Metabolic Syndrome, (Syndrome X) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

This book describes Metabolic Syndrome, Diagnosis and Treatment and Related Diseases
The metabolic syndrome is well known as a common illness in the developed countries because of over eating and a poor unhealthy lifestyle such as hypertension, diabetes, high cholesterol.
When I first graduated from medical university, most of the patients were thin and undernourished.
Now most of the patients are well fed; some are probably overfed with protruding abdomen with high blood pressure or diabetes or both.
This is one of the effects of being a developed society.
This mysterious syndrome also goes by the scary-sounding name Syndrome X
Not all doctors agree that metabolic syndrome should be viewed as a distinct disease since the different components of metabolic syndrome are all diseases with individual symptoms and signs and corresponding treatment.

Metabolic syndrome (also termed syndrome X or dysmetabolic syndrome) indicates a link between certain metabolic disorders and cardiovascular disease.
While the criteria for the diagnosis differ, the presence of a grouping of risks factors that results in cardiovascular disease is well known.
The main features of metabolic syndrome are:
1. Insulin resistance,
2. Hypertension (high blood pressure),
3. Abnormalities in cholesterol levels, and an
4. Increased risk for blood clotting.
5. Abdominal Obesity
Most people with metabolic syndrome are obese or overweight.

Insulin resistance (IR) is a disorder in which the cells of the body become resistant to the effects of insulin hormone.
The guidelines from the 2001 National Cholesterol Education Program Adult Treatment Panel (ATP III) provide the definition of metabolic syndrome or syndrome X.
Any three of these traits in the same person meet the criteria for the metabolic syndrome:
1. Abdominal obesity: a waist circumference more than 40 inches (102 cm) in men and more than 35 inches (88 cm) in women.
2. Serum triglyceride s above 150 mg/dl
3. HDL cholesterol 40mg/dl or lower in men and 50mg/dl or lower in women
4. Blood pressure of 130/85 or more.
5. Fasting blood glucose of 110 mg/dl or above. (Some doctors use 100mg/dl)
Metabolic syndrome is not a disease in itself.
The syndrome is a cluster of risk factors (high blood pressure, high blood sugar, unhealthy cholesterol levels, and abdominal fat).
Obviously, having any one of these risk factors is not good.
But when they are combined, they set the stage for more serious problems.
These risk factors have double the risk of blood vessel and heart disease, which can result in heart attacks and strokes.
They raise the risk of diabetes by five times.
Diagnosis:
A detailed history and physical examination should be done.
Every component of the syndrome should be assessed distinctly.
1. Blood pressure
2. Weight and body composition
3. Blood lipid levels
4. Diabetes assessment by fasting blood sugar, insulin level, hemoglobin A1c and oral glucose tolerance testing
5. Cardiac risk factors can be assessed for cardiovascular risk
Treatment
The treatment for metabolic syndrome varies from alterations in diet and lifestyle to treating cholesterol-lowering and diabetes medicines.
Purposes are to lower blood pressure and control body weight.
Lifestyle modification
Diet control (salt, fats)-Mediterranean
Exercise (walk with pedometer, followed by running)
Weight Loss (normal BMI)
Control Hypertension (less than 130/80) with ACE Inhibitor, beta blocker
Control Diabetes (less than 100mg/dl) with metformin, insulin, Byetta
Control Hyperlipemia (less than 150mg/dl cholesterol/triglyceride) with statins and fibrates
Stop Smoking, Alcohol
Treat heart disease with nitrates, aspirin, niacins, aminophylline

TABLE OF CONTENT
Introduction
Chapter 1 Metabolic Syndrome
Chapter 2 Causes
Chapter 3 Sympt

• Language: English
• Publisher: Kenneth Kee
• Release date: Apr 7, 2018
• ISBN: 9781370875726

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Metabolic Syndrome,

(Syndrome X)

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2018 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Metabolic Syndrome, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What The patient Need to Treat Metabolic Syndrome)

This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Metabolic Syndrome

The metabolic syndrome is well known as a common illness in the developed countries because of over eating and a poor unhealthy lifestyle such as hypertension, diabetes, high cholesterol.

When I first graduated from medical university, most of the patients were thin and undernourished.

Now most of the patients are well fed; some are probably overfed with protruding abdomen with high blood pressure or diabetes or both.

This mysterious syndrome also goes by the scary-sounding name Syndrome X

Not all doctors agree that metabolic syndrome should be viewed as a distinct disease since the different components of metabolic syndrome are all diseases with individual symptoms and signs and corresponding treatment.

What Is Metabolic Syndrome?

Metabolic syndrome (also termed syndrome X or dysmetabolic syndrome) indicates a link between certain metabolic disorders and cardiovascular disease.

While the criteria for the diagnosis differ, the presence of a grouping of risks factors that results in cardiovascular disease is well known.

The main features of metabolic syndrome are:

1. Insulin resistance,

2. Hypertension (high blood pressure),

3. Abnormalities in cholesterol levels, and an

4. Increased risk for blood clotting.

5. Abdominal Obesity

Most people with metabolic syndrome are obese or overweight.

Insulin resistance (IR) is a disorder in which the cells of the body become resistant to the effects of insulin hormone.

The guidelines from the 2001 National Cholesterol Education Program Adult Treatment Panel (ATP III) provide the definition of metabolic syndrome or syndrome X.

Any three of these traits in the same person meet the criteria for the metabolic syndrome:

1. Abdominal obesity: a waist circumference more than 40 inches (102 cm) in men and more than 35