivers Type 2 Diabetes,

More information

Health Passport. Your Journey to Wellness. Health Fair ID#

Health Passport. Your Journey to Wellness. Health Fair ID# Health Passport Your Journey to Wellness Health Fair ID# Body Mass Index What is BMI? Your body mass index, or BMI, shows the amount of fat in your body. BMI is calculated using height, weight, and waist

More information

3.5% 3.0% 3.0% 2.4% Prevalence 2.0% 1.5% 1.0% 0.5% 0.0%

3.5% 3.0% 3.0% 2.4% Prevalence 2.0% 1.5% 1.0% 0.5% 0.0% S What is Heart Failure? 1,2,3 Heart failure, sometimes called congestive heart failure, develops over many years and results when the heart muscle struggles to supply the required oxygen-rich blood to

More information

An Introduction to Medication Adherence

An Introduction to Medication Adherence An Introduction to Medication Adherence Medication Adherence Project (MAP) A project of the Cardiovascular Prevention & Control Program and the Fund for Public Health in New York Drugs don t work in patients

More information

Understanding and Managing Your. Triglycerides

Understanding and Managing Your. Triglycerides Understanding and Managing Your Triglycerides What are Triglycerides? There are several types are one of several types of fat in your body, and triglycerides are the most common. Along with LDL ( bad )

More information

CME Test for AMDA Clinical Practice Guideline. Diabetes Mellitus

CME Test for AMDA Clinical Practice Guideline. Diabetes Mellitus CME Test for AMDA Clinical Practice Guideline Diabetes Mellitus Part I: 1. Which one of the following statements about type 2 diabetes is not accurate? a. Diabetics are at increased risk of experiencing

More information

Freiburg Study. The other 24 subjects had healthy markers closer to what would be considered ideal.

Freiburg Study. The other 24 subjects had healthy markers closer to what would be considered ideal. Freiburg Study The Freiburg Study was conducted with 48 healthy human subjects of various ages. None of the test subjects had been diagnosed with any disease prior to the study. None were taking any type

More information

DISCLOSURES RISK ASSESSMENT. Stroke and Heart Disease -Is there a Link Beyond Risk Factors? Daniel Lackland, MD

DISCLOSURES RISK ASSESSMENT. Stroke and Heart Disease -Is there a Link Beyond Risk Factors? Daniel Lackland, MD STROKE AND HEART DISEASE IS THERE A LINK BEYOND RISK FACTORS? D AN IE L T. L AC K L AN D DISCLOSURES Member of NHLBI Risk Assessment Workgroup RISK ASSESSMENT Count major risk factors For patients with

More information

WorkSmart WorkSmart myhealth WorkSmart A1C LDL TrigLyCeriDes CoTinine ToTAL hdl ToTAL ChoLesTeroL ChoLesTeroL-hDL ratio

WorkSmart WorkSmart myhealth WorkSmart A1C LDL TrigLyCeriDes CoTinine ToTAL hdl ToTAL ChoLesTeroL ChoLesTeroL-hDL ratio is designed for the workplace looking for a single, comprehensive set of tests that establish baseline laboratory values for wellness and disease management programs. The Test Package describes the normal

More information

Sugar-Sweetened Beverages and Health: Studies in Adults. Frank M. Sacks, M.D. Nutrition Department, Harvard School of Public Health

Sugar-Sweetened Beverages and Health: Studies in Adults. Frank M. Sacks, M.D. Nutrition Department, Harvard School of Public Health Sugar-Sweetened Beverages and Health: Studies in Adults Frank M. Sacks, M.D. Nutrition Department, Harvard School of Public Health Acknowledgments Cara Ebbeling: Children s Hospital, Boston Frank Hu: Harvard

More information

Insulin Resistance and PCOS: A not uncommon reproductive disorder

Insulin Resistance and PCOS: A not uncommon reproductive disorder Insulin Resistance and PCOS: A not uncommon reproductive disorder Joyce L. Ross, MSN, CRNP, CS, FNLA, FPCNA Diplomate Accrediation Council for Clinical Lipidology President Preventive Cardiovascular Nurses

