Answer: Diuretic use
Explanation:
The most common factors that is associated with the high blood pressure which can turn it into metabolic syndrome are:
Insulin resistance: More than 100mg/L of blood glucose level is harmful for both men and women.
Abdominal obesity: The waist size of more than 35 inches for women and 40 inches for men. More than this can be harmful and cause metabolic syndrome.
High blood triglycerides: More than 150 mg/dL. Triglycerides are a type of fat in the blood which can also develop metabolic syndrome.
Diuretic use is not a factor which can develop high blood pressure into metabolic syndrome.