The Greatest Loser Challenge is underway. Go to our website
www.mmcdiet.com or visit our message board
www.mmcdietforum.com for more information and updates.
Friday, June 19, 2009
Wednesday, June 10, 2009
Metabolic Weight Loss Challange
Metabolic Medical Centers of Murrells Inlet is having a weight loss challenge between radio, TV, and magazine. We have chosen one person from each catagory to perticipate. We will be posting the results on our website every two weeks.
Go to www.mmcdiet.com for the results.
Go to www.mmcdiet.com for the results.
Thursday, February 19, 2009
MMC to open new location in Columbia SC
Metabolic Medical Centers are proud to announce the opening of our 2nd office in Columbia SC. We will be opening March 3rd and will be located off of Harbison Blvd.
Please call our office to schedule appointments.
Please call our office to schedule appointments.
Friday, November 14, 2008
Metabolic Medical Center opening in Murrells Inlet
Metabolic Medical Center is pleased to announce our new office
in Murrells Inlet. We will be taking new patients starting in
December.
If you would like to schedule an appointment our phone number
is (843) 357-2851
We are located on Hwy 17 South near the bypass. #4017
We are in the Carolina OBGYN Building Suite 202
in Murrells Inlet. We will be taking new patients starting in
December.
If you would like to schedule an appointment our phone number
is (843) 357-2851
We are located on Hwy 17 South near the bypass. #4017
We are in the Carolina OBGYN Building Suite 202
Wednesday, November 12, 2008
Obesity in Children study and vascular damage
Heart Health at Risk for Obese Kids
Study: Children Can Suffer From Advanced Artery Damage
Nov. 12, 2008
RSS Artery damage is something most people associate with adults, but a new study from Children's Mercy Hospital in Missouri shows overweight kids can suffer advanced arterial damage.
More than 25 percent of children in the U.S. are obese, and while obesity has been linked to a number of health problems, a new study from Children's Mercy Hospital in Missouri shows that overweight kids can suffer advanced arterial damage.
In fact, some of the obese youngsters in the study had arteries that looked 30 years older than they should have. "Good Morning America" medical contributor Dr. Marie Savard explains the effects of arterial damage in children and what parents can do to diagnose and reverse their children's vascular damage.
Does a child with plaque in his or her arteries have more hope than an adult?
What can a parent do?
Make sure your kids get their cholesterol and blood pressure checked on a regular basis. All kids should have that done. That's especially true if they are obese with high cholesterol, or if you have a family history of heart disease, such as a father who had a heart attack before 55, or a mom who had a heart attack before 65.
And for any kid that's overweight or obese, this is just more of a reason to do what we already know is good: live a healthy lifestyle with a heart healthy diet and exercise, and get enough sleep.
In severe instances where lifestyle changes haven't been enough, the American Academy of Pediatrics has agreed that medication is a possibility, but that's not a first
Study: Children Can Suffer From Advanced Artery Damage
Nov. 12, 2008
RSS Artery damage is something most people associate with adults, but a new study from Children's Mercy Hospital in Missouri shows overweight kids can suffer advanced arterial damage.
More than 25 percent of children in the U.S. are obese, and while obesity has been linked to a number of health problems, a new study from Children's Mercy Hospital in Missouri shows that overweight kids can suffer advanced arterial damage.
In fact, some of the obese youngsters in the study had arteries that looked 30 years older than they should have. "Good Morning America" medical contributor Dr. Marie Savard explains the effects of arterial damage in children and what parents can do to diagnose and reverse their children's vascular damage.
Does a child with plaque in his or her arteries have more hope than an adult?
What can a parent do?
Make sure your kids get their cholesterol and blood pressure checked on a regular basis. All kids should have that done. That's especially true if they are obese with high cholesterol, or if you have a family history of heart disease, such as a father who had a heart attack before 55, or a mom who had a heart attack before 65.
And for any kid that's overweight or obese, this is just more of a reason to do what we already know is good: live a healthy lifestyle with a heart healthy diet and exercise, and get enough sleep.
