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efore people develop type 2 diabetes, they almost always have “prediabetes”—blood glucose levels that are higher than normal but not yet high enough to be diagnosed as diabetes. Type 2 diabetes is a progressive condition, and a person’s glucose could have been elevated for years by the time he or she is diagnosed. In fact, according to the Centers for Disease Control, 86 million Americans—more than one out of three—have prediabetes.
Unfortunately, 9 out of 10 people with pre-diabetes don’t even know they have it, according to the Centers for Disease Control and Prevention (CDC). This is especially unfortunate because without lifestyle changes, 15 percent to 30 percent of people with prediabetes will develop type 2 diabetes within five years. What’s more, prediabetes correlates with an increased risk of developing cardiovascular disease, the leading cause of death in the U.S.
Taught by our team of experts, our Diabetes Prevention Program can help you learn what steps you can take to prevent pre-diabetes from developing into type 2 diabetes. Take our Diabetes Risk Assessment to find out if you are at risk!
Getting Tested
These tests are used to determine whether a person has prediabetes:
he fasting blood glucose test measures blood glucose after a period of fasting, usually in the morning. If the glucose is between 100 and 125, the diagnosis is impaired fasting glucose (IFG), or prediabetes.
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he oral glucose tolerance (OGT) test measures the blood glucose level during fasting and again two hours after the ingestion of a glucose drink. If the fasting blood glucose is in the normal range but the glucose level is high after the sugary drink, the diagnosis is impaired glucose tolerance (IGT), or pre-diabetes.
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he A1C test is first used to diagnose both prediabetes and type 1 and type 2 diabetes. Once a person has been diagnosed, their doctor will periodically prescribe an A1C test to determine how well they are managing their diabetes. This blood test provides information about a person’s average blood glucose levels over the three months just prior to testing. An A1C test result is reported as a percentage: a normal A1C level is below 5.7 percent. Anything above that number is an indication that blood glucose has been elevated over time: 5.7–6.4 is considered to be prediabetes; 6.5 and above indicates diabetes.
Prediabetes by the Numbers
The numbers below are indicative of prediabetes:
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ccording to an important national clinical trial known as the Diabetes Prevention Program (DPP), the risk factors for prediabetes are the same as those for diabetes:
The more overweight you are, the more resistant your cells become to insulin. Ask your doctor what a healthy weight for you would be.
The circumference of your waist may be a risk factor for metabolic disease or insulin resistance. A waist measurement of 40 inches or more in men and 35 inches or more in women suggests an increased risk.
Regular exercise reduces your chances of developing diabetes. Physical activity burns glucose as energy, makes cells more sensitive to insulin, and helps maintain a healthy body weight.
The risk of developing prediabetes rises as you get older, especially after age 45.
The risk of diabetes increases if a parent or sibling has type 2 diabetes.
Due to genetics, African-Americans, Hispanics, American Indians, Asian Americans, and Pacific Islanders are more likely to develop diabetes.
Women who develop gestational diabetes during pregnancy have an increased risk of diabetes.
Women who have been diagnosed with polycystic ovarian syndrome have a greater risk of developing diabetes.
Research has linked sleep issues such as obstructive sleep apnea with insulin resistance. People who work the night shift are also thought to be at higher risk of developing diabetes.
These include high blood pressure, decreased HDL cholesterol, and increased LDL cholesterol and triglycerides.
Lowering Your Risk of Developing Type 2 Diabetes
According to the American Diabetes Association, research shows that you can lower your risk of developing type2 diabetes by 58 percent if you take these preventive measures:
Even a 10- to 15-pound weight loss can make a big difference. In addition to helping reduce your risk of developing type 2 diabetes, losing weight lowers your risk of heart disease and lowers blood pressure, cholesterol, and blood glucose.
For a fresh approach to your diet, choose more vegetables, fruits, and whole grains. Substitute quinoa, barley, brown rice, or whole-wheat pasta for white rice or pasta. Buy leaner meats, such as chicken, turkey, and leaner cuts of beef or pork. Save money—and calories—by passing on the soda, sweets, cookies, chips, and other “junk foods.” When you go out to dinner, avoid fried foods and ask for sauces and dressings on the side. Instead of caloric sides such as fries or potato salad, ask if you can substitute fruit, salad, veggies, or sliced tomatoes.
