Thursday, May 14, 2015

Metabolic syndrome and its relationship with Type 2 Diabetes & Pre Diabetes

Occurrence of type 2 diabetes is increasing in the United States of America. Pre diabetes is the condition when fasting or post-prandial glucose levels increase in the body. According to the American Diabetes Association, fasting glucose is considered impaired if the level is between 100 to 125 mg/dl.

On the other hand, elevated hemoglobin A1c or glycosylated hemoglobin (HbA1c) level might be considered pre diabetes. It included an elevation of 5.7 to 6.4 percent.

Cardiologists believe there is a relationship between metabolic syndrome and pre-diabetes. An individual is diagnosed with the metabolic syndrome if any 3 of 5 medical components are identified in them. These five components are-
  • Abdominal obesity
  • Increased blood pressure
  • High glucose level
  • High triglycerides
  • Reduced high-density lipoprotein cholesterol in body
Abdominal obesity is very common in metabolic syndrome patients. In most of the individuals suffering from metabolic syndrome, insulin resistance is common. Therefore, it is believed that insulin resistance may be associated with the risk factors of metabolic syndrome.
Pre-diabetes and metabolic syndrome may overlap. Patients can even consider the metabolic syndrome as a pre-diabetic stage.

However, the risk of diabetes in individuals with metabolic syndrome is approximately 5 times higher in comparison to individuals without this condition. In addition, if this syndrome is combined with pre-diabetes, the risk of diabetes gets higher.

Pre diabetes in individuals usually leads to macrovascular disease and type 2 diabetes. These two medical conditions are the major contributors for microvascular disease. This disease happens in individuals both before and after the beginning of diabetes. On the other hand, microvascular disease arises in individuals mostly a few years after becoming diabetic. Metabolic syndrome is one of the many risk factors for macrovascular disease.

One can prevent these medical conditions by making some early changes in lifestyle. It includes increased physical activity and weight reduction in those who are obese. These lifestyle changes also include less consumption of cholesterol, dietary saturated & trans-fatty acids, and sodium. These early changes in lifestyle are necessary for individuals at higher risk of metabolic syndrome and pre diabetes. An extensive evaluation for cardiovascular disease is also suggested by the best cardiologist in NY.

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