In severe instances where lifestyle changes haven't been enough, the American Academy of Pediatrics has agreed that medication is a possibility, but that's not a first
Thursday, July 24, 2008
Endocrinologists Issue Consensus Statement on Pre-Diabetes
By Todd Neale, Staff Writer, MedPage Today
Published: July 24, 2008
Reviewed by Zalman S. Agus, MD; Emeritus Professor
University of Pennsylvania School of Medicine. Earn CME/CE credit
for reading medical news
JACKSONVILLE, Fla., July 24 -- The treatment of pre-diabetes requires intensive lifestyle modification and the use of drugs for high-risk patients, declared a consensus statement issued here by an American College of Endocrinology task force. Action Points
--------------------------------------------------------------------------------
Explain to interested patients that the authors of this consensus statement stressed the importance of lifestyle modification in treating pre-diabetes, although they said that medications should be considered in high-risk patients.
The statement was meant to fill the void in recommendations for treating pre-diabetes by defining specific goals and targets for glucose levels, weight, blood pressure, and lipids, according to Alan Garber, M.D., Ph.D., of Baylor College of Medicine in Houston, who chaired the 17-member task force.
The CDC estimates that about 57 million U.S. adults have pre-diabetes, defined as impaired fasting glucose of 100 to 125 mg/dL, impaired glucose tolerance of 140 to 199 mg/dL, or both. (See: Number of Patients with Diabetes Climbs to 24 Million)
About 6% to 10% of patients with impaired glucose tolerance will develop diabetes each year, and among patients with both impaired fasting glucose and glucose tolerance, about 60% will have diabetes in six years.
Also, half of all patients with impaired glucose tolerance meet the criteria for metabolic syndrome, according to the task force report.
"The preferred treatment approach for all the abnormalities of persons in this group is intensive lifestyle management, given its safety and the strong evidence of efficacy of this approach in improving glycemia and reducing cardiovascular risk factors," the report said.
The task force recommended that patients with pre-diabetes lose 5% to 10% of their body weight assisted by self-monitoring, the setting of realistic goals, stimulus control, cognitive strategies, social support, and appropriate reinforcement.
Pre-diabetics should get at least 150 minutes of moderate-intensity exercise - such as walking or biking -- per week, the task force said, and should limit total and saturated fat and transfatty acids.
For patients at a particularly high risk -- for example, those with worsening glycemia, cardiovascular disease, or nonalcoholic fatty liver disease -- complementing lifestyle modification with medication should be considered, the task force said.
"Although lifestyle can clearly modify the progression of patients towards overt diabetes, it may not be sufficient," Dr. Garber said.
The task force recommended metformin and acarbose for controlling glycemia on the basis of their efficacy in reducing the transition from pre-diabetes to diabetes and their safety.
The authors cited safety concerns with thiazolidinediones as well as insufficient evidence to recommend new agents such as glucagon-like peptide 1 (GLP-1) receptor agonists, dipeptidyl peptidase-4 (DPP4) inhibitors, and meglitinides.
In addition, pre-diabetics should meet the same lipid and blood pressure targets as diabetics using statins, ACE inhibitors, and angiotensin Ireceptor blockers as first-line treatments, according to the report.
The authors made similar recommendations for lifestyle modification and medication use for children and adolescents with pre-diabetes.
However, they said, the "emphasis must be placed on lifestyle change which can be beneficial in improving glycemic and cardiovascular risk parameters."
In addition to the treatment recommendations, the task force outlined measures for monitoring patients with pre-diabetes for a worsening of the condition.
These included an annual glucose tolerance test and testing for microalbuminuria and twice-yearly evaluation of fasting plasma glucose, hemoglobin A1c, and lipids.
The authors said that "the costs of diabetes prevention can be balanced against cost savings realized from fewer patient-years of the disease, a reduction in complications, and decreased need for hospitalization."
They also stressed that health insurance should start providing better coverage for lifestyle intervention programs.
"Healthcare systems that emphasize acute care to the exclusion of disease prevention or chronic disease management will fail patients with diabetes and patients at high risk of diabetes," they said.
Primary source: American College of Endocrinology
Source reference:
American College of Endocrinology Task Force on Pre-Diabetes "Consensus statement on the diagnosis and management of pre-diabetes in the continuum of hyperglycemia -- when do the risks of diabetes begin?" 2008.
Published: July 24, 2008
Reviewed by Zalman S. Agus, MD; Emeritus Professor
University of Pennsylvania School of Medicine. Earn CME/CE credit
for reading medical news
JACKSONVILLE, Fla., July 24 -- The treatment of pre-diabetes requires intensive lifestyle modification and the use of drugs for high-risk patients, declared a consensus statement issued here by an American College of Endocrinology task force. Action Points
--------------------------------------------------------------------------------
Explain to interested patients that the authors of this consensus statement stressed the importance of lifestyle modification in treating pre-diabetes, although they said that medications should be considered in high-risk patients.
