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
...agnosi...
...ions and Diagnosis...
...viduals aged 40–75 years in the offic...
...dividuals aged 40–75 years in the office se...
...ablish metabolic risk in the general...
...: In individuals previously diagnosed w...
...ES recommends that all individuals at m...
...individuals with elevated blood pressure >130...
.... Criteria Proposed for Clinical Diagnosis...
...low Chart for the Assessment and Treatment of...
...Measuring Waist Circumference According...
...able 2. Recommended Waist Thresholds to...
...finitions of Prediabetes (Intermediate G...
Treatment
...atment...
...tyle and Behavioral Therapy
...n individuals at metabolic risk, ES recommends th...
...viduals at metabolic risk with excess...
2.3: In individuals at metabolic risk,...
...In individuals at metabolic risk, ES...
Table 4. Effect of Lifestyle Compone...
...e 5. Components of Healthy Cardiovascula...
...6. Nutrient Action Nutrient Action...
...nd Pharmacological Therapy...
...ssessment and Evaluation...
...uals identified as having metabolic risk, ES re...
...viduals with low density lipoprotein-cholesterol...
...terol Reduction...
...ndividuals 40–75 years of age with LDL-C ≥...
...In individuals 40–75 years of age wit...
3.4.1: In individuals 40–75 years...
...iduals 40–75 years of age without diabe...
...viduals with metabolic risk, without...
...4: In individuals aged >75 years wi...
...ividuals at metabolic risk who are tak...
...individuals aged 40 years and older at...
...Statin TherapyHaving trouble viewing table? Ex...
...e 8. Treatment Recommendations and...
...ressure Reduction
...dividuals with blood pressure above 130/80 mmHg...
...ividuals without a history of ASCVD with...
...Progression to Type 2 Diabetes...
...ividuals with prediabetes, ES recommends...
...ividuals with prediabetes who have limita...