Metabolic syndrome is not really a disease but a syndrome and what I would call a “pre-disease” or a condition that you get before you get really sick. Metabolic syndrome is also known as syndrome X, or metabolic syndrome X, or even insulin resistance syndrome.

There are four primary symptoms of metabolic syndrome: central obesity, insulin resistance, hypertension, dyslipidemia (all explained below). Having metabolic syndrome brings with it a risk for other diseases (mostly heart disease, stroke, and type-2 diabetes) and the potential for a shortened life.

The most important thing to know about metabolic syndrome, though, is that it acts like a canary in a coal mine warning you that you are at risk for much worse things to come (that is, if you don’t stop it in its tracks). The good news is that you can change what you are doing right now and avoid much of the pain that comes with having diabetes or heart disease.

Symptoms of Metabolic Syndrome

How do you know if you have metabolic syndrome? While the definitions for metabolic syndrome change from medical group to medical group, most groups agree on the following definition for the syndrome:

• Central Obesity: Central obesity (see picture on this page) is where most of the fat that you carry is about your center or stomach. The other major way to carry extra weight is considered pear shape (where excess fat surrounds the waist) and is not associated with metabolic syndrome. Waist measurements usually determine central obesity with measurements of over 40 inches (102 cm) for men or over 35 inches (88 cm) for women.

• Insulin resistance: Insulin resistance is where the cells of your body are resistant to insulin. Diabetes is a condition where the cells are very resistant to insulin, but there are all sorts of grades of insulin resistance before diabetes. Usually people start out somewhat insulin resistant and then it gets worse as times progresses. Insulin resistance can be measured by a fasting glucose more than 100 mg/dL (or you are taking blood sugar medications). Read more about insulin resistance here: Insulin Resistance

• Dyslipidemia:  Dyslipidemia is a state where your blood fats are either too high or too low. You are familiar with many of these blood fats such as cholesterol and triglycerides. Dyslipidemia in metabolic syndrome usually is defined as having high triglycerides (over 150 mg/dL) and a low HDL cholesterol (less than 40 mg/dL for men and less than 50 mg/dL for women).

• Hypertension: Hypertension or high blood pressure greater than 130 systolic (top number) and 90 diastolic (bottom number).

What Can You do About Metabolic Syndrome?

If you are wondering what you can do about metabolic syndrome, the answer is a lot! While you might be looking for a pill that you can take, that is not your answer. The only way to change metabolic syndrome is to change what you are eating and how much you are exercising.

Here is my plan for stopping metabolic syndrome:

• Stop eating sugar: Okay, I know this is easier said than done, but you have to kick your sugar habit. I have a plan for kicking sugar (and foods that act like sugar) and you can take a look at it here: 30 Sugar Free Days.

• Exercise: You need to get at least 20 minutes, but more like 40 minutes of intense exercise in a day. Pick something like biking, swimming, running or other consistent exercise and practice it every day.

• Eat More Vegetables: Every chance you get you should put something fresh into your mouth. Find a way to incorporate vegetables into every meal you eat (yes, even breakfast).

Metabolic syndrome may seem like a one-way dead end street to heart disease and diabetes, but it doesn’t have to be that way. Change what you are doing today and you can change who you are (and maybe how long you are going to live).

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Insulin resistance is a modern day problem that is the result of eating modern day foods. What insulin resistance means is that the cells in your body are resistant to insulin. While this may not sound like a big deal, it is. The more insulin resistant your cells become, the high your blood sugar rises (and your body hates high blood sugar). Let’s take a look at just how insulin resistance happens in your body.

How Insulin Resistance Forms

If your blood sugar shoots up high occasionally, there is really no problem. The problem comes when your blood sugar is high over a long period of time or high blood sugar happens every day. To understand this, you have to understand what is happening in the cells of your body.

The cells in your body only want so much sugar; they just want enough sugar to do their jobs. When there is constantly too much insulin and too much sugar in the blood stream (like when you eat sugar at every meal) the only response that the cells have is to remove the doorways (receptors) from the outside of the cell. This process is called down-regulation of receptors. When insulin receptors disappear throughout the body, it creates a whole-body effect called “insulin resistance,” meaning the cells of the body become “resistant” to insulin.

Let’s take a look at what happens to the cell when the body removes receptors, in the following diagram the yellow represents the cell and the blue thingies are the receptors.

A cell goes from having this many receptors (normal):

To having, say, this many:

Now, this is a bit tricky to understand, but imagine if all the cells in your body began to respond to too much sugar by removing their insulin receptors. If every cell in the body removed its receptors, the doorways to sugar, what would happen? The end result would be that you’d have more sugar in your blood.

Why?

Remember that insulin used to be able to push sugar out of the blood stream and put it into the cells. The cells, though, are now getting rid of receptors because there is too much sugar around most of the time. The cells are becoming resistant to insulin. So, even though there is sugar in the blood stream and a lot of insulin, the sugar has no where to go because the cells won’t allow it in. So, now, where does the sugar go? It stays in the blood stream.

