Metabolic Syndrome Worksheet
manage your condition, fill in the dates and your results from these tests or checkups.
Then list your goals for your next visit with your healthcare provider.
had a lipid profile on ____________________. My results were
A lipid profile is a lab test that
measures the amount of certain fats and cholesterol in your blood. High lipid levels can
lead to a heart attack or worsen heart disease. You should have a lipid profile at least
once a year.
Maintain healthy levels of LDL ("bad") cholesterol and HDL ("good") cholesterol.
Healthy levels of LDL and HDL may vary depending on your health conditions or risk
factors. Your triglycerides (also "bad") should be less than 150 mg/dL. Talk with your
healthcare provider about helping you set and meet your goals.
blood pressure was taken on ______________________. My blood pressure is
High blood pressure
(hypertension) can lead to serious health problems. Blood pressure-lowering medicines
along with lifestyle changes can achieve the best results. High blood pressure is
defined as 130/80 mmHg or higher. Make sure that your blood pressure is checked at every
time you visit your healthcare provider. If you have high blood pressure, ask your
provider if you should also be checking your blood pressure at home.
talked with my provider about quitting smoking on _______________.
If you smoke, get help to quit.
Cigarette smoking is a strong risk factor for heart disease and many other health
problems. As soon as you quit, your blood vessels start to return to normal. Talk with
your healthcare provider about programs or medicines that can help you quit.
had my blood sugar checked on ______________________. My results were
Have your blood sugar checked at
regular intervals as recommended by your healthcare provider. Early detection and
treatment of high blood sugar will help prevent diabetes or delay the progression of
serious complications in adults with diabetes.
weigh __________ pounds. I talked with my provider about how to manage my weight on
Losing just 5% to 10% of your
weight or 2 inches from your waist can make you healthier. It's better to lose a small
amount of weight and keep it off than to lose a lot of weight fast and gain it back.
Take the time to read food labels to avoid calories from added sugar. Lowering these
risks of metabolic syndrome also reduce your risk of developing several other serious
conditions. These include fatty liver disease, polycystic ovarian disease (PCOS), sleep
apnea, gout, and chronic kidney disease.
talked with my provider about medicines to help lower my risk for heart disease on
__________. Several medicines can help treat or prevent heart disease in many
My goals for my next visit with my healthcare provider are: