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iHealth member and JCI Istanbul hospital head of department, Professor Doctor said that the metabolic syndrome, which is seen in overweight people and has become almost an epidemic today, is the main cause of all chronic diseases such as Type 2 diabetes, cardiovascular disease and high blood pressure.

Metabolic syndrome is a dangerous picture in which heart attack risk factors such as diabetes, abdominal obesity (abdominal fat), a disorder in blood fat levels, and high blood pressure coexist. Stating that this problem, which affects more and more people in the world and in our country, is most common in people who move little, eat irregularly and are under intense stress, as well as genetic predisposition, Internal Medicine Specialist Prof. Doctor explained the effects of metabolic syndrome on health and the ways of treatment as follows.

Pay attention to these criteria!

At least 80% of type 2 diabetes patients have metabolic syndrome and at least half have cardiovascular disease. Hypertension is twice as common in diabetics as in those who do not have diabetes. According to the World Health Organization, the criteria for metabolic syndrome are as follows. Metabolic syndrome is diagnosed by the presence of three of these five criteria.

– Abdominal obesity: if the waist circumference is greater than 94 cm in men and 80 cm in women,

– If the triglyceride level is higher than 150 mg/dl,

– If HDL cholesterol is low (<40 mg/dl in men, <50 mg/dl in women)

– If blood sugar is high (fasting plasma glucose ≥100 mg/dl)

– If the blood pressure is high (≥135/80 mmHg)

The diabetes pandemic

Diabetes mellitus is a metabolic disorder characterized by high blood sugar levels, hunger and satiety. Diabetes has reached the dimensions of an epidemic disease in the world and in Turkey. This disease narrows the blood vessels of all organs without exception, the entire vascular system, including large and small vessels, which reduces the duration and quality of life.

It also triggers heart disease

The appearance of shortness of breath in diabetics should be treated as a sign of coronary heart disease, and is an important symptom of coronary heart disease, such as chest pain. The appearance of diabetes mellitus and its effects on the cardiovascular system occur at the end of a certain period of time. Diabetes can damage the coronary vessels in the heart, leading to a heart attack and heart failure. A typical coronary heart patient often has chest pains associated with or unrelated to exertion, while diabetics may not feel chest pain during a heart attack because the nervous system and nerves are damaged. About half of diabetics who have had a heart attack are unaware that they have diabetes.

Not only is it treated with medication

Diabetes treatment cannot be done in an ideal way all over the world and in Turkey. The biggest mistake in treatment is that the patient thinks that it will be enough for the patient to take medication without making lifestyle changes and switching to proper nutrition. Along with drug therapy, it is absolutely necessary to regulate living conditions and make an appropriate diet. In order to reduce and minimize the risk of coronary heart disease in diabetics, it is imperative that the blood sugar level is maintained at appropriate levels after fasting and satiety, as well as the height of blood fats and hypertension are controlled. Keeping blood pressure below 120/80 mmHg in a diabetic patient reduces the likelihood of cardiovascular disease. Controlling blood pressure, in the same way, reduces the likelihood of stroke and heart failure by 50 percent.

What should be done?

Exercise, smoking cessation, stress management, quality sleep and proper diet and lifestyle changes such as weight loss and regular sugar and leads to positive effects on cardiovascular diseases. Reducing fat and salt in the diet; a diet consisting of vegetables and fruits is useful. In addition to these general measures, the use of appropriate medications for high blood pressure and cholesterol and intake of blood thinners with the advice of a doctor, if necessary, will provide a significant improvement and protection.


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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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