Metabolic Syndrome Jacque De Fouw RN, MSN Health Educator

Metabolic

Syndrome

Jacque De Fouw RN, MSN

Health Educator

CO

MP

LIC

ATIO

NS

O

F O

BESIT

Y

METABOLIC SYNDROMECORONARYARTERY DISEASE DIABETES

What

is C

oro

nary

A

rtery

Dis

ease

?

Every 1 in 4 deathsAbout 600,000

deaths/yearAccumulation of atherosclerotic plaque

in coronary arteries =

obstruction of blood flow to heart muscle

What

happens?

Heart muscle has pain

without oxygenDestruction of muscle

tissue

Death of cardiac muscle

Sym

pto

ms

Often no warning while slowly advancing

obstruction

Chest Pain

Short of BreathSwelling of legsOften less obvious symptoms in women

Ris

k Fa

ctors

Cannot be changed

Can be changed

Pathophysiologic Factors

Life-style factors

Age High blood pressure

Tobacco use

Gender Diabetes Obesity

Race/Ethnic background

High Cholesterol Sedentary/inactivity

Heredity Women: early menopause

Personality type/coping ability

Women: birth control pills

How many risk factors do you have?

1. None2. 1-23. 3-54. more than 5

Only

YO

U c

an t

ake

ca

re o

f yo

urs

elf!

MAKE good choices!

TEACH good choices!

What

is

Dia

bete

s?

A chronic disease in

which the body can

not properly use or

make insulin.Insulin- a hormone

made in the pancreas that turns

sugar (glucose) into

energy for the body

to use

What

happens

wit

hout

insu

lin?

Lack of insulin Build up of

glucose in the blood (hyperglycemia)Symptoms of Diabetes Mellitus

Sym

pto

ms

Frequent urinationExcessive thirstExtreme hunger - Cells are starved for energyUnexplained weight loss- Insulin can not trigger

the storage of fatFatigueDelayed wound healing

Type I D

iabete

s M

elli

tus

RISK factors:- Genetics- Autoimmune history

Type I is NOT preventable

Type II D

iabete

s M

elli

tus

Non-insulin dependent diabetes

mellitus (NIDDM)Body makes insulin

but most cells do not

use insulin properly Insulin resistanceEventually, the pancreas stops making insulin.

CO

NTIN

UED

: Ty

pe

II D

iabete

s M

elli

tus

90-95 % of diabeticsRISK factors- Older age- Family history- Obesity- Physical Inactivity- Race and Ethnicity

Type II D

M R

isk

Fact

ors

Obesity & Inactivity- Studies find a

relationship between weight/activity

level and Type II- For past 10

years - increase in

Type II diabetes in children

Type II D

iabete

s M

elli

tus

Race & Ethnicity factors:- African Americans

- Hispanic/Latino Americans- American Indians

- Asian Americans- Pacific Islanders

Type II

Preve

nti

on

If have risk factors,

prevent or delay the

onset of Type II…- Healthy diet- Moderately intense

exercise (walking briskly 2 1/2

hours each week) 15 MINUTES 10 TIMES A

WEEK

OR 30 MINUTES 5 TIMES A WEEK!

Type II D

M

Treatm

ent

Goal: Control blood

sugar (glucose)- Glucose monitoring

often- Oral medicine / Insulin injections

- Diet- Exercise / Weight

management- Follow up with doctor

- Educate yourself!

Oth

er

com

plic

ati

ons

of

Meta

bolic

Syn

dro

me

Joint pain and disordersFatigueSnoring + Sleep

apnea Respiratory disorders

DepressionCancersComplications of pregnancyIncontinence

How

do y

ou

weig

h y

ours

elf?

FITN

ESS is

the

!!! How do you want to

feel?

How do your clothes fit?Do you have energy for

daily living?

Keep track of your progress!

Record your little and BIG successes!

MEMPHIS HEALTHY U!!!