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The Metabolic Syndrome: The Emperor Needs Some Consistent Clothes

Response to Vinicor and Bowman

  1. Charles M. Alexander, MD
  1. From Outcomes Research & Management, Merck & Co., West Point, Pennsylvania
  1. Address correspondence to Charles M. Alexander, MD, Outcomes Research & Management, Merck & Co., P.O. Box 4, WP39-170, Sumneytown Pike and Broad Streets, West Point, PA 19486. E-mail: charles_alexander{at}merck.com

Drs. Vinicor and Bowman (1) point to a number of challenges associated with formalizing medical syndromes for clinical and public health purposes in this issue of Diabetes Care. I agree with the issues they raise; it is not yet clear whether the metabolic syndrome is a separate syndrome or simply a collection of commonly recognized cardiovascular risk factors. The current working definitions …

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