Metabolic syndrome is characterized by insulin resistance, abnormal glucose metabolism, and lipid abnormalities. It is caused by resistance to insulin in the liver, skeletal muscle, and fat tissue which overworks the pancreas. Over time, the pancreas loses function and leads to type 2 diabetes. Metabolic syndrome starts with high triglycerides and is associated with an increased risk of cardiovascular disease. Treatment focuses on aggressively reducing cardiovascular risk through medical checks, lifestyle changes like a low calorie diet, and increasing physical activity.