The Metabolic Syndrome Clinic
Obesity has grown to epidemic proportions in the United States. Overweight and obesity are terms used to describe ranges of weight that are considered unhealthy for a given height. These ranges are determined by using weight and height to calculate a person’s body mass index (BMI), which correlates with amount of body fat. An adult with a BMI between 25 and 29.9 is considered overweight and an adult with a BMI of 30 or higher is considered obese. These ranges have been shown to increase the likelihood of developing significant health problems. Furthermore, overweight and obese patients may develop metabolic syndrome, which is defined as insulin resistance, elevated blood pressure, abnormal lipid profile, glucose abnormalities and abdominal (central) obesity. This subgroup of individuals is at even a higher risk of developing health problems.
Based upon data collected between 2003-2004 by the US Center for Disease Control and Prevention, 66.3% of the population is overweight and 32.2% of the population is obese. There was no significant change in obesity prevalence between 2003-2004 and 2005-2006. These individuals are at significantly increased risk for diabetes, hypertension, cardiovascular disease and stroke. In addition, obesity is associated with a number of other conditions including sleep apnea, osteoarthritis, cancer, and Polycystic Ovarian Syndrome (PCOS)/fertility problems. Despite these risks and associations, it is not uncommon for patients to be treated only for the individual diseases that result from obesity rather than the obesity with its own morbidities as a whole. Focusing upon obesity and metabolic syndrome allows for the integrated treatment of all manifestations of the disease process.
The Obesity/Metabolic Syndrome Clinic consists of a team of clinicians to treat this illness. When patients are seen in the Obesity/Metabolic Syndrome Clinic, they are evaluated first by a physician or nurse practitioner and a weight loss plan is set in place. This assessment includes a complete overview of their diseases and what they can expect with as little as a 5-10% weight loss. They are then referred to the dietitian and exercise physiologist and, if necessary, appointments are made with the psychologist. Monthly visits are also established with the clinical pharmacist or nurse practitioner so the patient’s progress can be monitored. The hospital bariatric surgery team will be consulted if a patient is in the BMI category, and wishes to explore this treatment option.
If you are interested in participating in a medical supervised weight loss program, please call (414) 805-6242 to make an appointment.
Metabolic Clinic Photo
Back Row: Nicole Fisher, BS; Debra Warpechowski; Wendy Wahl, MA; Julie Kuenzi, RN
Middle Row: Sarah Zangerle, RD; Christine Truskowski, PT; Kay Czaplewski, APNP; Irene O'Shaughnessy, MD
Front Row: Amy Kulwicki, RD; Kawaljeet Kaur, MD; Erika Smith, PharmD
Kay Czaplewski, APNP, MSN, RN-BC, BC, ADM, CDE
Diabetes Clinical Nurse Specialist, Department of Medicine
Responsibilities: Coordinates comprehensive evaluation of outpatients with forms on helping the patient attain self-management skills.
Sarah Zangerle, RD
Responsibilities: One on one diet counseling. Patient education on diet management for obesity, hypertension, dyslipidemia and diabetes. Create individualized meal plans with patients for weight and disease management.
Amy Kulwicki, RD, CD
Certificate in Adult Weight Management
Responsibilities: Specializes in weight loss and metabolic syndrome. Also, bariatric dietician for Froedtert and Medical College Bariatric Surgery Program. Provides one on one counseling and meal planning.
Jeanne LaRose, ACSM, RCEP
Responsibilities: Performs exercise evaluation and develops an individualized exercise program specific to the patients needs. Includes 30-day free trial membership to the Wisconsin Athletic Center.
Kathryn Menard-Rothe, BS, MS, FAACVPR
Clinical Exercise Physiologist
Patient Coordinator, Medical Assistant
Responsibilities: Calls new patients for scheduling, mailing out new patient forms. Patient check-in and appointments for all metabolic patients with Dr. O'Shaughnessy, Dr. Kaur and Kay Czaplewski, APNP. Helps resolve patient problems and/or questions. Coordinates with other team members for better flow through the clinic for patients.
Mark Rusch, PhD
Associate Professor, Psychologist