Referring Physicians What is Pre-Diabetes? About 75 million Americans have Pre-Diabetes, so it is a very common clinical issue. Pre-Diabetes is defined as a fasting blood sugar between 100-125 or an A1c greater than 5.8 and less than 6.5. It’s when your blood glucose level is higher than normal (>100), but it’s not high enough to be considered diabetes (>125 on two occasions). There are other typical characteristics of pre-diabetes we call the Metabolic Syndrome; (1.) Obesity defined by a Body Mass Index (BMI) >30, a belt size in a woman >35 inches or in a man >40 inches. (2.) Hypertension or high blood pressure. (3.) Low HDL cholesterol (“Good Cholesterol”) < 40 in men and <50 in women. (4.) High triglycerides, >150. If you have three of these factors, you have the metabolic syndrome, as well. Pre-diabetes is an indication that you may develop type 2 diabetes if you don’t make some lifestyle changes. About 30 % of people with pre-diabetes go on to develop type 2 diabetes and we know that it is treatable. The good news is that it is possible to prevent pre-diabetes from developing into type 2 diabetes. Eating healthy food, losing weight, and being physically active can help you bring your blood glucose level back into the normal range. By this treatment, many people can prevent the development and complications of diabetes. Symptoms Diabetes develops very gradually, so when you’re in the pre-diabetes stage, you may have no symptoms at all. You may however notice symptoms of diabetes: • You are hungrier than normal • You are losing weight, despite eating more • You are thirstier than normal • You have to go to the bathroom more frequently • You are more tired than usual All of these are typical symptoms associated with diabetes, so if you are in the Continue reading >>
Understanding Borderline Diabetes: Signs, Symptoms, And More
Borderline diabetes, also called prediabetes, is a condition that develops before someone gets type 2 diabetes. It’s also known as impaired fasting glucose or glucose intolerance. It basically means your blood sugar levels are higher than normal, but they’re not quite high enough to be considered diabetes. During the prediabetes phase, your pancreas usually still produces enough insulin in response to ingested carbohydrates. The insulin is less effective at removing the sugar from the bloodstream, though, so your blood sugar remains high. This condition is called insulin resistance. If you have prediabetes, you should know you’re not alone. In 2015, it was estimated that 84.1 million people age 18 and older had the condition. That’s 1 in 3 Americans. Having prediabetes doesn’t mean you’ll definitely develop diabetes. It is a warning of what could lie ahead, however. People with prediabetes have a 5 to 15-fold higher risk for type 2 diabetes than someone with normal blood sugar levels. Those chances increase if you don’t make any healthy changes to your diet or activity habits. “Prediabetes is not pre-problem,” says Jill Weisenberger, MS, RD, CDE, and author of “Diabetes Weight Loss Week by Week.” Someone with insulin resistance in its early stages can develop type 2 diabetes if it continues long enough. Only 10 percent of people with prediabetes even know they have it because they don’t display any symptoms. “Often, people consider these symptoms part of their normal day, so they’re ignored,” says Toby Smithson, RDN, CDE, a spokesperson for the Academy of Nutrition and Dietetics and co-author of “Diabetes Meal Planning and Nutrition for Dummies.” Any of these risk factors can increase your chances of developing prediabetes: being inacti Continue reading >>
Type 2 Diabetes Faqs
Common questions about type 2 diabetes: How do you treat type 2 diabetes? When you have type 2 diabetes, you first need to eat a healthy diet, stay physically active and lose any extra weight. If these lifestyle changes cannot control your blood sugar, you also may need to take pills and other injected medication, including insulin. Eating a healthy diet, being physically active, and losing any extra weight is the first line of therapy. “Diet and exercise“ is the foundation of all diabetes management because it makes your body’s cells respond better to insulin (in other words, it decreases insulin resistance) and lowers blood sugar levels. If you cannot normalize or control the blood sugars with diet, weight loss and exercise, the next treatment phase is taking medicine either orally or by injection. Diabetes pills work in different ways – some lower insulin resistance, others slow the digestion of food or increase insulin levels in the blood stream. The non-insulin injected medications for type 2 diabetes have a complicated action but basically lower blood glucose after eating. Insulin therapy simply increases insulin in the circulation. Don’t be surprised if you have to use multiple medications to control the blood sugar. Multiple medications, also known as combination therapy is common in the treatment of diabetes! If one medication is not enough, you medical provider may give you two or three or more different types of pills. Insulin or other injected medications also may be prescribed. Or, depending on your medical condition, you may be treated only with insulin or injected medication therapy. Many people with type 2 diabetes have elevated blood fats (high triglycerides and cholesterol) and blood pressure, so you may be given medications for these problem Continue reading >>
