Diabetes mellitus type 2 often coexists with Obesity ( especially Abdominal obesity) that is called metabolic syndrome. Insulin resistance is the hallmark of this syndrome. The tissues in the body become less sensitive to the existing levels of insulin. This further leads to higher and higher levels of insulin. Sometimes patients have CVD( cardiovascular disease ) with underlying hypertension, hyperlipidemia, abdominal obesity and insulin resistance.
The risk factors for both DM-2 and CVD are common and include genetic factors, diet, lack of exercise.
Some patients have 3 out of the 5 features to classify as metabolic syndrome.
High HbgA1C ( between 5.5-6.4)is considered as a diagnostic criteria for metabolic syndrome. Inflammation is also present with elevation of CRP and other markers. Abdominal girth of more than 40 inches in men and 35 inches in women is considered abdominal obesity. The treatment of metabolic syndrome includes diet, exercise, treatment of hyperglycemia and lipid disorders. A good primary care doctor can formulate an effective plan for you.