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Metabolic Syndrome Worksheet

To help manage your condition, fill in the dates on which you had or will have the following tests or checkups.

Lipid profile

I had a lipid profile on __________. 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

My blood pressure is __________. High blood pressure (called 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.


I 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. As soon as you quit, your blood vessels begin to return to normal. Talk with your healthcare provider about programs or medicines that can help you quit.

Blood sugar

I had my blood sugar checked on __________. 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.

Weight management

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 nutrition labels on the foods you eat to avoid calories from added sugar. 


I 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 people.

Online Medical Reviewer: Hurd, Robert, MD
Online Medical Reviewer: Sather, Rita, RN
Online Medical Reviewer: Turley, Raymond Kent, BSN, MSN, RN
Date Last Reviewed: 7/1/2016
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