DEAR MAYO CLINIC: I simply turned 40 and had my annual bodily, which included a big panel of blood assessments. I used to be informed that I’ve metabolic syndrome and might develop diabetes. I used to be informed to restrict my sugar consumption. Can you clarify extra in regards to the situation and how I can keep away from diabetes?
ANSWER: When a person is identified with metabolic syndrome, it means she or he has a number of situations that, if left untreated, considerably elevate the chance of growing diabetes. Metabolic syndrome additionally will increase the chance of heart and blood vessel issues. Treatment for metabolic syndrome sometimes focuses on healthy lifestyle changes.
Although the precise definition health care professionals use might differ considerably, metabolic syndrome typically consists of having three or extra of the next traits: a bigger waistline, high triglyceride degree, low HDL ldl cholesterol (additionally known as “good” ldl cholesterol), high blood pressure and a blood glucose degree that’s increased than regular.
High blood sugar, also called blood glucose, is the hallmark signal of diabetes. When a blood pattern is taken after a person fasts in a single day and his or her blood sugar measures 80 to 100 milligrams per deciliter, or mg/dL, that degree is taken into account regular. A fasting blood sugar measurement of 126 mg/dL or increased on two separate assessments is taken into account diabetes. The vary between the 2 — 100 to 125 mg/dL — is known as prediabetes. The blood sugar degree of people that have metabolic syndrome typically falls into the prediabetes vary.
Treatment for metabolic syndrome normally focuses on three areas of lifestyle modification:
- Weight loss
- Dietary changes
Many individuals who have metabolic syndrome are chubby. Getting to and staying at a healthy weight could make a giant distinction in lowering the chance of health issues related to metabolic syndrome.
Losing weight additionally might assist decrease blood pressure, blood sugar and triglyceride ranges. But weight loss that leads to a lowered waist dimension is vital, too, as research have proven that carrying a variety of weight round your stomach raises the chance of growing diabetes, coronary heart illness and different problems of metabolic syndrome. To scale back the chance, docs typically suggest a waistline of lower than 35 inches for women and lower than 40 inches for males.
Regular exercise might help with weight loss, in addition to enhance among the medical issues related to metabolic syndrome. A very good aim is 30 minutes or extra every single day of exercise that’s reasonably intense, equivalent to brisk strolling, swimming or biking.
Long time period, healthy eating is an important part of remedy for metabolic syndrome. It could also be worthwhile so that you can communicate with a dietitian a few particular eating regimen. Two diets that usually are really useful for folks with metabolic syndrome are the Dietary Approaches to Stop Hypertension (DASH) eating regimen and the Mediterranean eating regimen. These diets restrict unhealthy fat and concentrate on fruits, greens, fish and complete grains. Beyond weight loss, research have proven that each diets supply essential health advantages for individuals who have elements of metabolic syndrome.
Finally, don’t smoke. Smoking cigarettes could make lots of the health problems of metabolic syndrome worse. Smoking can also considerably elevate the chance for different diseases and ailments.
Depending upon your private scenario, if lifestyle changes are usually not sufficient to manage metabolic syndrome, remedy additionally could also be a part of your remedy plan. Medicine to manage blood pressure, handle triglycerides and decrease blood sugar might be helpful in treating some circumstances of metabolic syndrome. I might suggest that you just comply with up together with your health care specialist on an annual foundation and repeat blood work to watch your progress and regulate your method as obligatory. — Dr. Robert Rizza, Endocrinology, Diabetes and Metabolism, Mayo Clinic, Rochester, Minnesota