metabolic syndrome

According to the CDC, over 29 million Americans (9.3% of the population) has diabetes and 86 million are living with prediabetes, making diabetes the seventh leading cause of death in the United States. For an NP, a significant percentage of your patients will be dealing with diabetes, and so it is critical that you be proficient at diagnosing and treating it, as well as educating your patients about it.

Research the following terms and their relevance in regards to diabetes and to metabolic syndrome:

• Nephropathy
• FBS >100
• Decreased glucose uptake in peripheral tissue
• Neuropathy
• BP > 130/85
• Increased glucose reabsorption in kidneys
• Peripheral vascular disease
• Trigs > 150
• Microvascular disease
• Increased lipolysis of the fat
• Decreased incretins of the gut
• HDL < 40 in men, < 50 in women
• Retinopathy
• Cerebrovascular disease
• Waist >35″ in women, >40″ in men
• Brain neurotransmitter dysfunction
• Increased hepatic glucose production
• Increased glucagon secretion by alpha cells
• Coronary artery disease
• Impaired insulin secretion by beta cells
• Macrovascular disease

Create a flowchart using symbols (boxes, shapes, and arrows) that illustrates the following:

• Which of the terms comprise metabolic syndrome?
• Which of the terms comprise the ominous octet?
• Categorize which complications are associated with microvascular disease and document both a subjective and objective component you would do to assess for each complication identified.
• Categorize which complications are associated with macrovascular disease and document both a subjective and objective component you would do to assess for each complication identified.