The problem and misconduct

  These changes are associated with high risk for cardiovascular disease, diabetes and some types of cancer that could shorten your life or make it very unpleasant

  This is a bad modern and their presence predates the diagnoses of diseases that produce.

The drugs do not cure the metabolic condition, but can be cured by modifying the weight and body fat/muscle composition. This is extremely important because we believe that metformin is abused offering unrealistic expectations and lowering in the second place, the most important aspect of the strategy: weight loss and a healthy routine of life in the long run!

We have seen many patients with dubious/inappropriate indications for metformin (Glucofage) which we mock crossly of who said it and handicapped us by patients that they used it or use it lightly.

  Regardless of the results of laboratory, if a person has "metabolic" features must start immediately balanced diet, exercise and weight loss schemes. Drugs are secondary and often unnecessary.

   Insulin resistance is the basis of glucosidic tolerance and diabetes disorders.

Normal: glycemia and insulin at normal values.

Without elevation of glycemia insulin resistance: high normal glycemia with insulin.

High blood sugar with insulin resistance: high levels of insulin-glucose high in the range of intolerance to carbohydrate or diabetes.

When insulin resistance is accompanied by some level of hyperglycemia should include these general measures and the use of appropriate drugs, including insulin.

  The patient is unknown his presence although some seek help for overweight and difficult to lose body weight. 

Criteria diagnoses, women (M), men (H), at least 2 required:

• Central obesity: Abdominal circumference greater than 80 cm (M), 90 cm (H)
• Hypertriglyceridemia: More than 150 mg/dL triglycerides
• HDL cholesterol: less than 50 mg/dL (M), 40 mg/dL (H)
• Hypertension: figures higher than 130 mmHg systolic or 85 mm Hg diastolic
• In fasting hyperglycemia: glucose greater than 100 mg/dL or type 2 diabetes

The coloration of the skin (Acanthosis nigricans) and Hyperandrogenism (HIRSUTISM, acne, lack of menstruation) can also be included as part of metabolic syndrome without being criteria for its diagnosis

  Similarly, physical exercise and the correction of inadequate habits is the first and best way to available therapy.

Hyperandrogenism and insulin resistance are probably hereditary and share certain relationships that make them susceptible to improve synchronously by applying appropriate measures

Hyperinsulinemia control leads to decrease of Hyperandrogenism.   Current evidence suggests that the basic problem of the SOP is the insulin resistance and androgenic hormone disorder: the use of hypoglycemic decreases the resistance, decreases Hyperandrogenism, helps restore ovulation and may improve the rate pregnancy in cases where you want a pregnancy making more efficient the ovulation.