More information

1. PATHOPHYSIOLOGY OF METABOLIC SYNDROME

1. PATHOPHYSIOLOGY OF METABOLIC SYNDROME 1. PATHOPHYSIOLOGY OF METABOLIC SYNDROME Izet Aganović, Tina Dušek Department of Internal Medicine, Division of Endocrinology, University Hospital Center Zagreb, Croatia 1 Introduction The metabolic syndrome

More information

MY TYPE 2 DIABETES NUMBERS

MY TYPE 2 DIABETES NUMBERS BLOOD SUGAR MANAGEMENT GUIDE MY TYPE 2 DIABETES NUMBERS Understanding and Tracking the ABCs of Type 2 Diabetes 1 BLOOD MY TYPE SUGAR 2 DIABETES MANAGEMENT ABC NUMBERS GUIDE When you have type 2 diabetes,

More information

Strokes and High Blood Pressure

Strokes and High Blood Pressure Strokes and High Blood Pressure Quick Review from last Week: What is a Stroke Stroke: blood supply to the brain is severely limited or cut off With no blood to carry oxygen to them, brain cells will die

More information

The Burden Of Diabetes And The Promise Of Biomedical Research

The Burden Of Diabetes And The Promise Of Biomedical Research The Burden Of Diabetes And The Promise Of Biomedical Research Presented by John Anderson, MD Incoming Chair, ADA s National Advocacy Committee; Frist Clinic, Nashville, TN Type 1 Diabetes Usually diagnosed

More information

WHAT DOES DYSMETABOLIC SYNDROME MEAN?

WHAT DOES DYSMETABOLIC SYNDROME MEAN? ! WHAT DOES DYSMETABOLIC SYNDROME MEAN? Dysmetabolic syndrome (also referred to as syndrome X, insulin resistance syndrome, and metabolic syndrome ) is a condition in which a group of risk factors for

More information

Diabetes and Obesity in Women of Childbearing Age. Dr Ketan Dhatariya Consultant in Diabetes and Endocrinology, NNUH

Diabetes and Obesity in Women of Childbearing Age. Dr Ketan Dhatariya Consultant in Diabetes and Endocrinology, NNUH Diabetes and Obesity in Women of Childbearing Age Dr Ketan Dhatariya Consultant in Diabetes and Endocrinology, NNUH A Few Perceptions What causes obesity? Your lifestyle has changed thus you have put on

More information

Metabolic Syndrome Overview: Easy Living, Bitter Harvest. Sabrina Gill MD MPH FRCPC Caroline Stigant MD FRCPC BC Nephrology Days, October 2007

Metabolic Syndrome Overview: Easy Living, Bitter Harvest. Sabrina Gill MD MPH FRCPC Caroline Stigant MD FRCPC BC Nephrology Days, October 2007 Metabolic Syndrome Overview: Easy Living, Bitter Harvest Sabrina Gill MD MPH FRCPC Caroline Stigant MD FRCPC BC Nephrology Days, October 2007 Evolution of Metabolic Syndrome 1923: Kylin describes clustering

More information

Triglycerides: Frequently Asked Questions

Triglycerides: Frequently Asked Questions Triglycerides: Frequently Asked Questions Why are triglycerides important? The amount of triglycerides (or blood fats) in blood are one important barometer of metabolic health; high levels are associated

More information

An International Atherosclerosis Society Position Paper: Global Recommendations for the Management of Dyslipidemia

An International Atherosclerosis Society Position Paper: Global Recommendations for the Management of Dyslipidemia An International Atherosclerosis Society Position Paper: Global Recommendations for the Management of Dyslipidemia Introduction Executive Summary The International Atherosclerosis Society (IAS) here updates

More information

The Diabetes Epidemic

The Diabetes Epidemic The Diabetes Epidemic O 2118 Wilshire Blvd. Ste. 723 O Santa Monica, California 90403 O www.susandopart.com O susan@susandopart.com What to look for and how you can help your clients O 310-828-4476 Trends

