Metabolic Syndrome X Treatments
1 AnswerThe treatment options for metabolic syndrome are closely related to those for weight loss surgery. They include the Roux-en-Y gastric bypass, sleeve gastrectomy, the adjustable gastric band, as well as the duodenal switch or the bilio-pancreatic diversion operation. Today, metabolic syndrome is most commonly treated with the Roux-en-Y gastric bypass, the sleeve gastrectomy and somewhat to a lesser degree the adjustable gastric band.
1 AnswerFor years, doctors have observed that weight loss surgery resolves diabetes in over 80% of obese people with diabetes. Blood sugar levels improve dramatically almost immediately after gastric bypass surgery, and far before any significant weight loss occurs. Studies have found that when people lose the same amount of weight through diet as through surgery, those who had surgery experienced significantly better improvement in their diabetes than those who lost weight non-surgically. This indicates that the surgery itself -- not just losing weight -- is responsible for the metabolic shifts in the body.
This metabolic effect is significant for any person who is obese and is particularly compelling for those with metabolic syndrome. Metabolic syndrome is the combination of several medical problems associated with morbid obesity: high blood pressure, glucose intolerance/insulin resistance, excess body fat and high cholesterol.
All bariatric (weight loss) surgery procedures, including gastric banding, Roux-en-Y gastric bypass and sleeve gastrectomy improve diabetes and metabolic syndrome. The effects are most pronounced after gastric bypass surgery.
Doctors have studied the effects of metabolic surgery among people who have a body mass index (BMI) of 30 and above. Although we do not yet know what the underlying mechanisms are for this effect, we know that operating on people with these diseases causes a significant improvement in diabetes. We believe gut hormones play an integral role in this process and that a change in this milieu accounts for the results that are seen clinically.
1 AnswerRealAge answered
There's a tart and juicy breakfast fruit that might help keep metabolic syndrome in check. We're talking about grapefruit.
In a study, obese people who ate half a fresh grapefruit before meals showed improvements in two important measures related to the syndrome -- weight and insulin response. Not only did the grapefruit eaters shed pounds, but their insulin resistance improved, too.
Metabolic syndrome is bad news for your body. It's characterized by a combination of five serious health problems that can jack up your risk for heart disease and diabetes. Insulin resistance -- where the body fails to use insulin properly -- is one of the more serious markers because it can lead to high blood sugar and type 2 diabetes. High blood pressure, unhealthy cholesterol levels, high blood sugar and abdominal obesity make up the rest of the formula for metabolic syndrome.
1 AnswerMehmet Oz, MD, Cardiology, answeredBelow is a list of nutritional supplements that may be help you if you have metabolic syndrome. It is important to check with your doctor or provider before adding to your diet as some supplements may interfere with medications you are taking.
- Grape seed extract
- Coenzyme Q10 (100 to 200 mg a day)
- Alpha-lipoic acid (100 to 200 mg twice a day)
- Vitamin D (2,000 IU daily)
- Mixed carotenoids (10,000 to 15,000 IU daily)
- Acetyl-L-carnitine (500 to 1,000 mg twice a day)
- D-ribose (5 g once or twice a day)
- Magnesium (150 to 300 mg twice a day)
- B-complex vitamins (daily)
- Nicotinamide adenine dinucleotide (NADH) (5 to 10 mg a day)
- Vitamin C (200 mg a day)
- Vitamin E (400 IU of natural mixed tocopherols: d-alpha-tocopherol with other tocopherols)
- Selenium (200 micrograms of an organic [yeast-bound] form)
- Folic acid
Medications treat metabolic syndrome X by remedying the individual conditions that increase your risk for heart disease and diabetes. Taking an aspirin once a day has been shown to help lower your risk for a heart attack, but such a regimen should only be started after talking to your doctor.
There are medications to treat your body's inability to process insulin. A drug called metformin will cause your body to be more receptive to insulin and allow the insulin to be absorbed by your cells. Antihypertensives are used to help lower your blood pressure through use of diuretics, beta blockers, and ACE inhibitors. Your doctor may also prescribe cholesterol medications to lower the amount of fat in your blood, decrease the LDL, bad cholesterol, or increase the HDL, good cholesterol.
If you are unable to reduce the amount of fat around your midsection by changing your eating habits and getting more physical activity it may be necessary to take prescribed medication to help you lose weight.
4 AnswersNational Academy of Sports Medicine answeredThe goal of treatment is to reduce your risk of heart disease and diabetes. Your health care provider will recommend lifestyle changes and/or medicines to help reduce your blood pressure, LDL cholesterol, and blood sugar. Dietary Recommendations include: Lose weight. The initial goal is to lose between 7-10% of your current weight. This generally means that you need to eat 500 - 1,000 fewer calories per day; Lower your cholesterol by limiting saturated fat in the diet, and replacing processed grain products with whole grains (whole wheat flours, whole grain cereals, etc.); Lower your blood pressure by limiting salt and alcohol, and adding lots of fruits and vegetables. To learn the basics of eating with metabolic syndrome, and become a pro at planning healthy meals for yourself or family members, ask your health care provider for a referral to a registered dietitian.
2 AnswersAmerican Heart Association answered
People who have the metabolic syndrome can reduce their risk for cardiovascular disease and type 2 diabetes by controlling risk factors. The best way is for them to lose weight and increase their physical activity.
Here are some important steps for patients and their doctors in managing the metabolic syndrome:
- Routinely monitor body weight (especially the index for central obesity [fat in the abdomen]). Also monitor blood glucose, lipoproteins, and blood pressure.
- Treat individual risk factors (high cholesterol, high blood pressure and high blood glucose) according to established guidelines.
- Carefully choose anti-hypertensive drugs because different drugs have different effects on insulin sensitivity.
Over-the-counter medications, such as aspirin and fiber supplements, are sometimes used to treat the conditions that create metabolic syndrome X. If you are at risk for heart disease a doctor will often recommend an aspirin regimen to reduce your risk of heart attack and stroke. Aspirin works to thin your blood and alleviate some of the symptoms of high blood pressure and excessive clotting of the blood.
Fiber supplements can also be purchased without a prescription to increase the amount of fiber in your daily diet. Fiber has been found to effectively address insulin resistance, cholesterol, and excess abdominal fat issues.
There is no cure for metabolic syndrome X, but with a commitment to adjusting your daily life you may be able to postpone its onset. Excess fat around the midsection, high cholesterol and elevated blood sugar can often be prevented with a nutritious and heart healthy diet.
Eating a diet that is high in whole grains, fiber and lean meat and low in salt, saturated fat and processed foods can ward off the factors that combine to create metabolic syndrome X. Participate in physical activity and exercise on a daily basis to increase calorie expenditure, heart health and blood circulation. Visit your doctor to get regular check ups and stay on top of your health.
Alternative treatments for metabolic syndrome X include use of homeopathic remedies and nutritional supplements that target weight loss, and management of metabolic conditions without medication. There is evidence to show that the use of homeopathic remedies, such as Chinese herbal medicines, has impacted insulin resistance and elevated glucose in people with pre-diabetes. Testing positive for pre-diabetes markers is a common factor in metabolic syndrome X, the use of the herbs to treat this factor can reduce your likelihood of being diagnosed with metabolic syndrome X.
Adding nutritional supplements like flax seed, oat bran, fish oil, and artichoke extract to your diet may help you lower your high cholesterol and aid you in weight loss. Supplements with high fiber properties have been shown to have an effect on cholesterol and weight management, but talk to your doctor before beginning any alternative treatments for metabolic syndrome X. Some supplements may interact with other prescribed medications.