How Is Metabolic Syndrome Managed?
Management of the metabolic syndrome centers on its four cardinal features:
The abdominal obesity that is characteristic of the metabolic syndrome is due to a mixture of genetics, diet, and physical inactivity. Most diets fail due to a lack of education into the risk of obesity and implementation of unreasonable expectations. A diet that is not “designed to fail” should be designed by a dietitian/nutritionist that is individualized for the patient. Any exercise program that is part of weight reduction will also favorably impact hyperglycemia, hypertension, and dyslipidemia.
Diabetics live with the prospect of hyperglycemia continuously. Reinforcing glycemic goals is part of the educations and management for Type 1 DM patients, but Type 2 DM required strong reinforcement and relentless education due to their tendency to be in denial.
Hypertension, like obesity, is best managed with diet and exercise. When these fail, either due to compliance or an uncooperative physiology, treatment with anti-hypertensive drugs is indicated. There are a wide variety of these available so that successfully tailoring a regimen specific to a patient is likely. Medication(s) can be chosen based on side effects, compliance, and efficacy.
Management and treatment of dyslipidemia is based on a goal of correcting abnormal levels of HDL-C, LDL-C, and triglycerides. Diet, exercise, and the use of statins are the classic approach to treating dyslipidemia.