 I am concerned with possible diabetes and a likely metabolic syndrome of this gentleman with truncal obesity, hypertension, possible insulin resistance, and some degree of fasting hyperglycemia, as well as slight triglyceride elevation. 
I am concerned with possible diabetes and a likely metabolic syndrome of this gentleman with truncal obesity , hypertension , possible insulin resistance , and some degree of fasting hyperglycemia , as well as slight triglyceride elevation .