The statement was meant to fill the void in recommendations for treating pre-diabetes by defining specific goals and targets for glucose levels, weight, blood pressure, and lipids, according to Alan Garber, M.D., Ph.D., of Baylor College of Medicine in Houston, who chaired the 17-member task force.
The CDC estimates that about 57 million U.S. adults have pre-diabetes, defined as impaired fasting glucose of 100 to 125 mg/dL, impaired glucose tolerance of 140 to 199 mg/dL, or both. (See: Number of Patients with Diabetes Climbs to 24 Million)
About 6% to 10% of patients with impaired glucose tolerance will develop diabetes each year, and among patients with both impaired fasting glucose and glucose tolerance, about 60% will have diabetes in six years.
Also, half of all patients with impaired glucose tolerance meet the criteria for metabolic syndrome, according to the task force report.
"The preferred treatment approach for all the abnormalities of persons in this group is intensive lifestyle management, given its safety and the strong evidence of efficacy of this approach in improving glycemia and reducing cardiovascular risk factors," the report said.
The task force recommended that patients with pre-diabetes lose 5% to 10% of their body weight assisted by self-monitoring, the setting of realistic goals, stimulus control, cognitive strategies, social support, and appropriate reinforcement.
Pre-diabetics should get at least 150 minutes of moderate-intensity exercise - such as walking or biking -- per week, the task force said, and should limit total and saturated fat and transfatty acids.
For patients at a particularly high risk -- for example, those with worsening glycemia, cardiovascular disease, or nonalcoholic fatty liver disease -- complementing lifestyle modification with medication should be considered, the task force said.
"Although lifestyle can clearly modify the progression of patients towards overt diabetes, it may not be sufficient," Dr. Garber said.
The task force recommended metformin and acarbose for controlling glycemia on the basis of their efficacy in reducing the transition from pre-diabetes to diabetes and their safety.
The authors cited safety concerns with thiazolidinediones as well as insufficient evidence to recommend new agents such as glucagon-like peptide 1 (GLP-1) receptor agonists, dipeptidyl peptidase-4 (DPP4) inhibitors, and meglitinides.
In addition, pre-diabetics should meet the same lipid and blood pressure targets as diabetics using statins, ACE inhibitors, and angiotensin Ireceptor blockers as first-line treatments, according to the report.
The authors made similar recommendations for lifestyle modification and medication use for children and adolescents with pre-diabetes.
However, they said, the "emphasis must be placed on lifestyle change which can be beneficial in improving glycemic and cardiovascular risk parameters."
In addition to the treatment recommendations, the task force outlined measures for monitoring patients with pre-diabetes for a worsening of the condition.
These included an annual glucose tolerance test and testing for microalbuminuria and twice-yearly evaluation of fasting plasma glucose, hemoglobin A1c, and lipids.
The authors said that "the costs of diabetes prevention can be balanced against cost savings realized from fewer patient-years of the disease, a reduction in complications, and decreased need for hospitalization."
They also stressed that health insurance should start providing better coverage for lifestyle intervention programs.
"Healthcare systems that emphasize acute care to the exclusion of disease prevention or chronic disease management will fail patients with diabetes and patients at high risk of diabetes," they said.
Primary source: American College of Endocrinology
Source reference:
American College of Endocrinology Task Force on Pre-Diabetes "Consensus statement on the diagnosis and management of pre-diabetes in the continuum of hyperglycemia -- when do the risks of diabetes begin?" 2008.
Thursday, May 29, 2008
Obesity and Children
Study hints obesity epidemic among US children has peaked
By LINDSEY TANNER – 18 hours ago
CHICAGO (AP) — The percentage of American children who are overweight or obese appears to have leveled off after a 25-year increase, according to new figures that offer a glimmer of hope in an otherwise dismal battle.
"That is a first encouraging finding in what has been unremittingly bad news," said Dr. David Ludwig, director of an obesity clinic at Children's Hospital Boston. "But it's too soon to know if this really means we're beginning to make meaningful inroads into this epidemic. It may simply be a statistical fluke."
