Metabolic syndrome

The criteria for Bariatric Surgery from the World Health Organization requires the patient to have a presence of diabetes mellitus, impaired glucose, or abnormal fasting glucose levels or insulin resistance, plus two of the following intolerances: 

High blood pressure = 140/90 mm.Hg. 

Dyslipidemia: triglycerides (TG): = 1.695 mmol / L and / or elevation of HDL cholesterol (HDL-C) = 0.9 mmol / L (men), = 1.0 mmol / L (women). 

Central obesity: waist / hip ratio> 0.90m (men)> 0.85m (in women), and / or body mass index (BMI) > 30 kg / m2.

Microalbuminuria: urinary albumin excretion = 20 mg / min or albumin / creatinine ratio in urine = 30 mg / G34. 

In other words, the combination of 2 of these aliments, which are considered a deficiency in the metabolism of blood sugar will lead to a SYNDROME also called X.

Predisposing factors 

Being genetically exposed to obesity and/or diabetes mellitus, a sedentary lifestyle, a diet high in carbohydrates and sugar, and being overweight.

Complications of Syndrome X

Development of cardiovascular disease (myocardial infarction) and cerebrovascular disease (embolisms or stroke) with a result leading to the detriment of the quality of life.


There is no specific treatment for this disease, rather one should focus on its control with behavior and lifestyle modifications. Controlling excess weight is the most essential part of these modifications.

Dr. Jesús Núñez HernándezA

Especialista en Cirugía de Obesidad y Diabetes por Laparoscopía

CED. PROF. 1371863 UAT / CED. ESP. AE: 011111 UNAM


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