Prediabetes Symptoms And Diagnosis
What is prediabetes? About 41 million Americans between the ages of 40 and 74 have "prediabetes." Prediabetes is a condition that can be considered an early, yet potentially reversible stage of the development of type 2 diabetes. Prediabetes is sometimes called impaired glucose tolerance or impaired fasting glucose (IGT/IFG), depending upon the test that yielded the abnormal result. In prediabetes, a person's blood sugar (glucose) levels are slightly higher than the normal range, but not high enough for a true diagnosis of diabetes. People with prediabetes have a significant risk of developing full-blown diabetes. In the Diabetes Prevention Program study, about 11% of people with prediabetes developed type II diabetes each year during the three year follow-up time of the study. Importantly, people with prediabetes generally have no symptoms of the condition. Testing for Pre Diabetes Doctors generally use one of two different blood tests to diagnose diabetes and prediabetes. One is called the fasting plasma glucose test (FPG) in which a person's blood glucose level is measured first thing in the morning before breakfast. The normal fasting blood glucose level is below 100 mg/dl. A person with prediabetes has a fasting blood glucose level between 100 and 125 mg/dl. If the fasting blood glucose level is to 126 mg/dl or above, a person is considered to have diabetes. The second test used in the diagnosis of diabetes is the oral glucose tolerance test (OGTT), although this test is no longer commonly used as in the past. This test may be used to diagnose gestational diabetes in pregnant women. In this test, a person's blood glucose is measured in the morning after fasting overnight and again two hours after drinking a glucose-rich beverage. The normal value for blood glucose Continue reading >>
Prediabetes is the precursor stage before diabetes mellitus in which not all of the symptoms required to diagnose diabetes are present, but blood sugar is abnormally high. This stage is often referred to as the "grey area." It is not a disease; the American Diabetes Association says, "Prediabetes should not be viewed as a clinical entity in its own right but rather as an increased risk for diabetes and cardiovascular disease (CVD). Prediabetes is associated with obesity (especially abdominal or visceral obesity), dyslipidemia with high triglycerides and/or low HDL cholesterol, and hypertension." It is thus a metabolic diathesis or syndrome, and it usually involves no symptoms and only high blood sugar as the sole sign. Impaired fasting blood sugar and impaired glucose tolerance are two forms of prediabetes that are similar in clinical definition (glucose levels too high for their context) but are physiologically distinct. Insulin resistance, the insulin resistance syndrome (metabolic syndrome or syndrome X), and prediabetes are closely related to one another and have overlapping aspects. Classification Impaired fasting glucose Main article: Impaired fasting glycaemia Impaired fasting glycaemia or impaired fasting glucose (IFG) refers to a condition in which the fasting blood glucose or the 3-month average blood glucose (A1C) is elevated above what is considered normal levels but is not high enough to be classified as diabetes mellitus. It is considered a pre-diabetic state, associated with insulin resistance and increased risk of cardiovascular pathology, although of lesser risk than impaired glucose tolerance (IGT). IFG sometimes progresses to type 2 diabetes mellitus. There is a 50% risk over 10 years of progressing to overt diabetes. Many newl Continue reading >>
Diabetes & Related Conditions – Pre Diabetes When you have pre–diabetes, your blood sugar (glucose) is higher than normal, but not high enough to be considered diabetes. The problem is that this condition puts you at a higher risk of getting diabetes. Diabetes is more than a “touch of sugar.” It is a serious disease that can negatively affect your health in many ways. Today over 25 million Americans have diabetes. But even greater numbers of Americans have pre–diabetes. And the numbers continue to grow. Is it a new condition? Pre–diabetes is a new name for an old condition. It used to be called “impaired glucose tolerance” (IGT) or “impaired fasting glucose” (IFG). These terms also mean that blood glucose levels are a bit raised. We know much more about this condition today. Pre-diabetes is a health problem Having pre–diabetes means you are at high risk for developing type 2 diabetes. About half the people who have pre–diabetes, develop type 2 diabetes within 10 years. But even pre–diabetes can have bad effects on your health. For example, people with pre–diabetes have 1.5 times more risk of heart and blood vessel disease. This includes high blood pressure, stroke, and heart attack. Diabetes can be prevented When you have pre–diabetes and make lifestyle changes, it is possible to prevent or delay type 2 diabetes. In a national study called the Diabetes Prevention Program, doctors looked at a large number of overweight people who were at high risk for diabetes. Here is what they found: Losing weight and being physically active can prevent or delay type 2 diabetes. How likely am I to get pre-diabetes? The same risk factors increase your chances of getting pre–diabetes or diabetes. You are more likely to get pre–diabetes or diabetes if you Continue reading >>
What Is Pre-diabetes?
