Metabolic Syndrome affects nearly four of every 10 adults in the U.S., yet most people aren't familiar with it.  The syndrome itself is without symptoms.  The problem is that Metabolic Syndrome increases your risk of type 2 diabetes by five-fold, and doubles your risk of developing cardiovascular disease - heart attacks, strokes, poor circulation - over the next five to 10 years.

"How would I know if I have Metabolic Syndrome?" 

Your doctor might tell you, or you can determine it yourself if you know some of your lab values and blood pressure.  The syndrome is defined simply by the presence of at least three of the following five criteria:

1. Waist circumference over 102 cm (40 inches) in men, or over 88 cm (35 inches) in women
2. Serum triglycerides over 150 mg/dl (or already on drug therapy for high triglycerides)
3. HDL cholesterol under 40 mg/dl (men) or under 50 mg/dl (women) (or on already on drug therapy for low HDL)
4. Systolic blood pressure over 130 mmHg and/or diastolic over 85 (systolic is the first or top number) (or already on drug therapy for high blood pressure)
5. Fasting blood glucose level over 100 mg/dl (or already on drug therapy for elevated glucose)

Some physicians argue that there's no reason to label someone as "Metabolic Syndrome."  Others feel that the moniker has helpful therapeutic impact.  The can say, "Look, Mr. Johnson, I care about you and your future health.  Since you have Metabolic Syndrome, over the next decade you have a five-fold increased risk of diabetes and double the risk of heart disease.  Let's talk about how we might reduce that risk before it's too late."

"How can I prevent or even treat Metabolic Syndrome?"

Work with your personal physician, of course.  And consider the following information available at NutritionData:

• Lose excess fat weight
• Start exercising regularly
• Low-glycemic-index eating increases HDL cholesterol, lowers triglycerides and blood sugar, and reduces risk of type 2 diabetes
• The DASH diet lowers blood pressure

-Steve Parker, M.D.

Disclaimer:  All matters regarding your health require supervision by a personal physician or other appropriate health professional familiar with your current health status.  Always consult your personal physician before making any dietary or exercise changes.