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CASE NOTES
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Dr Mark Porter gives listeners the low-down on what the medical profession does and doesn't know. Each week an expert in the studio tackles a particular topic and there are reports from around the UK on the health of the nation - and the NHS.
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LISTEN AGAIN Ìý30 min |
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PRESENTER |
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"I spend half my week practising medicine and the other half writing and talking about it as a GP in Gloucestershire. Working on Case Notes has been a boon for both me and my patients. One of the principal aims of the programme is to keep our listeners up-to-date with the latest developments in healthcare, and to accomplish that I get to interview a wide range of specialists at the cutting edge of medicine. A rare privilege that ensures our listeners aren't the only ones to learn something new."
Mark Porter
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PROGRAMME DETAILS |
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 Full programme transcript >>
Metabolic Syndrome
People with high blood sugar and raised blood pressure – along with fat around the abdomen and high cholesterol levels – may have Metabolic Syndrome.
This cluster of symptoms means an increased risk of heart disease and diabetes.
In this edition of Case Notes, Dr Mark Porter and his guest, Professor Tom Sanders, Head of the Nutritional Sciences Division at King's College London,Ìýexplore what can be done about Metabolic Syndrome, from changing lifestyle, diet and exercise, to taking medication.
There are various definitions of Metabolic Syndrome but all include a large waist.Ìý You are at risk if your waist is over 40 inches if you are a man, 34 inches for women - thresholds that drop to 35 and 31 inches respectively in Asians who are already at higher risk of conditions like diabetes.
We hear from Professor Terry Wilkin, Professor of Endocrinology and Metabolism at the Peninsula Medical School, who heads up the ongoing EarlyBird diabetes study which hopes to identify factors that increase the likelihood of developing insulin resistance later in life. He explains that the link with obesity and diabetesÌýis already very clear, and Metabolic Syndrome a growing problem.ÌýÌý
When Tony Russell’s doctor diagnosed Metabolic Syndrome his initial reaction was one of relief – could it explain why he was finding it so difficult to control his weight?
It's not just weight gain in later life which should be a concern.Ìý Lucilla Poston is Professor of Maternal and Foetal Health at King’s College London.Ìý She tells Mark thatÌýwomen who are overweight when they become pregnant are more at risk from gestational diabetes, pre-eclampsia andÌýhaemorrhage during their pregnancy.ÌýÌý It's important for women to maintain a balanced diet, butÌýthe idea of 'eating forÌýtwo' is a myth.Ìý
There's also evidence to suggest that, if the mother is overweight, the baby is more likely to grow up obese, as well as being large when they're born.Ìý Prof. Poston thinks that the hormones produced by the mother can affect the brain of the foetus, causing the child to be obese in later life.
Next week: side effects
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RELATED LINKS
´óÏó´«Ã½ Health: Metabolic Syndrome
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