RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57685428
T1 Chapter 224. Obesity
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57685428
RD 2024/04/18
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.