More information

in Singapore and provide valuable inputs for the the Ministry of Health conducts periodic, population-

in Singapore and provide valuable inputs for the the Ministry of Health conducts periodic, population- 5 Main Report H E A LT H SURVEY Introduction 1 Introduction N AT I O N A L Background The Epidemiology and Disease Control Division of in Singapore and provide valuable inputs for the the Ministry of

More information

Markham Stouffville Hospital

Markham Stouffville Hospital Markham Stouffville Hospital Adult Diabetes Education Frequently Asked Questions What is diabetes? Diabetes is a disease in which blood glucose levels are above normal. Most of the food we eat is turned

More information

STRENGTH NUMBERS NATURALLY SLIM PROGRAM PAISBOA

STRENGTH NUMBERS NATURALLY SLIM PROGRAM PAISBOA STRENGTH in NUMBERS NATURALLY SLIM PROGRAM Annually, Business Officers of the 139 independent schools and colleges that comprise the health insurance consortium (PAISIG) meet with their broker, Armstrong,

More information

Triglycerides are an important measure of heart health. Here's why triglycerides matter and what to do if your triglycerides are too high.

Triglycerides are an important measure of heart health. Here's why triglycerides matter and what to do if your triglycerides are too high. Diseases and Conditions High cholesterol Triglycerides are an important measure of heart health. Here's why triglycerides matter and what to do if your triglycerides are too high. By Mayo Clinic Staff

More information

Section 2. Overview of Obesity, Weight Loss, and Bariatric Surgery

Section 2. Overview of Obesity, Weight Loss, and Bariatric Surgery Section 2 Overview of Obesity, Weight Loss, and Bariatric Surgery What is Weight Loss? How does surgery help with weight loss? Short term versus long term weight loss? Conditions Improved with Weight Loss

More information

Diabetes and SCI 2007

Diabetes and SCI 2007 Diabetes and SCI 2007 Long term spinal cord injury (SCI) and diabetes? Some research suggests the two go hand in hand with as many as 20 percent of spinal cord injured people having adult-onset diabetes.

More information

DIABETES MELLITUS. By Tracey Steenkamp Biokineticist at the Institute for Sport Research, University of Pretoria

DIABETES MELLITUS. By Tracey Steenkamp Biokineticist at the Institute for Sport Research, University of Pretoria DIABETES MELLITUS By Tracey Steenkamp Biokineticist at the Institute for Sport Research, University of Pretoria What is Diabetes Diabetes Mellitus (commonly referred to as diabetes ) is a chronic medical

More information

Diabetes, Type 2. RelayClinical Patient Education Sample Topic Diabetes, Type 2. What is type 2 diabetes? How does it occur?

Diabetes, Type 2. RelayClinical Patient Education Sample Topic Diabetes, Type 2. What is type 2 diabetes? How does it occur? What is type 2 diabetes? Type 2 diabetes is a disorder that happens when your body does not make enough insulin or is unable to use its own insulin properly. The inability to use insulin is called insulin

More information

ESC/EASD Pocket Guidelines Diabetes, pre-diabetes and cardiovascular disease

ESC/EASD Pocket Guidelines Diabetes, pre-diabetes and cardiovascular disease Diabetes, prediabetes and cardiovascular disease Classes of recommendations Levels of evidence Recommended treatment targets for patients with diabetes and CAD Definition, classification and screening

More information

South African Cholesterol Guidelines Compared

South African Cholesterol Guidelines Compared South African Cholesterol Guidelines Compared Jacqueline van Schoor, Amayeza Info Centre While infectious diseases are currently the leading cause of death in South Africa, cardiovascular disease (CVD)

More information

Pharmacy and the Medicaid Accountable Care Organization

Pharmacy and the Medicaid Accountable Care Organization RCCO Pilot Project CDC Grant Increase engagement of non-physician team members (ie., pharmacists) in Hypertension (HTN) and Diabetes Mellitus (DM) management in health care systems; Increase the proportion

More information

Barriers to Healthcare Services for People with Mental Disorders. Cardiovascular disorders and diabetes in people with severe mental illness

Barriers to Healthcare Services for People with Mental Disorders. Cardiovascular disorders and diabetes in people with severe mental illness Barriers to Healthcare Services for People with Mental Disorders Cardiovascular disorders and diabetes in people with severe mental illness Dr. med. J. Cordes LVR- Klinikum Düsseldorf Kliniken der Heinrich-Heine-Universität

More information

Diabetes 101: A Brief Overview of Diabetes and the American Diabetes Association What Happens When We Eat?

