Metabolic Syndrome

American adult population just getting fatter and fatter.

In an article in the new York time By MATT RICHTEL and ANDREW JACOBSMARCH dated 23 March 2018 American adults continue to put on the pounds. New data shows that nearly 40 percent of them were obese in 2015 and 2016, a sharp increase from a decade earlier, federal health officials reported Friday.
The prevalence of severe obesity in American adults is also rising, heightening their risks of developing heart disease, diabetes and various cancers. According to the latest data, published Friday in JAMA, 7.7 percent of American adults were severely obese in the same period.
The data — gathered in a large-scale federal survey that is considered the gold standard for health data — measured trends in obesity from 2015 and 2016 back to 2007 and 2008, when 5.7 percent of American adults were severely obese and 33.7 percent were obese. The survey counted people with a body mass index of 30 or more as obese, and those with a B.M.I. of 40 or more as severely obese.
Public health experts said that they were alarmed by the continuing rise in obesity among adults and by the fact that efforts to educate people about the health risks of a poor diet do not seem to be working.
“Most people know that being overweight or obese is unhealthy, and if you eat too much that contributes to being overweight,” said Dr. James Krieger, clinical professor of medicine at the University of Washington and executive director of Healthy Food America, an advocacy group. “But just telling people there’s a problem doesn’t solve it.”

The latest data from the National Health and Nutrition Examination Survey comes at a time when the food industry is pushing back against stronger public health measures aimed at combating obesity.
In recent NAFTA negotiations, the Trump administration has proposed rules favored by major food companies that would limit the ability of the United States, Mexico and Canada to require prominent labels on packaged foods warning about the health risks of foods high in sugar and fat.
While the latest survey data doesn’t explain why Americans continue to get heavier, nutritionists and other experts cite lifestyle, genetics, and, most importantly, a poor diet as factors. Fast food sales in the United States rose 22.7 percent from 2012 to 2017, according to Euromonitor, while packaged food sales rose 8.8 percent.

 

 

Diabetes Mellitus type 2, Metabolic Syndrome

Diabetes Type 2 with Metabolic Syndrome: case study.


Patient is a 65 year old pathologist. Was reasonably active with cycling and horseriding. He was overweight and enjoyed a social life with a daily glass of wine and occasional beers over weekends. He experienced exercise intolerance and was on treatment for cholesterol, hypertension, gout and an arythmia that kept him awake at night. He also took one Ecotrin daily.

On 27 July he tested a continous glucose monitor for Metronic just to find out that he has an average blood glucose value of 10 mmol/ml. He was surprised because at the end of 2016 he was screened for an insurance policy and nothing was wrong.

For obvious reasons he started to study Diabetes and Metabolic Syndrome and came to the conclusion that there is no quick cure for this disease and that if he want to survive this challenge he must change his ways. He also realized that he was treating the symptoms of Metabolic Syndrome – a common mistake. (Hypertension, gout, high cholesterol and arythmia). He learned for the first time in his life that if he could control metabolic syndrome, he may not need al these chronic medications.

At this stage his clinical profile was as follow:

Weight: 117 kg.

BMI: 34,94

Fasting Blood Sugar: 9,8

HDL-cholesterol: 1,4 mmol/L

LDL-cholesterol: 3,2 mmol/L

C-reactive protein: 3,9 mg/L

HbA1c: 7,8%

Exercise History: 30 minutes cycling per week.

On 17 January 2018 after all the principles proposed by newCare innovation were applied, the following clinical criteria were observed:

Weight: 95 kg.

BMI: 28,37

Fasting Blood Sugar: 5,2

HDL-cholesterol: 1,9mmol/L

LDL-cholesterol: 2,6mmol/L

C-reactive protein: 1,6mg/L

HbA1c: 5,8%

Exercise History: Minimum of 6 hours running and cycling per week.

His excercise intolerance and activity level was exceptional and on Friday 9 March 2018 he ran 10,3 km in 1,05 hour. (Something that he last did in the army in 1971).

If you think this is exceptional you are wrong. In the most recent literature all over the world this is happening more and more. Old obese people are reviving under good advice and after aquiring the support, knowledge and skills from professional people about Metabolic Syndrome. Worst of all is that the knowledge of general practitioners and specialist about the effect and treatment of metabolic syndrome is currently limited.

He stopped all medical treatment for cholesterol, high blood pressure, arythmia and gout. He currently is just using one Ecotrin and 1 gram of Metformin per day.

When this photo was taken 3 March 2018 his weight was 86 kg. Just after the photo was taken he climbed a spoiled black arabian stallion who injured him 2 years ago; just for the challenge. It was succesful.