Diagnosis
6
Figure 1. Flow Chart for the Assessment and Treatment of
Metabolic Risk
Adult patient population without
diagnosed CVD or T2DM
Screen for 5 components
a
of metabolic risk.
3 of five components indicates metabolic risk.
1-2 components
a
:
Re-screen at least every 3 years.
If prediabetes, test at least annually.
METABOLIC RISK
3–5 components
a
:
Perform global risk assessment
for 10-year risk of CVD
Lifestyle Interventions
Daily physical activity (brisk walking, reduction of sedentary time,
structured exercise program); Cardiovascular-Healthy diet
b
;
Weight reduction (≥5% of total body weight)
c
; Dietary sodium restriction;
Moderate alcohol intake; Smoking cessation
OVERWEIGHT/
OBESITY
≥5% weight loss
PREDIABETES
With physical
limitations or not
responding to lifestyle:
Consider adding
metformin
HYPERTENSION
10-year risk >10% and
BP is >130/80 mmHg:
BP-lowering meds and
lifestyle intervention
a
Components from Table 1.
b
Healthy diet from Table 5.
c
For those who require weight loss.
