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Are you a Pre-Diabetic?

​You may not have any illness, but a persistently higher level of blood sugar than average may pose a health concern to you in the near future. 

About 25% of the population with a pre-diabetic condition will progress to overt type 2 diabetes (T2DM) within 3–5 years.# 

What is Pre-diabetes?* 

Pre-diabetes means your blood sugar levels are higher than average, i.e. not high enough to be considered as type 2 diabetes.

How do I know?*

There are 3 confirmatory tests:

1. A fasting blood glucose level between 100-125 mg/dl.

2. Glycated haemoglobin test (HbA1c): Results between 5.7% to 6.4% is confirmatory. HbA1c measures the average blood sugar (glucose) over the last 3 months.

3. An oral glucose tolerance test (OGTT): Blood sugar level within 140 to 199 mg/dL, after 2hrs of intake of a sugary drink, is considered pre-diabetes.

Are there any symptoms?​

In some cases, dark skin patches may appear on certain parts of the body - neck, armpits, elbows & knees.

Otherwise, you may experience a milder form of the following Diabetic symptoms:

1. Excessive thirst (Polydipsia)

2. Frequent urination (Polyuria)

3. Excess hunger

4. Fatigue

Pre-diabetes Flies Under the Radar^^

Risk factors include:

1. Obesity or overweight, or a body mass index (BMI) over 30. Having a waist larger than 40 inches if you're a man & 35 inches if you're a woman.

2. Being 45 years or older.

3. Parents & siblings suffering from diabetes.

4. Sedentary lifestyle.

5. Females suffering from PCOS or have suffered from Gestational Diabetes.

6. High blood pressure/medicines for high blood pressure. 

7. Low HDL cholesterol and/or high triglycerides.

8. Excess of alcohol consumption. 

Pre-diabetes ​Prevent diabetes?^^

Pre-diabetes is reversible, only if you are willing to adopt a few lifestyle adjustments.

1. Engage in 30 to 45 minutes of moderate physical activity at least 5 days a week.

2. Eat a healthy diet & lose excess weight. Losing even 5% to 10% of your weight can make a huge difference.

3. Stop smoking: Nicotine decreases the sensitivity of your cells to insulin, which raises the glucose in your blood.

4. Control your blood pressure & cholesterol levels (blood pressure to be below 140/80 mm hg & total cholesterol level should be less than 200 mg/dL).

5. Chronic emotional stress can directly increase insulin resistance & inhibit beta-cell function. They contribute to the development of diabetes. Hence, please manage your stress levels.

6. Limit alcohol intake.

Stay tuned for more!





#BMC/Global epidemiology of pre-diabetes - present & future perspectives/Published 9 May 2019​​

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