Metabolic Syndrome Center - Bethesda, MDBethesda Internist Doctors for Metabolic SyndromeType of Physician: Internist What is a Internist? A certification by the Board of Internal Medicine; practitioners provide long-term, comprehensive care in the office and the hospital, managing both common illnesses and complex problems for adolescents, adults, and the elderly. General internists are trained in primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and treatment of problems of the eyes, ears, skin, nervous system and reproductive organs. All internists are trained in the subspecialty areas of internal medicine including emergency internal medicine and critical care. Internists consult with surgeons when surgical management is indicated, and often act as consultants to other specialists. Specialty: Internal Medicine Common Name: Internist Doctors in Bethesda * Cullen Umosella Cullen & Cullen MDs PA  Cullen Umosella Cullen & Cullen MDs PA  Cullen Umosella Cullen & Cullen MDs PA  Bethesda Psychotherapy Group  Physician Management Limited  Bethesda Psychotherapy Group  Loreto Albiol MD  Bethesda Physicians PC  Bethesda Physicians PC  Christopher Duke MD  Bethesda Physicians PC  Bethesda Physicians PC  Albert K Lee MD  Matthew Poffenroth MD  Jose A Quiros MD  Surburban Hospital Emergency Dept  National Institute of Arthritis  Greater Washington Dermatology  Washington Gastroenterology  Internal Medicine Center PA  James H Brodsky MD  Cardio Care  Internal Medicine Center PA  Kevin G Nealon MD  Physician Associates  Kevin G Nealon MD  Internal Medicine Center PA  Washington Gastroenterology  Internal Medicine Center PA  Mahmood Mohamadi MD  Kevin G Nealon MD  Internal Medicine Center PA  Carol Salzman MD  Internal Medicine Center PA  Internal Medicine Center PA  Tip Woodward MD  Cardiology & Internal Medicine  Drs Barr & Schwartz MD  Drs Blackburn Hamill & Mackin  Armon A Cairo MD  Ralph M Coan MD  Cardiology & Internal Medicine  Cardiology & Internal Medicine  Cardiology & Internal Medicine  Drs Blackburn Hamill & Mackin  Metropolitan Internal Medicine Associates  Metropolitan Internal Medicine Associates  Cardiology & Internal Medicine  Metropolitan Internal Medicine Associates  Cardiology & Internal Medicine  Cardiology & Internal Medicine  James H Hutchinson MD  Drs Galotto & Feldman PA  Potomac Physician Associates PC  Washington Center for Diabetes & Endocrinology LLC  Potomac Physician Associates PC  Pulmonologists PC  Jeffrey Indrisano MD & Hubert Alpert MD  Jeffrey Indrisano MD & Hubert Alpert MD  Jeffrey Indrisano MD & Hubert Alpert MD  Barry Rosenbaum MD  Potomac Physician Associates PC  Potomac Physician Associates PC  Potomac Physician Associates PC  Potomac Physician Associates PC  Potomac Physician Associates PC  Kian Kaviani MD  Potomac Physician Associates PC  Potomac Physician Associates PC  Potomac Physician Associates PC  Potomac Physician Associates PC  Potomac Physician Associates PC  Gary M Roggin MD  Russell R Rothenberg MD  Potomac Physician Associates PC  Potomac Physician Associates PC  Kaiser Permanente Medical Center Kensington  Potomac Physician Associates PC  Wellness Medical Center  Wellness Medical Center  Phillip W Poth MD  Jan Bachowski MD  Gul Chablani MD  Alpana Goswami MD  Carl I Margolis MD  James F McMurry Jr. MD  Felix B Sokolsky MD  Silviu Ziscovici MD  V P Chandar MD PA  Habib O Farhoudi MD  Suresh K Gupta MD  Forest Glen Medical Center  Drs Banadori Oser Seidelman & Tauber  Hadi Bahar MD  MedStar Physicians  Thomas Q Garvey MD  Oki Kwon MD  Lawrence D Marcus MD PA  Comprehensive Women's Health  Drs Banadori Oser Seidelman & Tauber Bethesda, MarylandUpcoming Local Events2012-06-02
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Metabolic SyndromeRead the Metabolic Syndrome article » What is metabolic syndrome?An association between certain metabolic disorders and cardiovascular disease has been known since the 1940s. In the 1980s this association became more clearly defined and the term metabolic syndrome (also known as syndrome X or the dysmetabolic syndrome) was coined to designate a cluster of metabolic risk factors that come together in a single individual. In more current times, the term metabolic syndrome is found throughout medical literature and in the lay press as well. There are slight differences in the criteria of diagnosis - depending on which authority is quoted. Regardless, the concept of a clustering of risks factors leading to cardiovascular disease is well accepted. The main features of metabolic syndrome include insulin resistance, hypertension (high blood pressure), cholesterol abnormalities, and an increased risk for clotting. Patients are most often overweight or obese. Insulin resistance refers to the diminished ability of cells to respond to the action of insulin in promoting the transport of the sugar glucose, from blood into muscles and other tissues. Because of the central role that insulin resistance plays in the metabolic syndrome, a separate article is devoted to insulin resistance.