Diabetes 101: A Brief Overview of Diabetes and the American Diabetes Association What Happens When We Eat? Diabetes 101: A Brief Overview of Diabetes and the American Diabetes Association What Happens When We Eat? After eating, most food is turned into glucose, the body s main source of energy. 1 Normal Blood

More information

$99. Call Today and start losing weight tomorrow

$99. Call Today and start losing weight tomorrow Medical Weight Loss This complimentary report will provide you information on how you can start losing weight tomorrow This report is concise, providing you quickly with what you need to know. We stand

More information

Statistics of Type 2 Diabetes

Statistics of Type 2 Diabetes Statistics of Type 2 Diabetes Of the 17 million Americans with diabetes, 90 percent to 95 percent have type 2 diabetes. Of these, half are unaware they have the disease. People with type 2 diabetes often

More information

TABLE OF CONTENTS. The Cost of Diabesity... 3. Employer Solutions... 4 Provide a Worksite Weight Loss Program Tailored for Diabetes...

TABLE OF CONTENTS. The Cost of Diabesity... 3. Employer Solutions... 4 Provide a Worksite Weight Loss Program Tailored for Diabetes... TH E TABLE OF CONTENTS The Cost of Diabesity... 3 Employer Solutions... 4 Provide a Worksite Weight Loss Program Tailored for Diabetes... 4 Provide Healthy Food Options at the Workplace... 4 Make it Easy

More information

Am I at Risk for type 2 Diabetes? Taking Steps to Lower the Risk of Getting Diabetes NATIONAL DIABETES INFORMATION CLEARINGHOUSE

Am I at Risk for type 2 Diabetes? Taking Steps to Lower the Risk of Getting Diabetes NATIONAL DIABETES INFORMATION CLEARINGHOUSE NATIONAL DIABETES INFORMATION CLEARINGHOUSE Am I at Risk for type 2 Diabetes? Taking Steps to Lower the Risk of Getting Diabetes U.S. Department of Health and Human Services National Institutes of Health

More information

Insulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused by too little insulin, resistance to insulin, or both.

Insulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused by too little insulin, resistance to insulin, or both. Diabetes Definition Diabetes is a chronic (lifelong) disease marked by high levels of sugar in the blood. Causes Insulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused

More information

Aging Well - Part V. Hormone Modulation -- Growth Hormone and Testosterone

Aging Well - Part V. Hormone Modulation -- Growth Hormone and Testosterone Aging Well - Part V Hormone Modulation -- Growth Hormone and Testosterone By: James L. Holly, MD (The Your Life Your Health article published in the December 4th Examiner was a first draft. It was sent

More information

TERMS FOR UNDERSTANDING YOUR TYPE 2 DIABETES. Definitions for Common Terms Related to Type 2 Diabetes

TERMS FOR UNDERSTANDING YOUR TYPE 2 DIABETES. Definitions for Common Terms Related to Type 2 Diabetes TERMS FOR UNDERSTANDING YOUR TYPE 2 DIABETES Definitions for Common Terms Related to Type 2 Diabetes TYPE 2 DIABETES AND BLOOD SUGAR 1-3 This list of terms may help you beter understand type 2 diabetes,

More information

Clinical Research on Lifestyle Interventions to Treat Obesity and Asthma in Primary Care Jun Ma, M.D., Ph.D.

