Medications prescribed for someone with metabolic syndrome are generally prescribed to treat one of their metabolic risk factors. For example, statin medications are prescribed for lowering blood cholesterol. And several kinds of medications are available for people with high blood pressure.

The medication metformin may be recommended for individuals whose risk of developing type 2 diabetes is very high. In many cases, metformin is recommended for those who are younger than age 60 and meet the following criteria:

  • Combined impaired glucose tolerance (IGT) and impaired fasting glycemia (IFG)
  • A1C above 6 percent
  • Low HDL cholesterol
  • High triglyceride levels
  • Family history of diabetes
  • BMI of at least 35

Metformin also lowers the risk of diabetes in women who have had gestational diabetes. People at high risk should ask their healthcare provider if they should take metformin to prevent type 2 diabetes.