TY - CHAP M1 - Book, Section TI - Chapter 224. Obesity A1 - Usatine, Richard P. A1 - Smith, Mindy A. A1 - Chumley, Heidi S. A1 - Mayeaux, E.J. PY - 2013 T2 - The Color Atlas of Family Medicine, 2e AB - Diane is a 35-year-old woman who has struggled with obesity for most of her life. Her current body mass index (BMI) is 36. She has tried “every kind of diet you can imagine” but has always gotten stuck after losing the first 10 pounds and gets discouraged. She is not currently exercising regularly. She is concerned about all the skin tags on her neck and wants them removed if possible. She and her husband are talking about having another baby and she would like to be in better shape before she attempts pregnancy. She wants to discuss risks of pregnancy considering her weight and asks for any advice that you can give her on how to successfully lose weight. You obtain a random blood sugar because of the acanthosis and obesity (Figure 224-1). The result is 150 mg/dL and you order a fasting blood sugar (FBS) before her next visit, at which time you will remove her skin tags. After discussing diet and exercise, you encourage her to pursue Weight Watchers or a similar program. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accessmedicine.mhmedical.com/content.aspx?aid=57685428 ER -