In this episode *Your Health Matters* episode, host Karl Sterling and Dr. Anthony Rotella focused on the critical issue of metabolic health, particularly metabolic syndrome, which affects one in three U.S. adults. The discussion provided practical advice on how to prevent and manage this growing health concern.

What is Metabolic Syndrome?

Metabolic syndrome is a cluster of conditions that increase the risk of heart disease, stroke, and diabetes. To be diagnosed, one must meet three of the following criteria:

- Waist Circumference: Over 40 inches for men, 35 inches for women.

- Triglyceride Levels: 150 mg/dL or more.

- HDL Cholesterol: Less than 40 mg/dL for men, 50 mg/dL for women.

- Blood Pressure: 130/85 mmHg or higher.

- Fasting Blood Sugar: 100 mg/dL or more.

Symptoms and Risks

Symptoms of metabolic syndrome include fatigue, increased thirst and urination, blurry vision, and skin changes like dark patches. Dr. Rotella stressed the importance of regular health screenings to detect these often subtle signs.

Insulin Resistance

Insulin resistance is the core issue of metabolic syndrome. When the body struggles to use insulin, blood sugar levels rise, which can damage the heart, kidneys, and nerves over time.

Broader Health Implications

Metabolic syndrome impacts various aspects of health:

- Heart Health: Increases the risk of cardiovascular disease.

- Eye Health: Heightens the chance of vision problems.

- Kidney Health: Raises the risk of kidney damage.

- Nerve Health: Leads to neuropathy.

Dr. Rotella emphasized the importance of monitoring blood sugar and blood pressure, particularly in pregnant women.

Lifestyle Changes

Dr. Rotella advocated for lifestyle changes to manage and prevent metabolic syndrome:

- Exercise: Aerobic activities like walking or running, and resistance training can help manage weight and blood sugar.

- Weight Management: Maintaining a healthy BMI is key to preventing metabolic syndrome. A BMI of 30 or higher is classified as obese.

Medications

While lifestyle changes are essential, Dr. Rotella acknowledged that medications like metformin or blood pressure medications may be necessary in some cases. He stressed that medications should complement, not replace, healthy habits.

Hope and Encouragement

Karl shared his personal journey of making small lifestyle changes, encouraging listeners to take gradual steps toward better health. Dr. Rotella reinforced the message that early intervention and proactive health choices can reverse the effects of metabolic syndrome.

Conclusion

The episode concluded with a reminder of the importance of metabolic health. Key takeaways include the need for regular health screenings, lifestyle changes, and honest communication with healthcare providers. By taking these steps, individuals can reduce their risk of metabolic syndrome and improve their overall well-being.

http://www.karlsterling.com