What are the Key Aspects in Assessment of Metabolic Syndrome? – Conversations with Dr Stephen Stahl

Posted on December 18, 2016

This interview is the second as part of a series of brief interviews where Dr. Sanil Rege talks to Dr. Stephen Stahl about key issues that face psychiatry and our patients.  Dr. Stahl, MD, is a practicing Psychiatrist in Carlsbad, USA, and author of the best-selling textbook, Essential Psychopharmacology. Dr. Stahl has held faculty positions at Stanford University, the University of California at Los Angeles, the Institute of Psychiatry London, the Institute of Neurology London, and, currently, at the University of California at San Diego.

Take Home Messages

Weigh the patient

Take their blood pressure

It’s a no-brainer; There is no excuse for not getting weight and blood pressure.

Metabolic blood tests –

The key one is Fasting Triglycerides, it is the most important if you can only get one.

Measure other metabolic parameters – fasting glucose, lipids, and general health measures

It’s very interesting how fast Fasting Triglycerides change if you take a ‘good’ drug or you take a ‘bad’ drug. It doesn’t change in a month or a year; It changes in a couple of days.

The poor man’s insulin resistance test is fasting triglycerides.

You can view the first video here.