What Should I Do If I Have It? Are you one of the estimated 54 million people in this country who have pre-diabetes? If you have pre-diabetes, you are at high risk of developing type 2 diabetes and also are at increased risk of developing heart disease. Pre-diabetes is a condition in which blood glucose levels are higher than normal, but not high enough to be classified as full-blown diabetes. Those with pre-diabetes are at increased risk of developing type 2 diabetes within a decade unless they adopt a healthier lifestyle that includes weight loss and more physical activity. First, let's define what "pre-diabetes" is and is not. Diabetes is defined as having a fasting plasma blood glucose level of 126 mg/dl or greater on two separate occasions. If diabetes symptoms exist and you have a casual blood glucose taken at any time that is equal to or greater than 200 mg/dl, and a second test shows the same high blood glucose level, then you have diabetes. In general, people who have a fasting plasma blood glucose in the 100-125 mg/dl range are defined as having impaired fasting glucose. If your doctor gives you an oral glucose tolerance test, and at two-hours your blood glucose is 140-199 mg/dl, you have "impaired glucose tolerance". Either of these is medical terminology for what your doctor is probably referring to when he says you have "pre-diabetes." Be sure to ask your doctor what your exact blood sugar test results are when he tells you that you have "pre-diabetes." Some physicians are not as familiar as they should be with the new national guidelines for diagnosing diabetes. They may be telling you that you have pre-diabetes, when in fact you have actual diabetes. Among those who should be screened for pre-diabetes include overweight adults age 45 and older and those u Continue reading >>
Can Eating Too Much Sugar Cause Type 2 Diabetes?
Olivia Yang was stunned when she learned she had type 2 diabetes six years ago, when she was 19. Her doctor was shocked, too. In fact, her physician tested her twice to be sure there wasn’t some mistake. Yang was young, had a normal weight for her 5-foot-2-inch frame, and didn’t consider herself a particularly bad eater. She certainly didn’t seem like someone at risk. Now a new study may hint at why some patients end up with type 2 diabetes or prediabetes even when they don’t appear to have all of the typical risk factors such as age, obesity, and an unhealthy diet. Yang learned of her condition sophomore year of college. She’d gone for a physical — a requirement in order to begin working out with a fitness trainer — but her A1C blood test came back abnormally high, indicating diabetes. An A1C test tells a person’s average blood sugar level over the past few months. More specifically, an A1C test measures what percentage of your hemoglobin — a protein in red blood cells that carries oxygen — is coated with sugar. It’s used to diagnose type 1 and type 2 diabetes and to keep tabs on how a person is managing their condition over time. Normal readings land below 5.7 percent. The range for someone with prediabetes falls between 5.7 and 6.4 percent and indicates a high risk of developing diabetes. Anything higher is considered diabetes. Unexpected diagnosis Yang, now 25 and an account executive at an advertising agency in Boston, told CBS News, “It was a shock for me. Type 2 runs in my family. But it happened when my parents were older so it was kind of a shock that I would get it at such a young age.” After the diagnosis, though, she realized she’d had symptoms for a while. “Looking back, I fell asleep a lot. I was tired a lot after I ate, a sym Continue reading >>
Are You Borderline Diabetic?
