Prediabetes should be viewed as an active cardiometabolic disease stage rather than a passive risk marker. Cardiovascular injury begins before overt diabetes, creating a critical window for intervention. Lifestyle therapy remains fundamental, while agents such as metformin, GLP-1 receptor agonists, dual incretin therapies, and SGLT2 inhibitors may help modify long-term cardiovascular risk.

https://www.scvc.co.uk/vat/glucose-insulin-dynamics/prediabetes-as-a-therapeutic-target-a-cardiologists-editorial-perspective/

https://www.scvc.co.uk/metabolic-health-weight/cardiometabolic-risk-in-2026-from-self-management-to-structured-escalation/

Porridge is healthy — but adding cream may improve its metabolic impact. This cardiologist explains how moderating glucose spikes, protecting muscle and reducing small dense LDL formation can support cardiovascular health, particularly in patients with visceral adiposity and insulin resistance.

To read more see

https://www.scvc.co.uk/metabolic-health-weight/why-a-cardiologist-puts-cream-on-his-porridge/

To review all podcasts is series https://feeds.transistor.fm/vat-trap

Menopause often brings a hidden shift in fat storage—from hips to abdomen—driven by falling oestrogen and loss of muscle. This article explains why visceral fat matters more than weight, how simple screening can detect risk early, and how HRT, lifestyle change, and modern tools can protect long-term heart and metabolic health.

https://www.scvc.co.uk/vat/menopause-belly-fat-and-long-term-health-why-hrt-and-visceral-fat-screening-matter/

Ten minutes of strength training, five days a week, is enough to change metabolic health. Like brushing your teeth, it works because it’s sustainable. Keep the time fixed, increase the weights gradually, and focus on strength, not scales. Small daily habits protect muscle, reduce visceral fat, and support long-term health.

To read more see https://www.scvc.co.uk/metabolic-health/if-you-spend-2-minutes-brushing-your-teeth-why-not-10-minutes-saving-your-life/

https://feeds.transistor.fm/vat-trap

In cardiometabolic medicine, muscle is not a cosmetic tissue but a metabolic organ. Evidence consistently shows that strength, not muscle mass, predicts insulin resistance, cardiovascular risk, and survival. Many older adults are not losing muscle tissue — they are losing muscle function, and that is the pathology that matters. Read the blog here

For all podcasts see https://feeds.transistor.fm/vat-trap

A 2026 BMJ systematic review confirms that weight regain is the rule after stopping pharmacological weight-management therapy. Across drug classes, most lost weight is regained within 24 months, with parallel loss of metabolic benefit. This reflects biological defence of adiposity, not patient failure.

Blog

Smart body composition scales are not metabolic truth machines. Their value lies in engagement, not precision. During weight loss—especially with GLP-1 therapy—hydration and glycogen shifts distort “muscle” readings. Used within a tiered system that prioritises waist, strength, and function, they can support behaviour without undermining progress.

Blog see https://www.scvc.co.uk/metabolic-health/smart-body-composition-scales-helpful-metabolic-tool-or-misleading-distraction/