12-31-2008, 11:30 PM
A 35-year-old woman comes in for a routine visit.
Her past medical history is significant for poorly controlled
type 2 diabetes mellitus (HbA1C of 8.4%), obstructive
sleep apnea, hypertension, and dyslipidemia.
Her body mass index is 42 kg/m2. Blood pressure in clinic
is 154/87 mmHg and fasting plasma glucose is 130 mg/
dL. Her medications include metformin, insulin, ramipril,
hydrochlorothiazide, and atorvastatin. You have diagnosed
her with the metabolic syndrome. Based on our
current understanding of the metabolic syndrome, treating
which of the following underlying conditions is the
primary approach to treating this disorder?
A. Hyperglycemia
B. Hypercholesterolemia
C. Hypertension
D. Inflammatory cytokines
E. Obesity
Her past medical history is significant for poorly controlled
type 2 diabetes mellitus (HbA1C of 8.4%), obstructive
sleep apnea, hypertension, and dyslipidemia.
Her body mass index is 42 kg/m2. Blood pressure in clinic
is 154/87 mmHg and fasting plasma glucose is 130 mg/
dL. Her medications include metformin, insulin, ramipril,
hydrochlorothiazide, and atorvastatin. You have diagnosed
her with the metabolic syndrome. Based on our
current understanding of the metabolic syndrome, treating
which of the following underlying conditions is the
primary approach to treating this disorder?
A. Hyperglycemia
B. Hypercholesterolemia
C. Hypertension
D. Inflammatory cytokines
E. Obesity