According
to the American Diabetes Association (ADA) 57 million Americans have
pre-diabetes, and most of them are unaware of their serious condition. That's
because there are few outward symptoms of pre-diabetes. If you have
pre-diabetes, chances are you will get full-blown diabetes in four to six years
if you do nothing about it.
What
is pre-diabetes?
If
your blood sugar (glucose) level is higher than normal -- but not high enough
to be diagnosed as diabetic -- you are considered "pre-diabetic."
Your body is not efficiently processing glucose.
Your
pre-diabetic condition has not progressed to full-blown diabetes, but is still
serious. Recent research has shown that "some long-term damage to the
body, especially the heart and circulatory system, may already be occurring
during pre-diabetes," according to the ADA.
Diabetes
is the seventh leading cause of death in the U.S., and a contributor to other
deaths from heart disease and stroke. The U.S. Centers for Disease Control
points to obesity and the unhealthy lifestyles of many Americans as a major
contributing factor for diabetes.
How
do you determine for sure whether you are pre-diabetic or diabetic
You
have to have your blood sugar tested. One common test is the fasting
plasma glucose test (FPG). If your glucose level is:--
- 100 mg/deciliter (dl) or less -- your glucose level is normal
- over 100 but less that 126 -- you are pre-diabetic
- 126 and over -- you are diabetic
To
nail it down for sure, take the A1C test. The A1C test result reflects your
average blood sugar level for the past two to three months. Specifically, the
A1C test measures what percentage of your hemoglobin - a protein in red blood
cells that carries oxygen - is coated with sugar (glycated).
The
A1C test should be the primary test used to diagnose pre-diabetes, type 1
diabetes and type 2 diabetes according to an international committee of experts
from the American Diabetes Association, the European Association for the Study
of Diabetes and the International Diabetes Federation.
The
American Diabetes Association has revised its diabetes/pre-diabetes risk test
with a simple flowchart. It help you assess whether you are:--
- at risk for pre-diabetes,
- a high risk for type 2 diabetes, or
- a low risk for pre-diabetes/diabetes
The
test is simplified of course, but it highlights the following major risk
factors:--
- Age -- the older you are, the higher your risk for diabetes/pre-diabetes
- Weight -- the more overweight you are, the higher your risk
- genetics -- if your mother, father, brother or sister has/had diabetes, you have a higher risk
- race -- if you are non-Caucasian, you have a higher risk
- high blood pressure -- if you have or had hypertension, you have a higher risk
- diabetes during pregnancy -- if you had diabetes during pregnancy, you have a higher risk
What
should you do if your risk test or glucose test indicates pre-diabetes or
diabetes
First
of all, see your doctor at once.
Second,
if you are overweight, pick a good weight loss plan and start immediately to
shed excess fat. If you have tried in the past to lose weight, but couldn't,
examine the reasons why you couldn't and make a renewed effort to overcome your
roadblocks to losing weight.
Third,
eat like a diabetic -- Eat healthy and nutritious foods. Cut your sugar intake.
Pay attention to what you eat.
Fourth,
get active. Take walks. Add muscle strengthening exercises.
Do
you want to lose weight? Have you tried diets in the past that failed you? Are
you discouraged because you haven't found success in your weight loss journey?
Know that you CAN lose weight. You just need some help.
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