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Metabolic Syndrome Treatment

MEDICAL ENCYCLOPEDIA 
Metabolic Syndrome Treatment
Introduction
Causes and Risk Factors
Symptoms
Diagnosis
Treatment

Treatment for metabolic syndrome
The main goal in treating metabolic syndrome is to decrease risk for heart disease. Treatment aims to reduce LDL cholesterol (low-density lipoprotein cholesterol), high blood pressure, and diabetes (if these conditions are present). The second goal in treating metabolic syndrome is to prevent the onset of type 2 diabetes (if it hasn’t already developed). Finally, doctors simultaneously aim to lessen the effects of the overweight, lack of physical activity, and an unhealthy diet. Specific treatment for metabolic syndrome is based on:

  • expectations for the course of the disease
  • extent of the disease
  • signs and symptoms of metabolic syndrome
  • your age, overall health, and medical history
  • your opinion or preference
  • your tolerance for specific medications, procedures, or therapies

Diet
In general, people diagnosed with metabolic syndrome who are overweight or obese are urged to reduce weight by 7-10 % in the first year of treatment. After the first year, people are urged to continue to lose weight and lower body mass index (BMI) to less than 25. Doctors and dieticians generally make the following recommendations for diet changes:

Avoid pork - Avoid pork meat because of all types of animal protein, this type of meat is the richest in fat.

Eat fiber rich foods - Include whole grains, beans, fruits and vegetables, which can lower insulin levels. Foods high in soluble fiber also are part of a healthy eating plan. These foods include:

  • whole grain cereals such as oatmeal and oat bran
  • fruits such as apples, bananas, oranges, pears, and prunes
  • legumes such as kidney beans, lentils, chick peas, black-eyed peas, and lima beans

Eat more fish - Fish are an important part of a heart healthy diet. Fish are a good source of omega-3 fatty acids, which may help protect the heart from blood clots and inflammation and reduce the risk for heart attack.

Limit alcohol - Too much alcohol raises blood pressure and triglyceride levels. Alcohol also adds extra calories to a diet, which causes weight gain. Men should have no more than two drinks containing alcohol a day. Women should have no more than one drink containing alcohol a day.

Limit salt - Limit the amount of sodium and salt that you eat. Choose low-sodium and low-salt foods and “no added salt” foods and seasonings

Reduce cholesterol - Consume less than 200 mg a day of cholesterol

Reduce fat - Less than 7% of daily calories should come from saturated fat, and no more than 25-35% of daily calories should come from all fats, including saturated, trans, monounsaturated, and polyunsaturated fats.

Lifestyle
It is possible to prevent or delay metabolic syndrome mainly with lifestyle changes. A healthy lifestyle is a lifelong commitment and includes weight loss, increased physical activity, an improved diet, and quitting smoking. Also be sure to check your blood pressure, cholesterol and blood sugar levels on a regular basis. Make additional lifestyle modifications to help you avoid serious diseases that may result from metabolic syndrome.

Increase physical activity – Exercise! Doctors recommend 30-60 minutes of moderate to intense every day at least 5 days of the week. This activity can be broken into shorter interval such as three 10-minutes sessions. Talk with your doctor about the best kind of physical activity for you before starting any kind of program.

Lose weight – Weight loss is critical to treating metabolic syndrome. Working with your doctor, a dietician or personal coach can make the process less intimidating and more rewarding.

Quit smoking - If you smoke, quit. Smoking raises triglyceride levels and lowers HDL cholesterol. Smoking cigarettes also increases insulin resistance and worsens the health consequences of metabolic syndrome. Talk to your doctor if you need help kicking the cigarette habit.

Medications
Persons diagnosed with metabolic syndrome and who are at risk of serious disease may be candidates for pharmaceutical medicines. Medicines are generally prescribed only if other measures (dieting and lifestyle change) have not helped meet treatment goals. Medications may be prescribed to help lower blood pressure, improve insulin metabolism, lower LDL cholesterol and raise HDL cholesterol, and/or increase weight loss.

Aspirin therapy - Low dose aspirin can help reduce the risk of forming blood clots and may help reduce risk of heart attack and stroke.

Cholesterol - Unhealthy cholesterol levels are treated by one or more cholesterol-lowering medicines such as statins, fibrates, or nicotinic acid.

High blood pressure - High blood pressure is treated by one or more antihypertensive medicines such as diuretics or angiotensin-converting enzyme (ACE) inhibitors.

High blood sugar - High blood sugar is treated with oral medicines (such as metformin), insulin injections, or both.

Insulin sensitizers - Insulin sensitizers may be prescribed to help the body use insulin more effectively.

Surgery
Weight loss surgery, also called bariatric surgery, can treat morbid obesity in people for whom more conservative measures such as diet, exercise, and medication have failed. There are a variety of approaches to bariatric surgery, but all procedures are either malabsorptive, restrictive, or a combination of the two. Malabsorptive procedures change the way the digestive system works. Restrictive procedures are those that severely reduce the size of the stomach to hold less food, but the digestive functions remain intact. It’s important to note that all aspects of metabolic syndrome (blood pressure, cholesterol, and increased body weight) have been found to improve one year after gastric bypass surgery.

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Tags: metabolic syndrome, gastric bypass surgery, High Blood Pressure, smoking cigarettes, bariatric surgery, antihypertensive, quitting smoking, Body Mass Index, aspirin therapy, healthy eating, Bypass Surgery, gastric bypass, Heart Disease, quit smoking, Heart Attack, Cholesterol, angiotensin, medications, metabolism, medication
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