Skip to main content

Advertisement

Log in

Prevalence of the metabolic syndrome in patients with diabetes mellitus

  • Original Article
  • Published:
Irish Journal of Medical Science Aims and scope Submit manuscript

Abstract

Background

Metabolic syndrome (MetS) is a vascular risk factor with prevalence in the general population of 17–25%.

Aim

To determine the prevalence of MetS in patients with diabetes mellitus (DM).

Methods

A total of 200 patients [18% type 1 (T1DM), 82% type 2 (T2DM)] attending for annual review were studied. Standard blood tests were requested. Blood pressure and waist circumference were measured. Adult Treatment Panel III (ATP III) criteria for diagnosis of MetS were applied.

Results

A total of 122 (61%) patients had MetS. More patients with T2DM (69.5%) than TIDM (22.2%) had MetS. Despite treatment of DM (100%), hypertension (69.5%) and dyslipidaemia (48.3%), 114 patients (57%) still met the criteria for MetS at time of study.

Conclusions

Most T2DM patients have MetS but it is uncommon in T1DM. Despite treatment, almost half of patients still met the criteria for MetS. Aggressive treatment of MetS components is required to reduce cardiovascular risk in DM.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Villegas R, Perry IJ, Creagh D, Hinchion R, O’Halloran D (2003) Prevalence of the metabolic syndrome in middle-aged men and women. Diabetes Care 26:3198–3199. doi:10.2337/diacare.26.11.3198-a

    Article  PubMed  Google Scholar 

  2. Al-Lawati JA, Mohammed AJ, AL-Hinai HQ, Jousilathai P (2003) Prevalence of the Metabolic Syndrome Among Omani Adults. Diabetes Care 26:1781–1785. doi:10.2337/diacare.26.6.1781

    Article  PubMed  Google Scholar 

  3. Ford ES, Giles WH, Dietz WH (2002) Prevalence of the metabolic syndrome among US adults findings from the third national health and nutrition examination survey. JAMA 287:9–356

    Article  Google Scholar 

  4. Timar O, Sestier F, Levy E (2000) Metabolic syndrome X: a review. Can J Cardiol 16:779–789

    PubMed  CAS  Google Scholar 

  5. McQueen MB, Bertram L, Rimm EB, Blacker D, Santangelo SLA (2003) QTL genome scan of the metabolic syndrome and its component traits. BMC Genet 4(Suppl 1):S96. doi:10.1186/1471-2156-4-S1-S96

    Article  PubMed  Google Scholar 

  6. Frayn KN, Coppack SW (1992) Insulin resistance, adipose tissue and coronary heart disease. Clin Sci 82:1–8

    PubMed  CAS  Google Scholar 

  7. Irish Universities Nutrition Alliance North/South Ireland Food Consumption Survey (2001) Food Safety Promotion Board, Dublin, Republic of Ireland

  8. Alexander CM, Landsman PB, Teutsch SM, Haffner SM (2003) Third national health and nutrition examination survey (NHANES III); national cholesterol education program (NCEP). NCEP-defined metabolic syndrome, diabetes and prevalence of coronary heart disease among NHANES III participants age 50 years and older. Diabetes 52:1210–1214. doi:10.2337/diabetes.52.5.1210

    Article  PubMed  CAS  Google Scholar 

  9. Wong J, Molyneaux L, Constantino MI, Twigg SM, Yue DK (2006) The metabolic syndrome in type 2 diabetes: when does it matter? Diabetes Obes Metab 8:690–697. doi:10.1111/j.1463-1326.2005.00565.x

    Article  PubMed  CAS  Google Scholar 

  10. McGill M, Molyneaux L, Twigg SM, Yue DK (2008) Metabolic syndrome in type 1 diabetes: does it exist, does it matter? J Diabetes Complicat 1:18–23. doi:10.1016/j.jdiacomp.2006.10.005

    Article  Google Scholar 

  11. Sattar N, Gaw A, Scherbakova O et al (2003) Metabolic syndrome with and without C-reactive protein as a predictor of coronary heart disease and diabetes in the west of Scotland coronary prevention study. Circulation 108:414–419. doi:10.1161/01.CIR.0000080897.52664.94

    Article  PubMed  CAS  Google Scholar 

  12. Najarian RM, Sullivan LM, Kannel WB et al (2006) Metabolic syndrome compared to diabetes as a risk factor for stroke: framingham offspring study. Arch Intern Med 166:106–111. doi:10.1001/archinte.166.1.106

    Article  PubMed  Google Scholar 

  13. Solymoss BC, Bourassa MG, Campeau L et al (2004) Effects of increasing metabolic syndrome score on atherosclerotic risk profile and coronary artery disease angiographic severity. Am J Cardiol 93:159–164. doi:10.1016/j.amjcard.2003.09.032

    Article  PubMed  Google Scholar 

  14. Gaede P, Vedel P, Larsen N et al (2003) Multifactorial intervention and cardiovascular disease in patients with type 2 diabetes. N Engl J Med 348:383–393. doi:10.1056/NEJMoa021778

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. Sreenan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

AlSaraj, F., McDermott, J.H., Cawood, T. et al. Prevalence of the metabolic syndrome in patients with diabetes mellitus. Ir J Med Sci 178, 309–313 (2009). https://doi.org/10.1007/s11845-009-0302-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11845-009-0302-z

Keywords

Navigation