But you also have to remember, more sugar in the blood stream creates what? The answer is more sugar in the blood stream leads to more insulin. When your body becomes insulin resistant, the next time you eat a meal, you have a higher amount of sugar in your blood because the cells are refusing to take on that sugar. So, more sugar in the blood stream means that the body will now release more insulin. Do you see the vicious cycle that is starting to develop? More insulin circulating in the body will eventually lead to fewer receptors on cells, which will lead to more sugar in the blood, and more insulin, and fewer receptors and…you get the idea.

Cells will eventually look like this as they get rid of even more receptors:

Now you understand how insulin resistance can develop from eating a high amount of sugar every day. The association between eating sugars and the creation of insulin resistance is, however, far from being a proven phenomenon in human beings. Animal studies demonstrate a relationship between eating sugars and foods that act like sugar and the development of insulin resistance,[i]^,[ii] but the medical community is far from convinced. Like much of the scientific study on sugar and health, much more research is needed.

Over Time

Okay. Let’s see if we can pull this all together. Watch what happens over time, not to the individual cell, but in the whole body. The following chart shows how blood sugar and insulin react to each other and how insulin resistance builds over time when you are consuming sugar foods. (click on the image below to see full size).

What happens over time with insulin resistance is that the body can no longer produce enough insulin and, eventually, insulin production fails. When the body can no longer produce enough insulin or the cells have become resistant to insulin, your body is no longer able to keep blood sugar within a narrow range. This is called diabetes, a situation where the blood sugar is very high.

What Can You Do?

There is a lot that you can do to avoid insulin resistance, the chief among these is to stop eating sugar and foods that act like sugar. I have program called the 30 Sugar Free Days Program where you can join with other people who are giving sugar the boot.

Besides stopping the sugar feast, you can exercise, lower the amount of saturated fat in your diet and eat as many vegetables as you can. Insulin resistance is not a death sentence, but a wake-up call. There is a lot you can do to stop and reverse insulin resistance, but you have to get moving today.

[ii] Daly M: Sugars, insulin sensitivity, and the postprandial state. Am J Clin Nutr. 2003 Oct;78(4):865S-872S.

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ADHD DRUGS AND HALLUCINATIONS: A new study released by the journal Pediatrics showed that children who are taking drugs such as Ritalin, Concerta and others may experience hallucinations. The side effects of these drugs included hallucinations of worms or snakes crawling on the children and also included other side effects such as psychosis and mania.

Dr. Scott’s Comments: The rate of these side-effects were fairly low (around 2 percent), but represent yet another serious complication of these medications. Why we turn to drug therapy to help these children is beyond my understanding, when diet and nutritional therapy can do so much to change the thought patterns and actions of our children.

original article

MERCURY IN HIGH FRUCTOSE CORN SYRUP: Mercury was found in almost one-half of all samples of high fructose corn syrup (HFCS) tested in two recent studies. The mercury in the high fructose corn syrups appears to be a product of the manufacturing of the sweetener and not because of some other contamination. Caustic soda, used in the processing of the HFCS seems to be the source of the mercury.

Dr. Scott’s Comments: Did you really need another reason to stay away from HFCS? Eating high amounts of HFCS is associated with weight gain and insulin insensitivity and diabetes. Mercury in any amount in our diets, and especially in the diets of our children is very dangerous.

original article

STROKE HIGH IN PEOPLE WITH METABOLIC SYNDROME: Metabolic syndrome, which is characterized by abdominal obesity, high blood pressure, high blood sugar, low HDL cholesterol and high triglycerides has been associated with an increased risk of stroke.

Dr. Scott’s Comments: While it has long been known that people with diabetes have a greater risk for cardiovascular diseases (including stroke), there has been a question about people who are not yet diabetic, but have impaired blood sugar control. This study, along with others, shows that being pre-diabetic carries many of the same risk that being diabetic does. Eating foods that are low and below the glycemic index is the only way to control your blood sugar and stave off these devastating diseases.

original article

WINTER WEATHER WORKOUTS: The American Cancer Society has posted winter weather workouts:

It’s easier to exercise regularly during the winter months than you realize – you just need to think creatively.

If it’s not too cold:

• Take the dog for a walk.
• Try a winter sport, like skiing, snow-shoeing, or ice-skating.
• Shovel snow. (Shoveling snow can be really strenuous. If it’s been a while since you’ve exercised regularly, discuss your plan and your health with your doctor.)

If it’s unbearably cold outside, try these indoor activities to get your heart pumping:

• Meet a friend at the mall and walk some laps.
• Do leg lifts or sit ups while you watch your favorite TV show.
• Put on your favorite music and dance.
• Clean your house. Scrubbing, mopping, and vacuuming all burn calories.

Dr. Scott’s Comments: Great recommendations! My favorite suggestion for exercising during winter months is to “pay” for the television you watch. Put a stationary bike or other exercise equipment in front of the TV and ride it for a half-hour or hour of the shows you watch.

original article

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