Conditions We Treat
Obesity has become one of the most important public health problems in the United States. There are many other conditions that are associated with obesity that your child is at risk for if he or she is obese. Below are some of the most common comorbidities associated with obesity.
Prediabetes and Type 2 Diabetes Mellitus
If your child has been diagnosed with prediabetes then that means there are moderate abnormalities in the fasting blood glucose, glucose tolerance, or hemoglobin A1C, which indicated your child is at an increased risk for developing type 2 diabetes mellitus.
Type 2 Diabetes Mellitus (T2DM) is also diagnosed based on abnormalities of the fasting blood glucose, oral glucose tolerance test and hemoglobin A1C. Having T2DM means that the body is no longer able to metabolize carbohydrates, or glucose, appropriately due to a decreased sensitivity to the body’s insulin. Early diagnosis is imperative because aggressive treatment early on can slow the development of complications related to T2DM. These complications include progressive neuropathy, retinopathy, nephropathy and cardiovascular disease. Additionally, those who present with adolescent T2DM have been shown to have a more rapid progression of diabetes-related complications than those diagnosed as adults.
Obstructive Sleep Apnea
Obstructive sleep apnea (OSA) is when your child briefly stops breathing while sleeping or breathing is not adequate to maintain oxygen levels in the blood. This happens because of a blockage in the child’s airway. The pause in breathing may occur many times throughout the night, disrupting your child’s sleep. In our program all of our patients will be required to get a sleep study if they have not gotten one recently in order to diagnose, or rule out OSA.
This encompasses liver abnormalities that are associated with obesity. The abnormalities include, increased liver fat without inflammation, and nonalcoholic steatohepatitis (NASH), which is increased liver fat with inflammation.
Hypertension/ High Blood Pressure
Hypertension, also known has high blood pressure, increases in prevalence with the increase in obesity. Being diagnosed with high blood pressure or hypertension directly increases the risk of having a heart attack or seizure. With increased blood pressure, the arteries develop increased resistance to blood flow causing the heart to work harder. Unfortunately, many times high blood pressure does not have any signs or symptoms, so you can only know if you check it yourself or have it checked by your doctor. Your child’s blood pressure will be checked at each clinic visit while in our program.
Polycystic ovary syndrome or PCOS, is primarily characterized by ovulatory dysfunction and hyperandogenism. The diagnosis of PCOS has life-long implications with increased risk for infertility, metabolic syndrome, type 2 diabetes mellitus, and other health implications including possible cardiovascular disease. There are three major manifestations or symptoms of PCOS.
- Abnormal uterine bleeding – menstrual irregularity or excessive bleeding
- Cutaneous hyperandrogenism - primarily increased hair growth and persistent acne
- Obesity and insulin resistance
This occurs typically in those children and adolescents with central fat distribution, meaning they hold most of their weight around the abdomen area. The typical pattern of dyslipidemia is one of elevated LDL cholesterol (the bad cholesterol), elevated triglycerides, and decreased HDL cholesterol (the good cholesterol).