
How Serious Is Prediabetes?
According to the American Diabetes Association (ADA), over 84 million Americans had prediabetes in 2015. But how big a problem is prediabetes?
Is prediabetes a real disease? Or are they just trying to scare people, sell medicines, and get more money for diabetes services? Let’s see.
What is prediabetes?
According to the Centers for Disease Control, prediabetes means blood sugars that are higher than normal, but not high enough to qualify as diabetes. It’s what used to sometimes be called “borderline diabetes.”
Prediabetes is a numbers game. There are no symptoms that define it. The term “prediabetes” classes people with only slightly high sugars as having an illness.
Some experts strongly dislike the term, because it sounds like a stage on the way to diabetes. It can be, but many people never get there. It depends on your life and how you live it.
A person can be classed with prediabetes in three ways:
• Impaired fasting glucose (IFG): A fasting blood glucose between 100–125 mg/dl (5.6–7.0 mmol/l).
• Impaired glucose tolerance (IGT): An oral glucose tolerance test (OGTT) result from 140–199 mg/dl. The person is given a sweet drink and his glucose is tested one and/or two hours later.
An OGTT was the first test used to diagnose prediabetes, but it’s used much less now because of the time, difficulty, and expense involved.
• Hemoglobin A1C: An HbA1c level of 5.7% to 6.4%. HbA1c is a rough measure of a person’s average glucose over the last 2–3 months.
Some of the increased number of people with prediabetes is from the newer tests. More people are
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