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Guide to Metabolic Syndrome

Tuesday, September 7, 2021

Metabolic syndrome; is a chain of endocrine (hormonal) disorders associated with insulin resistance with increased risk of abdominal obesity, blood fat levels, hypertension and heart disease.

Although only one of these disorders does not indicate that you are metabolic syndrome, it increases your risk of developing metabolic syndrome.

Syndrome X, fatal quartet and civilization syndrome is also known by such names.

Risk factors

You can be more careful knowing the important risk factors. Here are the important risk factors!


Although age is an important risk factor, metabolic syndrome can cause symptoms from childhood. The risk may increase from 10% in the 20s to 40% in the 60s.


A body mass index above 25 increases your risk of developing metabolic syndrome. The type of lubrication is also important. Apple-type body (fat in the belly), pear-type (fat in the hip) carries more risk than the body.

Diabetes history

A history of diabetes (diabetes) in first-degree relatives or a history of pregnancy diabetes increases your risk of experiencing metabolic syndrome.

Other diseases

High blood pressure, cardiovascular diseases and polycystic ovary syndrome in women (a disease that affects female hormonal and reproductive functioning similar to metabolic syndrome) may be the precursor of metabolic syndrome.


We have several diagnostic criteria for metabolic syndrome.

Insulin resistance

The key diagnostic step of metabolic syndrome is insulin resistance. Insulin is a hormone produced by the pancreas. This hormone helps to transport glucose into the cells through the digestive tract. In the case of impaired insulin resistance, existing insulin cannot be detected and glucose cannot enter the cells where it will be used as fuel. The rapidly rising sugar in the blood causes fat.

Your lack of diabetes does not indicate that you do not have insulin resistance, but impaired glucose tolerance (insulin resistance) is considered as pre-diabetes. Pre-diabetes increases the level of triglycerides and LDL. Insulin resistance also causes diseases such as stroke, heart disease and diabetes.

Abdominal obesity

The waist circumference is 80 cm in women and 94 cm in men.


Blood pressure of 130/85 mm-Hg or medication without blood pressure. In addition, the first (130) systolic blood pressure elevation of the second (85) diastolic blood pressure is a more valuable diagnostic criteria in terms of metabolic syndrome.

Dyslipidemia (Disorder of blood fat levels)

Triglyceride is 150 mg / dl, HDL (good cholesterol) is 40 mg / dl in men and 50 mg / dl in women. In addition, the lower and upper limits of these values ​​vary according to the risk of metabolic syndrome.

Metabolic syndrome is the diagnosis of at least 2 of the remaining 3 symptoms with absolute participation of insulin resistance for diagnosis.

What does it lead to?

Vascular stiffness (atherosclerosis),
Liver steatosis,
Coronary diseases.


The aim of treatment is to eliminate the risks associated with metabolic syndrome. From this point of view, the aim is to reduce high blood pressure, blood cholesterol and LDL levels in the short term and to regulate blood sugar.

In the long term, the aim is to prevent diabetes and prevent damage due to high blood sugar. (Diabetes significantly increases the risk of heart disease and stroke in the long term)


Although the main treatment change lifestyle is in the short term:

Blood fat regulators (fibrates),
Oral antidiabetics (for insulin resistance),
Blood pressure medications,
we use the above agents for hypertension, dyslipidemia or insulin resistance. These symptoms are not only part of the metabolic syndrome but also they are considered as a disease on their own.

Lose weight

From the diagnosis of your metabolic syndrome, your doctor will recommend that you lose weight.

Body mass index

Patients between 25-29.9 are overweight,
Patients over 30 are defined as obese.
In the long run, your goal should be to reduce your body mass index to less than 25. Even a 10% reduction in the total weight of the patient significantly reduces the risk of Type 2 Diabetes and heart disease.

In this respect, the patient should be aware of the risks and strictly follow his diet. The diet, 50% of the daily calories should be taken carbohydrates, 20% protein and 30% should be met with unsaturated fats should be met at the same time should be abundant fiber in the diet.

In a nutshell:

Reduce your carbohydrate intake.
Use oils correctly. Choose quality oils.
Eat fiber-rich foods.
Get less calories than the amount of calories required for your daily activity. So you will lose weight slowly and healthily.

Patients with metabolic syndrome are advised to exercise at least 3 days a week for 30 minutes or more per day.

Exercise style should be preferred as walking and fitness based on heart diseases that may be present. The maximum heart rate rule must be strictly observed during exercise.

That is, the number of heart beats per minute (220-years) x 70/100 should be throughout the exercise. Heart rate watches and telephones are available on the market, but the majority of cardio devices include pads (metal handles) to measure heart rate.

Active heart rate range of a patient doing sport after some time

Insulin resistance decreases,
Blood lipid (fat) changes in a positive way,
Blood pressure drops.
Thus, the 3 most important causes of metabolic syndrome are partially treated.

If you want to start exercise, I want to do sports spelling is exactly for you!

How to prevent metabolic syndrome?

What we need to do to prevent metabolic syndrome is not limited to the lifestyle changes mentioned in the treatment principles:

Cigarette consumption

Cigarette consumption causes insulin resistance and bad changes in blood fats. Stop smoking to avoid metabolic syndrome. You can use the Hello 171 smoking cessation line free of charge.

Feed your fiber

To reduce insulin resistance and for a healthier digestive system is important to feed fiber. Change your diet and prioritize fiber-containing foods.

Have routine checks

See your doctor even if you are not sick twice a year. Keep track of your blood pressure, cholesterol and blood glucose values and inform your doctor.

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