Metabolic Syndrome
Metabolic syndrome is the medical term used when several other health conditions occur together, including insulin resistance, obesity, and high blood pressure. When these conditions are combined, they can greatly increase the risk of serious health complications.
What is metabolic syndrome?
Metabolic syndrome is not a single condition but a group of health problems that happen together. These include:
high blood pressure
insulin resistance
abnormal cholesterol
high triglyceride levels (fat in the blood)
low levels of HDL cholesterol (the “good” cholesterol)
The combination of these issues makes your body less able to regulate blood sugar and fat levels, which in turn puts more strain on your heart and blood vessels. Having metabolic syndrome increases your risk of heart disease, stroke, type 2 diabetes, and other serious health problems.
It’s estimated that metabolic syndrome affects 1 in 3 adults aged 50 or over in the UK, making it a very common condition. The good news is that with early diagnosis and lifestyle changes, it can be reduced or managed effectively.
At Welbeck, our expert endocrinologists see patients with metabolic syndrome in our state-of-the-art Endocrinology centre. They can help you understand your personal risk factors and guide you to improve your long-term health.
More information
Metabolic syndrome itself does not always cause obvious symptoms. Many people only discover they have it during routine health checks or blood tests. However, some of the individual conditions may show signs such as:
increased waist measurement or weight gain around the middle
fatigue or low energy levels
raised blood pressure readings
dark patches of skin (acanthosis nigricans), often on the neck or armpits
increased thirst or needing to pass urine more often
shortness of breath or chest discomfort during exertion
Because symptoms can be subtle and develop gradually over time, regular health checks are important, especially if you have risk factors associated with metabolic disease.
It’s not fully understood what causes metabolic syndrome, but a combination of lifestyle and genetic factors is involved.
Risk factors for metabolic syndrome include:
age, as metabolism slows over time
being overweight or obese, particularly with fat around the waist
having insulin resistance, where the body doesn’t respond properly to insulin
lack of physical activity
an unhealthy diet, especially one high in fat and sugar, which can lead to obesity and type 2 diabetes
smoking
heavy drinking
stress
being postmenopause
having other health conditions, such as fatty liver disease, polycystic ovary syndrome (PCOS) and sleep apnoea
a family history of type 2 diabetes or cardiovascular disease
certain ethnic backgrounds - Hispanic women are at the greatest risk of developing metabolic syndrome
At your initial consultation, your consultant will talk to you about your medical history, take your blood pressure and measure your waist. They’ll arrange blood tests to check your sugar, fat and cholesterol levels.
In most cases, metabolic syndrome will be diagnosed if you have 3 or more of the following:
a waistline of 40 inches or more (men) or 35 inches or more (women)
a blood pressure of 130/85 mm Hg or higher
a triglyceride level above 150 mg/dl
a fasting blood glucose level greater than 100 mg/dl
an HDL level less than 40 mg/dl (men) or 50 mg/dl (women)
Preventing metabolic syndrome is mostly about making healthy lifestyle choices. Even small, consistent changes can reduce your risk and protect your heart and overall wellbeing.
Key ways to lower your risk include:
maintaining a healthy weight
eating a diet rich in fruit, vegetables, whole grains, and lean proteins
limiting sugar, salt, and saturated fats
staying active
avoiding smoking
keeping alcohol intake within recommended limits
managing stress through relaxation techniques, sleep, or counselling, if needed
attending regular health checks
Metabolic syndrome puts a lot of strain on your heart and blood vessels and can lead to serious long-term health issues, including:
type 2 diabetes
coronary heart disease
stroke
fatty liver disease
chronic kidney disease
sleep apnoea
Managing your metabolic syndrome early can greatly reduce your chances of developing these complications.
Metabolic syndrome can not only be managed – it can often be prevented and even reversed. At Welbeck, we take a holistic approach to your care, recognising that health conditions rarely exist in isolation. Our team works with you to address all the factors that contribute to metabolic syndrome, rather than focusing on one issue at a time.
When you come to us for support, you’ll have access to the latest and most effective treatments. This includes a wide range of medications to help manage blood pressure, cholesterol, blood sugar, and other aspects of your condition. We’ll take the time to discuss the pros and cons of each option with you, so you can feel confident about your treatment plan.
For some patients, weight loss medication or surgery may be an appropriate option, and our specialists can guide you through this possibility with care and clarity.
In addition, you’ll have the opportunity to work with our expert dietitians. Even small, sustainable changes to your diet can have a big impact on your health. Together, we’ll create a plan that fits your lifestyle and supports your long-term wellbeing. Our goal is to help you take control of your health, and give you the tools to improve your quality of life – not just treat your condition.
At Welbeck, our endocrinologists are experts in their field and are dedicated to providing world-class care to every patient.
With access to colleagues across other specialties, our consultants are also able to refer within the Welbeck ecosystem if required to ensure you receive the treatment you need as quickly as possible, all under one roof.
All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.
Your health is important to us, so we strive to offer same-day appointments whenever possible.
Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.
Get in touch today to book an appointment.
Our specialists
Mr Naim GomezConsultant Upper GI, Bariatric and General Surgeon
Dr Shivani MisraConsultant Endocrinologist
Dr Julian WaungConsultant Endocrinologist
Dr Saira HameedConsultant Endocrinologist
Dr Aruchuna RubanConsultant Gastroenterologist- Dr Vassiliki BravisConsultant Endocrinologist
Dr Andrew FrankelConsultant Nephrologist
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Frequently asked questions
Yes. While obesity is a common factor, some people with a normal body weight can still develop metabolic syndrome due to genetics, insulin resistance, or other health issues.
It’s a good idea to have a health check every few years, even if you have no symptoms or risk factors. If you have risk factors like obesity, diabetes, or high blood pressure, it’s especially important to have regular health check-ups.
Even small changes in your activity levels can have a big impact on your overall health, so it's important not to be put off if you find it hard to exercise at first. Just 30 minutes of activity a day can really help. Aim for a mix of moderate aerobic activity (such as walking, biking or swimming) and strength training.
Not always, but it does increase your risk. Managing your weight, diet, and activity levels can significantly lower your chances of developing type 2 diabetes.