How is metabolic syndrome defined?The definition of metabolic syndrome depends on which group of experts is doing the defining. Based on the guidelines from the 2001 National Cholesterol Education Program Adult Treatment Panel (ATP III), any three of the following traits in the same individual meet the criteria for the metabolic syndrome:
Recommended Reading Related to Metabolic SyndromeCholesterol facts
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Suggested Reading on Metabolic Syndrome by Our Doctors
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Related Diseases & Conditions
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Cholesterol
- Cholesterol is naturally produced by the body, and is a building block for cell membranes and hormones. Low-density lipoprotein (LDL) cholesterol is the "bad" cholesterol, conversely, high-density lipoprotein (HDL) cholesterol is the "good" cholesterol. High cholesterol treatment includes lifestyle changes (diet and exercise), and medications such as statins, bile acid resins, and fibric acid derivatives.
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Cirrhosis (Liver)
- Cirrhosis of the liver refers to a disease in which normal liver cells are replaced by scar tissue caused by alcohol and viral hepatitis B and C. This disease leads to abnormalities in the liver's ability to handle toxins and blood flow, causing internal bleeding, kidney failure, mental confusion, coma, body fluid accumulation, and frequent infections. Symptoms include yellowing of the skin, itching, and fatigue.
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Cushing's Syndrome
- Cushing's syndrome, sometimes referred to as hypercortisolism, is a hormonal disorder caused by prolonged exposure to high levels of the hormone cortisol. Symptoms may include obesity, thinning arms and legs, a rounded face, and increased fat around the neck. Some causes of Cushing's syndrome is from taking glucocorticoid hormones such as prednisone for inflammatory diseases. Treatment for Cushing's syndrome depends on the cause.
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Diabetes (Type 1 and Type 2)
- Diabetes mellitus is a chronic condition characterized by high levels of sugar (glucose) in the blood. The two types of diabetes are referred to as type 1 (insulin dependent) and type 2 (non-insulin dependent). Symptoms of diabetes include increased urine output, thirst, hunger, and fatigue. Treatment of diabetes depends on the type.
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Diffuse Idiopathic Skeletal Hyperostosis
- Diffuse idiopathic skeletal hyperostosis (DISH or Forestier's disease) is a form of degenerative arthritis. It is characterized by calcification along the sides of the vertebrae of the spine. Symptoms include stiffness and pain in the upper and lower back. Anti-inflammatory medications are used to treat DISH.
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High Blood Pressure
- High blood pressure, also known as hypertension, is a repeatedly elevated blood pressure exceeding 140 over 90 mmHg -- a systolic pressure above 140 with a diastolic pressure above 90. There are two causes of high blood pressure, primary and secondary. Primary high blood pressure is much more common that secondary and its basic causes or underlying defects are not always known. It is known that a diet high in salt increases the risk for high blood pressure, as well as high cholesterol. Genetic factors are also a primary cause. Secondary high blood pressure is generally caused by another condition such as renal hypertension, tumors, and other conditions. Treatment for high blood pressure is generally lifestyle changes and if necessary, diet.
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Polycystic Ovarian Syndrome (PCOS)
- Polycystic ovarian syndrome (PCOS), also known by the name Stein-Leventhal syndrome, is a hormonal problem that causes women to have a variety of symptoms including irregular or no menstrual periods, acne, obesity, and excess hair growth. Treatment of PCOS depends partially on the woman's stage of life and the symptoms of PCOS.
