Endocrine Society GUIDELINES Bundle (free trial)

Metabolic Risk

Endocrine Society GUIDELINES Apps brought to you free of charge courtesy of Guideline Central. All of these titles are available for purchase on our website, GuidelineCentral.com. Enjoy!

Issue link: https://eguideline.guidelinecentral.com/i/302967

Contents of this Issue

Navigation

Page 2 of 17

Diagnosis 3 ➤ 1.2: In individuals aged 40–75 years in the office setting who do not yet have ASCVD or T2DM and already have at least one risk factor, we advise screening every 3 years for all five components of metabolic risk as part of the routine clinical examination. (Ungraded Good Practice Statement) ➤ 1.3: To establish metabolic risk in the general population, ES recommends that clinicians measure waist circumference as a routine part of the clinical examination. (1|⊕⊕⊕ ) Technical Remarks: ▶ This measurement does not replace the routine measurement of weight or calculation of body mass index but can provide more focused information regarding risk for ASCVD and T2DM. ▶ The writing committee agrees that the cutoffs for elevated waist circumference should be ≥102 cm for men and ≥88 cm for women in Caucasian, African, Hispanic, and Native American populations. ▶ The writing committee agrees that the cutoffs for waist circumference in Asian populations (both East Asian and South Asian) should be ≥90 cm for men and ≥80 cm for women. ➤ 1.4: In individuals previously diagnosed with prediabetes, ES suggests testing at least annually for the presence of overt T2DM. (2|⊕⊕⊕ ) Technical Remark: ▶ Prediabetes is defined in a variety of ways ( fasting plasma glucose, 2-hour plasma glucose following a 75-g oral glucose tolerance test, or hemoglobin A1c) by different organizations in different countries, and the writing committee does not endorse preferential use of one definition over another. ➤ 1.5: ES recommends that all individuals at metabolic risk in the office setting have their blood pressure measured annually and, if elevated, at each subsequent visit. (1|⊕⊕⊕⊕) Technical Remarks: ▶ Blood pressure should be measured after five minutes of rest. ▶ Ambulatory and/or home blood pressure monitoring, if performed correctly, is recommended to confirm a diagnosis of hypertension after initial screening. ➤ 1.6: For individuals with elevated blood pressure >130 mmHg systolic and/or 80 mmHg diastolic who are not documented as having a history of hypertension, ES recommends confirmation of elevated blood pressure on a separate day within a few weeks or with a home blood pressure monitor. (1|⊕⊕⊕⊕)

Articles in this issue

Archives of this issue

view archives of Endocrine Society GUIDELINES Bundle (free trial) - Metabolic Risk