Clinical Research on Lifestyle Interventions to Treat Obesity and Asthma in Primary Care Jun Ma, M.D., Ph.D. Clinical Research on Lifestyle Interventions to Treat Obesity and Asthma in Primary Care Jun Ma, M.D., Ph.D. Associate Investigator Palo Alto Medical Foundation Research Institute Consulting Assistant

More information

Treating Patients with PRE-DIABETES David Doriguzzi, PA-C First Valley Medical Group. Learning Objectives. Background. CAPA 2015 Annual Conference

Treating Patients with PRE-DIABETES David Doriguzzi, PA-C First Valley Medical Group. Learning Objectives. Background. CAPA 2015 Annual Conference Treating Patients with PRE-DIABETES David Doriguzzi, PA-C First Valley Medical Group Learning Objectives To accurately make the diagnosis of pre-diabetes/metabolic syndrome To understand the prevalence

More information

Primary Prevention of Cardiovascular Disease with a Mediterranean diet

Primary Prevention of Cardiovascular Disease with a Mediterranean diet Primary Prevention of Cardiovascular Disease with a Mediterranean diet Alejandro Vicente Carrillo, Brynja Ingadottir, Anne Fältström, Evelyn Lundin, Micaela Tjäderborn GROUP 2 Background The traditional

More information

Department Of Biochemistry. Subject: Diabetes Mellitus. Supervisor: Dr.Hazim Allawi & Dr.Omar Akram Prepared by : Shahad Ismael. 2 nd stage.

Department Of Biochemistry. Subject: Diabetes Mellitus. Supervisor: Dr.Hazim Allawi & Dr.Omar Akram Prepared by : Shahad Ismael. 2 nd stage. Department Of Biochemistry Subject: Diabetes Mellitus Supervisor: Dr.Hazim Allawi & Dr.Omar Akram Prepared by : Shahad Ismael. 2 nd stage. Diabetes mellitus : Type 1 & Type 2 What is diabestes mellitus?

More information

Disruption of homeostasis

Disruption of homeostasis Unit 3A Human Form & Function Cells, metabolism & regulation Disruption of homeostasis Read: Study Guide Our Human Species (3 rd edtn) Chapter 12, section 9.3; Chapter 15, section 4.5 Chapter 5, section

More information

Rheumatoid Arthritis. Treating Inflammation. Sequoia Education Systems, Inc http://www.functionalmedicineuniversity.com 1. How is RA Diagnosed?

Rheumatoid Arthritis. Treating Inflammation. Sequoia Education Systems, Inc http://www.functionalmedicineuniversity.com 1. How is RA Diagnosed? Rheumatoid Arthritis Causes, Assessment and Treatment How is RA Diagnosed? The following labs make up the basics of ruling in or out RA. Citrullinated Peptide (anti-ccp) Antibodies Rheumatoid factor Erythrocyte

More information

Vascular Risk Reduction: Addressing Vascular Risk

Vascular Risk Reduction: Addressing Vascular Risk Vascular Risk Reduction: Addressing Vascular Risk Vascular Risk Reduction (VRR) Welcome! Presentation & Activities Focus: Managing known risk factors for vascular disease. Engage, collaborate and have

More information

Menopause. Weight Loss. A Special Report on Weight Gain During Menopause. contact us. FROM THE DESK OF: Carolyn J. Cederquist, M.D. Dr.

Menopause. Weight Loss. A Special Report on Weight Gain During Menopause. contact us. FROM THE DESK OF: Carolyn J. Cederquist, M.D. Dr. Weight Loss & A Special Report on Weight Gain During Menopause Menopause FROM THE DESK OF: Carolyn J. Cederquist, M.D. Dr. Cederquist Caroline J. Cederquist, M.D., has appeared as a weight-management expert

More information

Randomized trials versus observational studies

Randomized trials versus observational studies Randomized trials versus observational studies The case of postmenopausal hormone therapy and heart disease Miguel Hernán Harvard School of Public Health www.hsph.harvard.edu/causal Joint work with James

More information

Elevated PSA/High Cholesterol

Elevated PSA/High Cholesterol Elevated PSA/High Cholesterol Despite taking two blood pressure medications and a statin for his cholesterol, this patient s numbers were still less than ideal. In just 3 months- Lost 22 lbs Off Cholesterol

More information

Preventive Care Recommendations THE BASIC FACTS

Preventive Care Recommendations THE BASIC FACTS Preventive Care Recommendations THE BASIC FACTS MULTIPLE SCLEROSIS Carlos Healey, diagnosed in 2001 The Three Most Common Eye Disorders in Multiple Sclerosis Blood Pressure & Pulse Height & Weight Complete

