Metabolic syndrome diagnostic criteria

The WHO diagnostic criteria for metabolic syndrome[37] include:

  • Insulin resistance as identified by 1 of the following:
    • Type 2 diabetes
    • Impaired fasting glucose
    • Impaired glucose tolerance
    • Glucose uptake below the lowest quartile for background population under investigation under hyperinsulinemic, euglycemic conditions (in patients with normal fasting glucose levels < 110 mg/dL)
  • Plus any 2 of the following:
    • Antihypertensive medication and/or systolic blood pressure ≥ 140 mm Hg or diastolic blood pressure ≥ 90 mm Hg
    • Plasma triglycerides ≥ 150 mg/dL;
    • HDL cholesterol < 35 mg/dL in men or < 39 mg/dL in women;
    • Body mass index > 30 kg/m2 or waist-hip ratio* > 0.9 in men or > 0.85 in women
    • Urinary albumin excretion rate ≥ 20 mcg/min or albumin/creatinine ratio ≥ 30 mg/g

metabolic

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