Overview
Each risk factor improves with exercise and modest weight loss.
Medicines treat blood pressure, cholesterol, and sugar as needed.
Symptoms
Common signs:
- Usually no symptoms
Less common
- Dark velvety skin in folds
- Tiredness after meals
Look up a symptom: Dark, velvety skin in body folds
When to get medical care
Causes
Insulin resistance, extra belly fat, inactivity, genes.
Does it spread or run in families?
- It isn't contagious. You can't catch it from someone else.
- It can run in families. Tell your doctor if a parent, brother, or sister has it.
Who is more likely to get it
- Older age
- Family history of diabetes
Possible complications
Diagnosis
Checkups find it.
Questions you may be asked
- Family history
The exam
Waist and blood pressure.
Tests
Tests, if needed:
- Blood sugar and cholesterol tests:
Treatment
Healthy habits help every part.
Self-care
- Get 150 minutes of activity a week
- Eat more vegetables, fiber, and whole grains
- Cut sugary drinks
- Lose 5 to 10 percent of weight if overweight
- Don't smoke
Medicines
Medicines that may help:
| Medicine | Helps with | Good to know |
|---|---|---|
| Medicines | Individual risk factors |
OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.
Prevention
To prevent it:
- Stay active
- Healthy weight
Which doctor treats this
- Start with your primary care provider (family doctor or internist).
- They may send you to an endocrinologist (hormone doctor).
Pregnancy and breastfeeding
- If you're pregnant or planning to be, tell your prenatal provider about this condition.
- Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
- Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
- Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.
Outlook
Each improvement lowers risk.
Getting ready for your visit
Bring a list of your symptoms and medicines.
What to bring
- A list of your medicines and supplements
- Notes on when symptoms started and what makes them better or worse
Questions to ask
- Which numbers should I work on first?
Research studies
Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.
Sources
Last updated 2026-11-12.