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Obesity
- Obesity is the state of being well above one's normal weight. A person has traditionally been considered to be obese if they are more than 20 percent over their ideal weight. That ideal weight must take into account the person's height, age, sex, and build.
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Fatty Liver
- Nonalcoholic fatty liver disease (NAFLD) refers to a wide spectrum of liver disease ranging from simple fatty liver (steatosis), to nonalcoholic steatohepatitis (NASH), to cirrhosis (irreversible, advanced scarring of the liver). All of the stages of NAFLD have in common the accumulation of fat (fatty infiltration) in the liver cells (hepatocytes).
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Sleep Apnea
- Sleep apnea is defined as a reduction or cessation of breathing during sleep. The three types of sleep apnea are central apnea, obstructive apnea (OSA), and a mixture of central and obstructive apnea. Central sleep apnea is caused by a failure of the brain to activate the muscles of breathing during sleep. OSA is caused by the collapse of the airway during sleep. OSA is diagnosed and evaluated through patient history, physical examination and polysomnography. There are many complications related to obstructive sleep apnea. Treatments are surgical and non-surgical.
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Menopause
- Menopause is the time in a woman's life when menstrual periods permanently stop, also called the “change of life." Menopause symptoms include hot flashes, night sweats, irregular vaginal bleeding, vaginal dryness, painful intercourse, urinary incontinence, weight gain, and emotional symptoms such as mood swings. Treatment of menopausal symptoms varies, and should be discussed with your physician.
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Fitness
- Regular physical activity can reduce the risk of disease. Regular exercise can also reduce the symptoms of stress and anxiety. There are fitness programs that fit any age or lifestyle.
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Smoking (How to Quit Smoking)
- Smoking is an addiction. More than 430,000 deaths occur each year in the U.S. from smoking related illnesses. Secondhand smoke or "passive smoke" also harm family members, coworkers, and others around smokers. There are a number of techniques available to assist people who want to quit smoking.
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Insulin Resistance
- Insulin resistance is the diminished ability of cells to respond to the action of insulin in transporting glucose (sugar) from the bloodstream into muscle and other tissues. Causes of insulin can include conditions such as stress, obesity, metabolic syndrome, and steroid use. Some of the risk factors for insulin resistance include fatty liver, heart disease, strokes, peripheral vascular disease, high cholesterol, and smoking. Treatment for insulin resistance are lifestyle changes and if necessary, medication.
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Diabetes Prevention
- The risks for developing type 2 diabetes include family history, ethnicity, birth weight, metabolic syndrome, and obesity. Warning signs pointing to an increased risk for developing type 2 diabetes include irregular menstruation, impaired fasting glucose, inflammatory markers, and other risks. Gestational diabetes is also a risk factor for developing type 2 diabetes later in life. Prevention of type 2 diabetes can be achieved through a healthy diet (Mediterranean diet), exercise, weight control, not smoking, and medication.
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Diabetic Diet
- A diabetic diet, or diabetes diet helps keep blood glucose levels in the target range for patients. Exercise and medication may also help stabilize blood glucose levels. Keeping track of when you take your diabetic medicine, keeping track of food choices, eating the proper amount of fruits, vegetables, carbohydrates, and fats will also help maintain proper blood glucose levels.
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Heart Disease
- Heart disease (coronary artery disease) is caused by a buildup of cholesterol deposits in the coronary arteries. Risk factors for heart disease include smoking, high blood pressure, heredity, diabetes, peripheral artery disease, and obesity. Symptoms include chest pain and shortness of breath. There are a variety of tests used to diagnose coronary artery disease. Treatment includes life-style changes, medications, procedures, or surgery.
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High Cholesterol: Frequently Asked Questions
- Cholesterol occurs naturally in the body. High blood cholesterol levels increase a person's risk of developing heart disease, heart attacks, strokes, TIAs, and more. In addition to medication (fibrates, statins, bile acid sequestrants, and niacin), lifestyle changes can be made to lower blood cholesterol levels
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Cholesterol
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Medications
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Procedures & Tests
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Pictures, Images & Quizzes
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Doctor's & Expert's Views
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Health News
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Health Features
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