Prediabetes affects many women in Singapore. Here's what you should know about it Most of us are aware of the risk factors, causes and consequences of Type 2 diabetes. Now here's a related condition that affects a significant number of Singapore women every year but is less often talked about: Prediabetes. With this condition, your blood glucose level (blood sugar level) is higher than normal, but it's not high enough to be considered diabetes. According to Dr Stanley Liew, endocrinologist and consultant at Raffles Diabetes & Endocrine Centre, Raffles Hospital, prediabetes is usually without symptoms and can be detected only through a blood test. Depending on the blood test used, the condition may be categorised as impaired fasting glucose (IFG) or impaired glucose tolerance (IGT). The Ministry of Health's National Health Survey, last conducted in 2010, revealed that 14.4 per cent of people in Singapore between the ages of 18 and 69 had IGT. The figure was higher in women (15.2 per cent) than in men (13.5 per cent) and those percentages are thought to be on the rise.Dr Daniel Wai, an endocrinologist at Mount Elizabeth Hospital, recommends being screened if you are over 40, have a family history of diabetes, are overweight, or have been diagnosed with gestational diabetes or have delivered a baby weighing 4kg or more. Other reasons for a screening include having polycystic ovarian syndrome, which causes insulin resistance and could result in diabetes or pre-diabetes, as well as hypertension, high cholesterol, heart disease or sleep apnoea. The world standard unit for measuring glucose in blood is mmol/l, which stands for millimoles/litre. A normal fasting glucose reading is 6.1 mmol/l or less. In a prediabetic person, that reading is between 6.1 and 6.9 mmol/l, and in a Continue reading >>
8 Numbers You Need To Know For Diabetes
How to Manage Diabetes With Numbers Diabetes self-management is a numbers game. But it's not just about your blood sugar. There are at least eight different numbers you should be familiar with to lower your risk for complications from diabetes symptoms. "Diabetes self-management is absolutely essential," says Enrico Cagliero, MD, an associate professor of medicine at Harvard Medical School and an associate physician at the Massachusetts General Hospital Diabetes Center. "Although managing these numbers may not improve diabetes symptoms, it can help decrease the risk of serious complications such as blindness or kidney failure down the road." Continue reading >>
Symptoms, Diagnosis & Monitoring Of Diabetes
According to the latest American Heart Association's Heart Disease and Stroke Statistics, about 8 million people 18 years and older in the United States have type 2 diabetes and do not know it. Often type 1 diabetes remains undiagnosed until symptoms become severe and hospitalization is required. Left untreated, diabetes can cause a number of health complications. That's why it's so important to both know what warning signs to look for and to see a health care provider regularly for routine wellness screenings. Symptoms In incidences of prediabetes, there are no symptoms. People may not be aware that they have type 1 or type 2 diabetes because they have no symptoms or because the symptoms are so mild that they go unnoticed for quite some time. However, some individuals do experience warning signs, so it's important to be familiar with them. Prediabetes Type 1 Diabetes Type 2 Diabetes No symptoms Increased or extreme thirst Increased thirst Increased appetite Increased appetite Increased fatigue Fatigue Increased or frequent urination Increased urination, especially at night Unusual weight loss Weight loss Blurred vision Blurred vision Fruity odor or breath Sores that do not heal In some cases, no symptoms In some cases, no symptoms If you have any of these symptoms, see your health care provider right away. Diabetes can only be diagnosed by your healthcare provider. Who should be tested for prediabetes and diabetes? The U.S. Department of Health and Human Services recommends that you should be tested if you are: If your blood glucose levels are in normal range, testing should be done about every three years. If you have prediabetes, you should be checked for diabetes every one to two years after diagnosis. Tests for Diagnosing Prediabetes and Diabetes There are three ty Continue reading >>
Five Things You Should Know About Prediabetes
After announcing the expansion of Diabetes Stops Here and asking you which topics you’d like covered, we received a specific request for more information about prediabetes. A staggering 79 million Americans deal with this condition, and while it can lead to crippling health consequences, it can be avoided. Here are five things you should know about prediabetes: 1. What is prediabetes? Before people develop type 2 diabetes, they almost always have prediabetes, a health condition where your blood glucose is higher than normal but not as high as if you had diabetes. 2. How can I find out if I have it? Your doctor can give you a blood test to tell if you have prediabetes (the same test that’s used to test for diabetes). At your next doctor visit, ask if you should be tested for prediabetes. 3. What can I do if I have prediabetes? If you have prediabetes, there are important steps you can, and should, take. Early intervention can turn back the clock and return elevated blood glucose levels to the normal range. Losing weight is an important step for most people with prediabetes, and the amount doesn’t have to be huge to make a difference. A weight loss of just 10 to 15 pounds can really stack the odds in your favor. Coupled with 30 minutes of exercise each day and healthy food choices, you’ll be on your way. Talk with your doctor and visit our website to learn more about other ways you can prevent or reverse the condition. 4. Does this mean I’m going to develop type 2 diabetes? Prediabetes can lead to type 2 diabetes…but it doesn’t have to. Scientific studies show taking the above steps can often halt or at least slow down the progression of prediabetes so it doesn’t take a turn for the worse. 5. Where can I find help? You are not alone. It’s never too late Continue reading >>
