The condition is diagnosed by identifying a set number of defined parameters. Being a collection of metabolic abnormalities, these are being continually revised and updated on both sides of the Atlantic. There is now general agreement that for a diagnosis to be made, 3 out of the following 5 metabolic parameters should be met:

  • Raised waist circumference (above 94 cm in men and 80 cm in women - NB cut off points higher in America!)
  • Raised fasting glucose
  • Raised blood pressure
  • Raised triglycerides
  • Low 'good' HDL cholesterol

The reason why these important metabolic problems are pooled together as one syndrome is in order to identify subjects at high risk of cardiovascular disease and hopefully do something about it.

An endpoint such as a heart attack or stroke can be prevented given enough time to reverse the abnormalities either through lifestyle changes or drug treatment. Both approaches have been proven to work.

Fizzy Drinks and Fruit juice ‘The News story’
The News Story: Fizzy drinks and fruit juice cause Type 2 diabetes, opting for plain water might pre... more
Laser treatment for retinopathy
It always important when you are a diabetic to maintain good blood glucose and blood pressure contro... more
Diabetes and Cardiovascular Disease
Heart attacks and stroke are by far the most frequent cause of premature death with patients in diab... more
Nutrition and diabetes
In the past patients have been given a prescription called a diabetic diet with many foods banned. ... more
Kidneys and diabetes Kidney Disease (nephropathy)
Diabetes represents the commonest cause of kidney failure in the Western World, Normal functioning ... more
Feet and Diabetic Peripheral Neuropathy
We often forget about the importance of foot care. But simply having diabetes greatly increases the ... more