Primary Prevention of ASCVD and T2DM in Patients at Metabolic Risk
Key Points
Key Points
- Elevated waist circumference
- Decreased high density lipoprotein (HDL) cholesterol
- Elevated serum triglycerides
- Elevated blood pressure
- Elevated blood glucose
Endocrine Society (ES) recommends that providers measure waist circumference as part of the initial evaluation. (Note: However, that this does not replace the measurement of weight.)
Behavioral change should be the first-line therapy for prevention and should include changes to diet, increased exercise, and weight loss.
Persons identified as having metabolic risk should undergo risk scoring to identify the 10-year risk for ASCVD.
Diagnosis
...Diagno...
...Definitions and Dia...
...In individuals aged 40–75 years in the of...
1.2: In individuals aged 40–75 years in the of...
...ablish metabolic risk in the general population...
...ividuals previously diagnosed with prediabete...
...mends that all individuals at metabolic...
...iduals with elevated blood pressure >130 mmHg sy...
...le 1. Criteria Proposed for Clinical Diag...
.... Flow Chart for the Assessment and Treatment of...
...asuring Waist Circumference According to NHA...
...nded Waist Thresholds to Define Abdominal...
...able 3. Definitions of Prediabetes (Intermedi...
Treatment
...Treatment...
...Lifestyl...
...als at metabolic risk, ES recommends th...
...ividuals at metabolic risk with excess wei...
...iduals at metabolic risk, ES recommends prescr...
...individuals at metabolic risk, ES rec...
...of Lifestyle Components on Metabolic Par...
...mponents of Healthy Cardiovascular Diet...
Table 6. Nutrient Action Nutrient Ac...
...Medica...
...individuals identified as having metabolic ri...
...individuals with low density lipoprote...
...Cholesterol...
...iduals 40–75 years of age with L...
...individuals 40–75 years of age wi...
...4.1: In individuals 40–75 years of age without...
...In individuals 40–75 years of age wit...
...individuals with metabolic risk, witho...
...In individuals aged >75 years withou...
...In individuals at metabolic risk who...
...individuals aged 40 years and olde...
...tin Therapy Intensity...
...nt Recommendations and LDL-C Goals f...
...Blood Pressure Red...
....7: In individuals with blood pressure a...
...In individuals without a history of AS...
...Reducin...
...iduals with prediabetes, ES recomme...
...0: In individuals with prediabetes who have limita...