Before people develop type 2 diabetes, they almost always have “prediabetes”—blood glucose levels that are higher than normal but not yet high enough to be diagnosed as diabetes. Type 2 diabetes is a progressive condition, and a person’s glucose could have been elevated for years by the time he or she is diagnosed. In fact, according to the Centers for Disease Control, 86 million Americans—more than one out of three—have prediabetes.
Unfortunately, 9 out of 10 people with pre-diabetes don’t even know they have it, according to the Centers for Disease Control and Prevention (CDC). This is especially unfortunate because without lifestyle changes, 15 percent to 30 percent of people with prediabetes will develop type 2 diabetes within five years. What’s more, prediabetes correlates with an increased risk of developing cardiovascular disease, the leading cause of death in the U.S.
Taught by our team of experts, our Diabetes Prevention Program can help you learn what steps you can take to prevent pre-diabetes from developing into type 2 diabetes. Take our Diabetes Risk Assessment to find out if you are at risk!
Getting Tested
These tests are used to determine whether a person has prediabetes:
The fasting blood glucose test measures blood glucose after a period of fasting, usually in the morning. If the glucose is between 100 and 125, the diagnosis is impaired fasting glucose (IFG), or prediabetes.
The oral glucose tolerance (OGT) test measures the blood glucose level during fasting and again two hours after the ingestion of a glucose drink. If the fasting blood glucose is in the normal range but the glucose level is high after the sugary drink, the diagnosis is impaired glucose tolerance (IGT), or pre-diabetes.
The A1C test is first used to diagnose both prediabetes and type 1 and type 2 diabetes. Once a person has been diagnosed, their doctor will periodically prescribe an A1C test to determine how well they are managing their diabetes. This blood test provides information about a person’s average blood glucose levels over the three months just prior to testing. An A1C test result is reported as a percentage: a normal A1C level is below 5.7 percent. Anything above that number is an indication that blood glucose has been elevated over time: 5.7–6.4 is considered to be prediabetes; 6.5 and above indicates diabetes.
Prediabetes by the Numbers
The numbers below are indicative of prediabetes:
According to an important national clinical trial known as the Diabetes Prevention Program (DPP), the risk factors for prediabetes are the same as those for diabetes:
The more overweight you are, the more resistant your cells become to insulin. Ask your doctor what a healthy weight for you would be.
The circumference of your waist may be a risk factor for metabolic disease or insulin resistance. A waist measurement of 40 inches or more in men and 35 inches or more in women suggests an increased risk.
Regular exercise reduces your chances of developing diabetes. Physical activity burns glucose as energy, makes cells more sensitive to insulin, and helps maintain a healthy body weight.
The risk of developing prediabetes rises as you get older, especially after age 45.
The risk of diabetes increases if a parent or sibling has type 2 diabetes.
Due to genetics, African-Americans, Hispanics, American Indians, Asian Americans, and Pacific Islanders are more likely to develop diabetes.
Women who develop gestational diabetes during pregnancy have an increased risk of diabetes.
Women who have been diagnosed with polycystic ovarian syndrome have a greater risk of developing diabetes.
Research has linked sleep issues such as obstructive sleep apnea with insulin resistance. People who work the night shift are also thought to be at higher risk of developing diabetes.
These include high blood pressure, decreased HDL cholesterol, and increased LDL cholesterol and triglycerides.
Lowering Your Risk of Developing Type 2 Diabetes
According to the American Diabetes Association, research shows that you can lower your risk of developing type2 diabetes by 58 percent if you take these preventive measures:
Even a 10- to 15-pound weight loss can make a big difference. In addition to helping reduce your risk of developing type 2 diabetes, losing weight lowers your risk of heart disease and lowers blood pressure, cholesterol, and blood glucose.
For a fresh approach to your diet, choose more vegetables, fruits, and whole grains. Substitute quinoa, barley, brown rice, or whole-wheat pasta for white rice or pasta. Buy leaner meats, such as chicken, turkey, and leaner cuts of beef or pork. Save money—and calories—by passing on the soda, sweets, cookies, chips, and other “junk foods.” When you go out to dinner, avoid fried foods and ask for sauces and dressings on the side. Instead of caloric sides such as fries or potato salad, ask if you can substitute fruit, salad, veggies, or sliced tomatoes.