What Is Prediabetes? Prediabetes is a “pre-diagnosis” of diabetes—you can think of it as a warning sign. It’s when your blood glucose level (blood sugar level) is higher than normal, but it’s not high enough to be considered diabetes. Prediabetes is an indication that you could develop type 2 diabetes if you don’t make some lifestyle changes. But here's the good news: . Eating healthy food, losing weight and staying at a healthy weight, and being physically active can help you bring your blood glucose level back into the normal range. Diabetes develops very gradually, so when you’re in the prediabetes stage—when your blood glucose level is higher than it should be—you may not have any symptoms at all. You may, however, notice that: you’re hungrier than normal you’re losing weight, despite eating more you’re thirstier than normal you have to go to the bathroom more frequently you’re more tired than usual All of those are typical symptoms associated with diabetes, so if you’re in the early stages of diabetes, you may notice them. Prediabetes develops when your body begins to have trouble using the hormone insulin. Insulin is necessary to transport glucose—what your body uses for energy—into the cells via the bloodstream. In pre-diabetes, your body either doesn’t make enough insulin or it doesn’t use it well (that’s called insulin resistance). If you don’t have enough insulin or if you’re insulin resistant, you can build up too much glucose in your blood, leading to a higher-than-normal blood glucose level and perhaps prediabetes. Researchers aren’t sure what exactly causes the insulin process to go awry in some people. There are several risk factors, though, that make it more likely that you’ll develop pre-diabetes. These are Continue reading >>
High Blood Glucose: What It Means And How To Treat It
What is high blood glucose? People who do not have diabetes typically have fasting plasma blood glucose levels that run under 100 mg/dl. Your physician will define for you what your target blood glucose should be — identifying a blood glucose target that is as close to normal as possible that you can safely achieve given your overall medical health. In general, high blood glucose, also called 'hyperglycemia', is considered "high" when it is 160 mg/dl or above your individual blood glucose target. Be sure to ask your healthcare provider what he or she thinks is a safe target for you for blood glucose before and after meals. If your blood glucose runs high for long periods of time, this can pose significant problems for you long-term — increased risk of complications, such as eye disease, kidney disease, heart attacks and strokes and more. High blood glucose can pose health problems in the short-term as well. Your treatment plan may need adjustment if the blood glucose stays over 180 mg/dl for 3 days in a row. It is important to aim to keep your blood glucose under control, and treat hyperglycemia when it occurs. What are the symptoms of high blood glucose? Increased thirst Increased urination Dry mouth or skin Tiredness or fatigue Blurred vision More frequent infections Slow healing cuts and sores Unexplained weight loss What causes high blood glucose? Too much food Too little exercise or physical activity Skipped or not enough diabetes pills or insulin Insulin that has spoiled after being exposed to extreme heat or freezing cold Stress, illness, infection, injury or surgery A blood glucose meter that is not reading accurately What should you do for high blood glucose? Be sure to drink plenty of water. It is recommended to drink a minimum of 8 glasses each day. If yo Continue reading >>
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What Is Considered A High Blood Sugar Level For A Diabetic?
Without diabetes, your blood sugar should stay within the range of 70 to 120 milligrams per deciliter. But if you are diagnosed with diabetes, a more normal range for you may be between 80 and 180 milligrams per deciliter, according to the Juvenile Diabetes Research Foundation. Clearly, anything outside of this range is dangerous for a diabetic, and when it gets to a certain level, you may require immediate medical attention. Video of the Day Anytime blood sugar is more than 240 milligrams per deciliter, it’s a cause for concern among diabetics. It is particularly dangerous if your sugar is this high before a meal, since consuming any food would probably cause it to rise even more. When your blood glucose is above 240 milligrams per deciliter, it means your system isn’t getting the energy it needs from glucose and could start breaking down fats. Your body starts producing ketones, which stem from fat deconstruction, possibly putting you into ketoacidosis that could lead to a diabetic coma. If your blood sugar surges to over 300 milligrams per deciliter, contact your physician immediately, since it could be life-threatening. Continue reading >>
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