More information

REACH Risk Evaluation to Achieve Cardiovascular Health

REACH Risk Evaluation to Achieve Cardiovascular Health Dyslipidemia and obesity History: A 13-year-old girl is seen for a routine clinic follow-up visit. She has been previously healthy, but her growth curve shows increasing body mass index (BMI) percentiles

More information

Diabetes mellitus. Lecture Outline

Diabetes mellitus. Lecture Outline Diabetes mellitus Lecture Outline I. Diagnosis II. Epidemiology III. Causes of diabetes IV. Health Problems and Diabetes V. Treating Diabetes VI. Physical activity and diabetes 1 Diabetes Disorder characterized

More information

More than We Bargained For: Metabolic Side Effects of Antipsychotic Medications

More than We Bargained For: Metabolic Side Effects of Antipsychotic Medications More than We Bargained For: Metabolic Side Effects of Antipsychotic Medications Michael D. Jibson, MD, PhD Professor of Psychiatry University of Michigan Disclosure In the past 12 months I have received

More information

Diabetes 101. Francisco J. Prieto, M.D. American Diabetes Association National Advocacy Committee Latino Diabetes Action Council

Diabetes 101. Francisco J. Prieto, M.D. American Diabetes Association National Advocacy Committee Latino Diabetes Action Council Diabetes 101 Francisco J. Prieto, M.D. American Diabetes Association National Advocacy Committee Latino Diabetes Action Council www.diabetes.org 1-800-DIABETES www.diabetes.org 1-800-DIABETES Age-Adjusted

More information

Rx Updates New Guidelines, New Medications What You Need to Know

Rx Updates New Guidelines, New Medications What You Need to Know Rx Updates New Guidelines, New Medications What You Need to Know Maria Pruchnicki, PharmD, BCPS, BCACP, CLS Associate Professor of Clinical Pharmacy OSU College of Pharmacy Background scope and impact

More information

Learn about Diabetes. Your Guide to Diabetes: Type 1 and Type 2. You can learn how to take care of your diabetes.

Learn about Diabetes. Your Guide to Diabetes: Type 1 and Type 2. You can learn how to take care of your diabetes. Learn about Diabetes You can learn how to take care of your diabetes and prevent some of the serious problems diabetes can cause. The more you know, the better you can manage your diabetes. Share this

More information

AHA/ASA Guidelines on Prevention of Recurrent Stroke

AHA/ASA Guidelines on Prevention of Recurrent Stroke AHA/ASA Guidelines on Prevention of Recurrent Stroke MARA LAMBERT Guideline source: American Heart Association/American Stroke Association Evidence rating system used? Yes Literature search described?

More information

Article. Heart health and cholesterol levels of Canadians, 2007 to 2009. Component of Statistics Canada Catalogue no. 82-625-X Health Fact Sheets

Article. Heart health and cholesterol levels of Canadians, 2007 to 2009. Component of Statistics Canada Catalogue no. 82-625-X Health Fact Sheets Component of Statistics Canada Catalogue no. 82-625-X Health Fact Sheets Article Heart health and cholesterol levels of Canadians, 2007 to 2009 March How to obtain more information For information about

More information

Diabetes The Basics. What is Diabetes? How does sugar get into your cells? Type 1 diabetes. Type 2 diabetes. Why control Diabetes?

Diabetes The Basics. What is Diabetes? How does sugar get into your cells? Type 1 diabetes. Type 2 diabetes. Why control Diabetes? Diabetes The Basics What is Diabetes? Diabetes is when there is too much sugar in your blood. Sugar from food you eat and drink stays in your blood instead of going into the cells in your body. The cells

More information

Jennifer Spring RD, LDN Outpatient Oncology Dietitian, North Carolina Cancer Hospital

Jennifer Spring RD, LDN Outpatient Oncology Dietitian, North Carolina Cancer Hospital Jennifer Spring RD, LDN Outpatient Oncology Dietitian, North Carolina Cancer Hospital The top 10 causes of death in the United States include: #1 = Heart disease #2 = Cancer #3 = Stroke #6 = Diabetes Decades

