insulin resistance progression to diabetes. hypertension: bp >140/90 dyslipidemia: ◦tg >150...
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![Page 1: Insulin Resistance Progression to Diabetes. Hypertension: BP >140/90 Dyslipidemia: ◦TG >150 mg/dL (1.7 mmol.L) ◦HDL-C Publish Scott Hardy, Modified 5 years ago](https://reader035.vdocument.in/reader035/viewer/2022070412/5697bf781a28abf838c81c22/html5/thumbnails/1.jpg)
Insulin Resistance Insulin Resistance
Progression to Diabetes
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Hypertension: BP >140/90Dyslipidemia:
◦TG >150 mg/dL (1.7 mmol.L)◦HDL-C <35 mg/dL (0.9 mmol/L)
Obesity (central): BMI >30 kg/M2◦Waist girth > 94 cm (37 inch)◦Waist/Hip ratio > 0.9
Impaired Glucose Handling: IR, IGT or DM◦FPG >110 mg/dL (6.1 mmol/L)◦2 hr. PG >200 mg/dL (11.1 mmol/L)
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InflammationInflammation
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Stage 1 – Early Insulin ResistanceStage 1 – Early Insulin Resistance
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Stage 1 – Early Insulin ResistanceStage 1 – Early Insulin Resistance
Treatment recommendations for Stage 1
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Stage 2 – Elevated InsulinStage 2 – Elevated Insulin
Graphrepresentspatient's stageof pre-diabetes.
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Treatment recommendations for Treatment recommendations for stage 2stage 2
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Stage 3: Beta-Cell DysfunctionStage 3: Beta-Cell Dysfunction
Graph represents patient's stage of pre-diabetes.
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Treatment recommendations for Treatment recommendations for stage 3stage 3
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Inflammation MarkersInflammation MarkersHigh-sensitivity C-Reactive Protein (hs-CRP)High-sensitivity C-Reactive Protein (hs-CRP)
High hs-CRP associated with:Chronic inflammatory state.Insulin resistance (independent of obesity) and increased risk of type 2 diabetes.
Hypertension, metabolic syndrome, and aging.
Increased risk of coronary artery disease, peripheral artery disease, and increased risk of cardiac death in individuals with previous heart attack.
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Treatment Options to reduce hs- CRP:Treatment Options to reduce hs- CRP: