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The
th Annual Meeting of March 21-22, 2015 The Endocrine Society and The Diabetes Association of the R.O.C. (Taiwan)
SE-5-1
Metabolic Syndrome in Korea Chul Woo Ahn Department of Endocrinology and Metabolism, Internal Medicine Gangnam Severance Hospital, Seoul, Korea
Metabolic syndrome is a cluster of conditions including increased blood pressure, hyperglycemia, dyslipidemia, obesity which occur together under the common root of insulin resistance. Inadequate exercise, food, stress, and genetic susceptibility all contribute to insulin resistance, and it leads to the increased risk of diabetes and cardiovascular, cerebrovascular diseases. Insulin resistance and metabolic syndrome are inseparable, and the increase in insulin resistance results in cardiovascular, cerebrovascular events as well as the incidence of diabetes and hypertension. The cancer risk also has been shown to increase with the insulin resistance in Korea. The prevalence of metabolic syndrome is quite high in the Western countries, and about 50% of peopled aged over 60 years have metabolic syndrome The prevalence has been a rapid increase in Korea as well, and the reasons for such a rapid rise seem to be due to the over nutrition, westernized lifestyles, and other socioeconomic transitions. We are interested in treating metabolic syndrome because it is treatable. The treatment of metabolic syndrome can be divided into treating insulin resistance itself and treating each components of metabolic syndrome. To reduce insulin resistance, lifestyle modification is crucial with some additional help from pharmacotherapy. Also, many drugs are available for treating each component of metabolic syndrome. Several large scaled, prospective studies have demonstrated the effect of diet and exercise as well as some drugs reducing the risk of developing diabetes. However, many patients find it difficult to keep up with the behavioral modification, and new technologies may be helpful. Internet diabetic patient management using a short messaging service was effective in lowering body weight, HbA1c, fasting and postprandial glucose, and similar services using internet phone and smart phone provided similar effects. IT-based U-health service seems an effective way to guide the behavioral modification.
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