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A CASE FROM WEIGHT LOSS CLINIC Dr Peter Goulden MD, FRCP, PGCE Assistant Professor & Diabetes Program Director Division of Endocrinology & Metabolism UAMS.

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Presentation on theme: "A CASE FROM WEIGHT LOSS CLINIC Dr Peter Goulden MD, FRCP, PGCE Assistant Professor & Diabetes Program Director Division of Endocrinology & Metabolism UAMS."— Presentation transcript:

1 A CASE FROM WEIGHT LOSS CLINIC Dr Peter Goulden MD, FRCP, PGCE Assistant Professor & Diabetes Program Director Division of Endocrinology & Metabolism UAMS College of Medicine

2 A CASE FROM THE WEIGHT LOSS CLINIC  45 year old male.  Referred himself to the weight loss clinic as had been getting back pain and had been investigated and had been told weight loss would help  No significant Past Medical History but had not attended doctor for some time  BMI 45.6 kg/m2  Had been on a weekend “food trip” ahead of entering the program

3 A CASE FROM THE WEIGHT LOSS CLINIC  Fasting lab glucose of 153 mg/dL  Fasting triglycerides = 121 mg/dL  Alanine Aminotransferase = 50 IU/L  Would prefer to avoid medication

4 OPTIONS 1. Diet & Lifestyle advice (Weight loss & carbohydrate moderation) 2. Medication (Metformin if no CI) 3. Both

5 WHAT WE DID  Enrolled to a 1200kcal diet  Achieved 26.9 pounds weight loss in 12 weeks with close medical supervision LABPRE WEIGHT LOSS Fasting glucose159 mg/dL Triglycerides121 ALT50 IU/L POST WEIGHT LOSS 3 months 98 mg/dL 57 mg/dL 36 IU/L

6 UAMS WEIGHT LOSS PROGRAM  16 week program & bespoke diet – daily restriction from 400kcal+  Endocrinologist led and obesity educator delivered  Caloric restriction tailored to individual  Carbohydrate moderation  Weekly review with nutritionist  1-2 monthly review with MD depending on case

7 QUESTION FOR DISCUSSION  Patient centered decision making key  Weight loss and carbohydrate awareness may have a profound impact  Counseling has to be tailored to the individual  How can weight loss programs be best delivered to the population allowing for variance in health literacy and other factors


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