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With regular medical care and consistent patient compliance with treatment, metabolic syndrome can often be successfully treated and even reversed.
The most effective metabolic syndrome treatment plan uses a multifaceted approach. Both treatment and prevention of metabolic syndrome include achieving and keeping cholesterol, blood sugar, weight, and blood pressure at normal and healthy levels.
This requires regular ongoing medical care and includes regular exercise, not smoking or drinking excessively, and eating a heart-healthy well-balanced diet that is low in sodium, saturated fats and processed carbohydrates.
A heart healthy diet is rich in fresh fruit and vegetables and whole grains and includes low-fat or no-fat dairy products and moderate quantities of healthy meats. Total fat intake should be between 25 and 35 percent of calories. Most of the fats should come from sources of polyunsaturated and monounsaturated fats, which can actually help to lower cholesterol levels. They include fats from fish, nuts and vegetable oils, such as salmon, trout, herring, avocados, olives, walnuts and liquid vegetable oils.
Foods high in saturated and trans fats should be avoided. They include foods made with partially hydrogenated oils, such as baked goods, doughnuts,fried foods, shortening and some margarines and dairy products. Foods high in saturated fats include those processed from animals, including beef, beef fat, veal, lamb, pork, lard, poultry fat, butter, cream, milk, cheeses and other dairy products made from whole and 2 percentmilk.
Medication may be prescribed for people who are unable to lower cholesterol, weight, blood pressure, and/or blood sugar to healthy levels through diet, exercise, and addressing unhealthy behaviors, such as smoking.
The most commonly prescribed cholesterol lowering drugs are the statins. Statins act to prevent formation of cholesterol in the liver. Statins are extremely effective at lowering LDL (bad) cholesterol. They can also lower triglycerides (blood fats) and raise the HDL (good) cholesterol. New research is also finding that statins create an anti-inflammatory effect on the arteries that further lowers the risk for developing the complications of cardiovascular disease.
Other medications include selective cholesterol absorption inhibitors, which lower cholesterol by preventing its absorption in the intestine from ingested cholesterol-containing foods. Niacin is a medication that works in the liver by affecting the production of blood fats. Other cholesterol lowering drugs include resins, which increase the elimination of LDL cholesterol in the intestines, and fibrates, which lower triglycerides.
Medications commonly used to treat high blood pressure include diuretics, also known as "water pills", which lower blood pressure by stimulating the kidneys to flush extra fluid and salt from the body. ACE inhibitors lower blood pressure by preventing the body from making a hormone called angiotensin II, which narrows and tightens blood vessels. Angiotensin II receptor blockers protect blood vessels from the narrowing effects of angiotensin. Beta blockers help the heart to beat slower and less forcefully. Calcium channel blockers block calcium from entering the cells of the heart and blood vessels, resulting in relaxation of the vessels. Alpha blockers decrease nerve impulses that tighten blood vessels. Vasodilators relax and widen the blood vessels walls. Nervous system inhibitors work in the brain to increase messages to the blood vessels to relax and widen them.
When insulin resistance leads to type 2 diabetes, medications may include antidiabetic medications, such as glipizide, glyburide, and glimepiride. These medications work to counteract insulin resistance by stimulating the pancreas to release higher amounts of insulin. Another medication is metformin, which works to lower blood glucose in several ways. It slows the absorption of glucose from food in the small intestine, and aids the body in using insulin more effectively. It also prevents the liver, which stores extra glucose, from releasing it into the bloodstream. Medications called thiazolidinediones help to lower blood glucose by improving the body's sensitivity to insulin.
Smokers may need a referral to a stop smoking program and people who are overweight may require the assistance of a credible, medically monitored weight loss program.
Review the treatment information pages for various causes of Metabolic disorder:
More causes: not all possible causes for Metabolic disorder are listed above; for a full list refer to causes of Metabolic disorder.
Only your doctor can advise whether any of these treatments are appropriate for your specific medical situation. Always discuss all treatment options with your doctor before making a decision, including whether to start or discontinue any treatment plan.
The following list of conditions have 'Metabolic disorder' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.
Select from the following alphabetical view of conditions which include a symptom of Metabolic disorder or choose View All.
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