In 2003-04 and 2005-06, roughly 32 percent of children were overweight but not obese, 16 percent were obese and 11 percent were extremely obese, according to a study by the federal Centers for Disease Control and Prevention. Those levels held steady after rising without interruption since 1980.
"Maybe there is some reason for a little bit of optimism," said CDC researcher Cynthia Ogden, the study's lead author.
Some experts said that if the leveling-off is real, it could be because more schools and parents are emphasizing better eating habits and more exercise. Even so, they and Ogden stressed that it would be premature to celebrate.
"Without a substantial decline in prevalence, the full impact of the childhood epidemic will continue to mount in coming years," Ludwig said. That is because it can take many years for obesity-related complications to translate into life-threatening events, including heart attacks and kidney failure.
He co-wrote an editorial accompanying the study in Wednesday's Journal of the American Medical Association. He had no role in the research.
The results are based on 8,165 children ages 2 to 19 who participated in nationally representative government health surveys in 2003-04 and 2005-06.
The surveys are considered the most accurate reflection of obesity levels because they are based on in-person measurements, not on people's own reporting of their height and weight.
CDC data reported last year showed obesity rates for men also held steady from 2003-04 to 2005-06 at about 33 percent after two decades of increases. The rate for women, 35 percent, remained at a plateau reached in 2003-04.
The CDC's analysis of data for 2007-08, due next year, may be the best evidence for determining what direction children's rates are really heading, Ludwig said.
Dr. Reginald Washington, a children's heart specialist in Denver and member of an American Academy of Pediatrics obesity committee, said "the country should be congratulated" if the rates have in fact peaked.
"There are a lot of people trying to do good things to try to stem the tide," Washington said. Some schools are providing better meals and increasing physical education, and Americans in general "are more aware of the importance of fruits and vegetables," he said.
On the other hand, he noted that he recently treated an obese young patient "who in three days did not have a single piece of fresh fruit.
"We still have a long ways to go," he said.
Metabolic Medical Center
www.mmcdiet.com
By LINDSEY TANNER – 18 hours ago
CHICAGO (AP) — The percentage of American children who are overweight or obese appears to have leveled off after a 25-year increase, according to new figures that offer a glimmer of hope in an otherwise dismal battle.
"That is a first encouraging finding in what has been unremittingly bad news," said Dr. David Ludwig, director of an obesity clinic at Children's Hospital Boston. "But it's too soon to know if this really means we're beginning to make meaningful inroads into this epidemic. It may simply be a statistical fluke."
In 2003-04 and 2005-06, roughly 32 percent of children were overweight but not obese, 16 percent were obese and 11 percent were extremely obese, according to a study by the federal Centers for Disease Control and Prevention. Those levels held steady after rising without interruption since 1980.
"Maybe there is some reason for a little bit of optimism," said CDC researcher Cynthia Ogden, the study's lead author.
Some experts said that if the leveling-off is real, it could be because more schools and parents are emphasizing better eating habits and more exercise. Even so, they and Ogden stressed that it would be premature to celebrate.
"Without a substantial decline in prevalence, the full impact of the childhood epidemic will continue to mount in coming years," Ludwig said. That is because it can take many years for obesity-related complications to translate into life-threatening events, including heart attacks and kidney failure.
He co-wrote an editorial accompanying the study in Wednesday's Journal of the American Medical Association. He had no role in the research.
The results are based on 8,165 children ages 2 to 19 who participated in nationally representative government health surveys in 2003-04 and 2005-06.
The surveys are considered the most accurate reflection of obesity levels because they are based on in-person measurements, not on people's own reporting of their height and weight.
CDC data reported last year showed obesity rates for men also held steady from 2003-04 to 2005-06 at about 33 percent after two decades of increases. The rate for women, 35 percent, remained at a plateau reached in 2003-04.
The CDC's analysis of data for 2007-08, due next year, may be the best evidence for determining what direction children's rates are really heading, Ludwig said.
Dr. Reginald Washington, a children's heart specialist in Denver and member of an American Academy of Pediatrics obesity committee, said "the country should be congratulated" if the rates have in fact peaked.
"There are a lot of people trying to do good things to try to stem the tide," Washington said. Some schools are providing better meals and increasing physical education, and Americans in general "are more aware of the importance of fruits and vegetables," he said.
On the other hand, he noted that he recently treated an obese young patient "who in three days did not have a single piece of fresh fruit.
"We still have a long ways to go," he said.
Metabolic Medical Center
www.mmcdiet.com
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