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Patients prescribed psychotropic medications are at increased risk of physical health side effects such as metabolic syndrome. These risks can be identified through regular physical health checks, referred to as metabolic monitoring.
Abdominal obesity. This means having a waist circumference of more than 35 inches for women and more than 40 inches for men. An increased waist circumference is the form of obesity most strongly tied to metabolic syndrome. High blood pressure of 130/80 mm Hg (millimeters of mercury) or higher.
A diagnosis of metabolic syndrome comes after the identification of at least three of the following five key risk factors. Too much fat at the waist . High blood pressure . High triglyceride levels . Low HDL cholesterol (also known as good cholesterol) . High fasting glucose (blood sugar) .
If you have metabolic syndrome, its important to get ongoing care. You should see your healthcare provider for the following: To monitor the condition: You may need to measure your blood pressure regularly or have routine blood tests to monitor your triglyceride and cholesterol levels.
The physical examination is crucial in patients with metabolic syndrome, as the findings of elevated blood pressure and abdominal obesity are 2 of the 5 diagnostic criteria. Measurement and documentation of waist circumference are important routines when screening for metabolic syndrome.
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What is a metabolic syndrome screening? The screening measures five things: your waistline, blood pressure, HDL cholesterol level, triglyceride level and fasting blood sugar. If three or more factors are outside the normal range, you have metabolic syndrome.
To diagnose metabolic syndrome, your provider will check your blood pressure and do blood tests to measure your blood sugar, cholesterol, and triglyceride levels.
Monitoring recommendations In all patients measure baseline, at three months, and then annual fasting glucose. Repeat this pattern if the drug is changed. The frequency of monitoring may be increased if there are changes in fasting glucose or if risk factors change.

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