The Curbsiders Internal Medicine Podcast #412 Low Carb, Keto, Fasting: Lifestyle Interventions for Weight Management
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Oct 16, 2023 Dr. Will Yancy, Director of the Duke Lifestyle and Weight Management Center, discusses lifestyle interventions for weight management including the ketogenic diet and exercise. The podcast covers lab work for low carb diets, understanding and exploring low carb and keto eating plans, and managing diet for weight management. The benefits of low carb and keto diets for weight management, as well as the challenges and key take-home points for patients, are also discussed.
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BMI and Population Differences
- BMI is a widely used but imperfect measurement for overweight and obesity assessment.
- Asian populations have lower BMI cutoffs for obesity-related risks, requiring adjusted interpretation.
Assessing Cardiometabolic Risk
- Measure vital signs including weight, blood pressure, and heart rate to assess cardiometabolic risk.
- Check waist circumference regularly to motivate and assess patients' progress.
Labs to Order in Weight Management
- Order basic labs: complete metabolic panel, lipid panel, A1c, thyroid panel, and hemoglobin.
- Check fasting insulin when possible to detect insulin resistance early.