More information

Statins, healthy diet and cholesterol. January 2014

Statins, healthy diet and cholesterol. January 2014 Position Statement Statins, healthy diet and cholesterol January 2014 Recent media coverage claiming that high cholesterol does not cause heart disease, and also questioning the benefits of using statins

More information

Always Start with PECO

Always Start with PECO Goals of This Course Be able to understand a study design (very basic concept) Be able to understand statistical concepts in a medical paper Be able to perform a data analysis Understanding: PECO study

More information

Nonalcoholic Steatohepatitis

Nonalcoholic Steatohepatitis Nonalcoholic Steatohepatitis National Digestive Diseases Information Clearinghouse National Institute of Diabetes and Digestive and Kidney Diseases NATIONAL INSTITUTES OF HEALTH Nonalcoholic steatohepatitis

More information

Published: Summer 2013. Margaret Stevens was diagnosed with Type 2 diabetes nearly three decades ago.

Published: Summer 2013. Margaret Stevens was diagnosed with Type 2 diabetes nearly three decades ago. 1 of 5 1/9/2014 9:22 AM Published: Summer 2013 Margaret Stevens was diagnosed with Type 2 diabetes nearly three decades ago. A Type 2 diabetic, Margaret Stevens has lost over 100 pounds and has her glucose

More information

Treatment of diabetes In order to survive, people with type 1 diabetes must have insulin delivered by a pump or injections.

Treatment of diabetes In order to survive, people with type 1 diabetes must have insulin delivered by a pump or injections. National Diabetes Statistics What is diabetes? Diabetes mellitus is a group of diseases characterized by high levels of blood glucose resulting from defects in insulin production, insulin action, or both.

More information

Do You Know The Important Risk Factor and Fitness Assessment Numbers? Jonathan N. Mike M.S. and Len Kravitz, Ph.D.

Do You Know The Important Risk Factor and Fitness Assessment Numbers? Jonathan N. Mike M.S. and Len Kravitz, Ph.D. Do You Know The Important Risk Factor and Fitness Assessment Numbers? Jonathan N. Mike M.S. and Len Kravitz, Ph.D. Introduction One of the principal areas of concern for exercise professionals is assessing,

More information

What is a Heart Attack? 1,2,3

What is a Heart Attack? 1,2,3 S What is a Heart Attack? 1,2,3 Heart attacks, otherwise known as myocardial infarctions, are caused when the blood supply to a section of the heart is suddenly disrupted. Without the oxygen supplied by

More information

REACH Risk Evaluation to Achieve Cardiovascular Health

REACH Risk Evaluation to Achieve Cardiovascular Health Dyslipidemia and type 2 diabetes mellitus History: A 17-year-old Hispanic female patient is seen for a routine clinic follow-up visit. She was diagnosed with type 2 diabetes 6 months ago. Her hemoglobin

More information

Metabolic Diseases: Obesity, Hyperlipidemia, and Diabetes

Metabolic Diseases: Obesity, Hyperlipidemia, and Diabetes Metabolic Diseases: Obesity, Hyperlipidemia, and Diabetes Obesity Approximately 1 in 3 adults are overweight in the U.S. Arizona According to CDC, Arizona has highest reported percentage of adults who

More information

High Blood Pressure (Essential Hypertension)

High Blood Pressure (Essential Hypertension) Sacramento Heart & Vascular Medical Associates February 18, 2012 500 University Ave. Sacramento, CA 95825 Page 1 916-830-2000 Fax: 916-830-2001 What is essential hypertension? Blood pressure is the force

More information

CORPORATE HEALTH LOWERING YOUR CHOLESTEROL & BLOOD PRESSURE

CORPORATE HEALTH LOWERING YOUR CHOLESTEROL & BLOOD PRESSURE CORPORATE HEALTH LOWERING YOUR CHOLESTEROL & BLOOD PRESSURE What is Cholesterol? What s wrong with having high cholesterol? Major risk factor for cardiovascular disease Higher the cholesterol higher the

More information