Metabolic Syndrome and Prediabetes
Treating metabolic risk factors can help prevent progression to diabetes.
Treatment of cardiovascular risk factors is important for people who are living with diabetes, but did you know that attention to particular risk factors may help prevent diabetes in those who have prediabetes? When blood tests indicate that someone has prediabetes, changes in lifestyle, as well as medical therapy when indicated, may help reverse the progression from prediabetes to diabetes. Many people who are in the prediabetic range often have a cluster of risk factors called "metabolic syndrome." While there is some debate on the exact implications of this syndrome, many healthcare providers feel that identifying those who have this cluster — and treating all aspects — is important in preventing progression from prediabetes to diabetes, as well as for overall cardiovascular health.
What is metabolic syndrome?
The components of metabolic syndrome are listed below. People who have at least three of the five components are considered to have the syndrome.
- Fasting Triglycerides greater than or equal to 150 mg/dL
- Blood pressure greater than or equal to 130/85 mmHg
- An HDL (or "good) cholesterol level of less than 40 mg/dL in men and less than 50 mgl/dL in women
- Fasting glucose greater than or equal to 110 mg/dL
- Excess abdominal fat, measured by a waist circumference greater than or equal to 35 inches for women and greater than or equal to 40 inches in men
How are all these related and why is it important to treat all of them?
Having one component of the syndrome increases the likelihood of having more components. For example, having excess abdominal fat tends to increase Triglycerides. It is felt that the components are "metabolically" linked, hence the name metabolic syndrome.
What can be done to treat metabolic syndrome?
Fortunately, lifestyle modifications are very helpful here. Weight loss can lower Triglycerides and blood pressure and reduce abdominal fat. Exercise can also help with weight loss, raise HDL cholesterol, and improve insulin resistance.
When lifestyle measures do not bring a person to goal, medication is also recommended. This might include blood pressure medications or medication to lower Triglycerides. Keeping track of all these risk factors can be very helpful. Make a chart of each factor, your result, and the date. In this way you can monitor your "metabolic" health and work to prevent diabetes, and be in better cardiovascular health.
Read Dr. Myerson's bio here.
Read more of Dr. Myerson's columns.
NOTE: The information is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.
Green Beans with Shiitake Mushrooms Apple, Celery, and Pecan Pilaf Shallot Butter and Green Beans White Bean Salad with Asparagus BBQ Meatloaf Banana Peanut Butter Chocolate Smoothie Orange, Sesame, and Sherry Wine Vinegar Dressing Italian Cauliflower Applesauce Cake Apple-Walnut Salad with Watercress
Unlike most of the working world, my employer has set our benefits year to start and end with the fiscal year (July 1 to June 30), meaning that we're heading into that season where we must select, among other things, our healthcare benefits. One of my issues with the options we've had through the current benefits year has been that of handling our high-deductible plan with a token employer contribution to a Health Reimbursement Account (HRA) that automatically depletes before we...