Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Get emergency help for possible signs of a heart attack or stroke, including:
Chest pressure or pain, especially with sweating, nausea, or breathlessness
Sudden weakness or numbness on one side
Sudden trouble speaking, understanding, seeing, or walking
A sudden severe headache unlike your usual headaches
Fainting or severe difficulty breathing
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Urgent assessment is also needed for very high blood sugar with vomiting, confusion, deep or difficult breathing, severe weakness, or inability to keep fluids down.
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if you have repeated high blood pressure readings, increasing waist size, or a family history of early heart disease or type 2 diabetes.
Increased thirst, frequent urination, blurred vision, or unexplained weight loss also deserve timely assessment.
If you already have metabolic syndrome, seek routine review when you are having trouble following the plan, develop medicine side effects, or notice that home blood pressure or glucose results are repeatedly outside the range set for you.
The article also says
Metabolic syndrome itself is not usually an emergency.
Every sign above is quoted from the sofidex article on Metabolic syndrome. If you are not sure, err upward — it is always reasonable to be checked.