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Pre-Diabetes – Risk of Switching to Diabetes If Blood Sugar Is Not Controlled Well

Many people think that pre-diabetes is just a temporary disorder that will go away on its own over time. But this concept is completely wrong.

A comfortable diet leading to harmful substances into the body will increase blood sugar levels and prolong, leading to prediabetes. If you switch to type 2 diabetes, it will be difficult to treat and the patient's health will be severely affected.

What Is Pre-Diabetes?

When the level of glucose (blood sugar) rises above normal but not high enough to cause diabetes, it is called pre-diabetes, or in other words, a blood sugar disorder.

If fasting for at least 8 hours then blood glucose level measurement will normally only fluctuate in the 70-100mg / dL range. But when impaired glucose tolerance causes fasting blood sugar to rise, the pre-diabetic glycemic index will be higher than 126mg / dL.

It can be understood that pre-diabetes lies in the mid-stage, exceeds the normal body threshold, and has not yet reached the stage of being identified as diabetes.

Many people think that pre-diabetes is not a disease so there is nothing to worry about. But actually, when pre-diabetes is still capable of damaging the heart, circulatory system and hardening of the arteries can also develop from the precursor stage of diabetes.

Causes of Pre-Diabetes

According to medical studies, until now it has not found the exact cause of pre-diabetes.

But one of the risk factors for prediabetes is in many cases due to genetics. Another cause is that excess fat accumulation is also at risk of prediabetes.

The mechanism of prediabetes is due to abnormal problems with genes responsible for controlling insulin, leading to insufficient insulin production through the diet or the inability of the body to absorb insulin. This causes the concentration of sugar to accumulate and rise in the blood.

What Are The Symptoms of Pre-Diabetes?

Pre-diabetes is a kind of disorder that happens silently, has no specific symptoms, so it is difficult to detect, only when testing for pre-diabetes can detect it.

The main test method used is a fasting glucose test. The patient will be given a drink of sugar water, waiting 2 hours after the patient will be re-measured.

If the glycemic index is below 11mmol / l but higher than 6.9 mmol / l, then you have pre-diabetes, even higher than 11mmol / l indicates that the patient has diabetes.

Although in most cases there are no specific symptoms, there are some signs the patient may suspect to have a blood glucose test as follows:

  • Frequent nausea and urine output more than normal.
  • There is a feeling of constant thirst.
  • Blurred vision.
  • Fatigue, distraction.

One of the most common signs people should pay special attention to is a change in skin color. For people with prediabetes, the skin color tends to be darker than normal and can be seen most clearly in the neck, knees, underarms, elbows, and finger joints.

Who Is at Risk for Pre-Diabetes?

You will have a higher risk of pre-diabetes than anyone else if you are in the following risk groups:

Genetic factors: There is a history of family members having diabetes.

  • Having an unscientific lifestyle, sedentary, and sports practice.

Age: People aged 45 and over are at high risk of prediabetes.

  • BMI (body weight index)> 25 kg / m2.
  • Have gestational diabetes, and give birth to a baby weighing more than 4kg.
  • People with high blood pressure have a higher risk of prediabetes than others.
  • Having an irregular menstrual cycle, polycystic ovaries.
  • Subjects are overweight, obese.
  • Have high cholesterol in the blood.
  • Patients with previous lipid disorders such as increased triglycerides or decreased HDL cholesterol.

When to test for diabetes? If you are in a high-risk group for prediabetes and present with symptoms such as abnormal urination, feeling tired, especially darker-than-normal skin, you should go to a hospital or clinic for diabetes tests to be checked and treated early, to avoid the risk of serious health effects, making treatment difficult.

Criteria of Diagnosis of Pre-Diabetes

Criteria for diagnosis of pre-diabetes are often applied through two methods: fasting glycemic index and oral glucose tolerance test.

Fasting glycemic index

Fasting glycemic index is a method of taking blood samples from patients to measure the glycemic index when the patient is hungry.

For the most accurate results that force the patient to fast for at least 8 hours, it is generally best to have a glycemic index in the morning.

In addition to starving, the amount of water loaded in the body also needs to be controlled prior to the test. Patients should only drink limited amounts of water and tea with no sugar.

Usually, in a routine checkup, measuring fasting glucose is also one of the basic tests.

OGTT oral glucose tolerance test

If doctors suspect that the patient has prediabetes or diabetes, an Oral glucose tolerance test (OGTT) will be ordered to make a diagnosis. However, this test is not usually included in the general examination category.

To perform the OGTT test, patients have to fast for more than 10 hours, usually from after dinner the night before to the next morning.

During the 3 days prior to the test, patients should eat a carbohydrate-rich diet from starchy foods including rice, pho, cereals, vegetables, and fruit.

When there is enough time, the patient will receive a blood sample while hungry. Next, the patient will have to drink from 75g- 100g of anhydrous glucose in about 200ml of filtered water. Waiting time after 1 hour will continue to take blood samples once, and the third time after 2 hours.

The oral glucose tolerance test checks whether or not the sugar level rises after a meal, and then the blood sugar level remains high or low.

Through this test is also a method to diagnose and detect patients with latent diabetes.

Where Is Diabetes Test?

When a patient suspects that he has diabetes or pre-diabetes wants to be tested but is concerned about the problem of diabetes testing?

Currently, there are many public and private hospitals that test for diabetes. You can choose places that are close to you for the convenience of getting around. Each hospital will have different equipment for diagnosis, according to which the time to return results is not the same.

However, if you still have a lot of questions about what to note before the test, can you make an appointment, or want more counseling appropriate to your health condition to be prepared to avoid loss. At the same time, you can also call Diag's hotline 19001717 – a reputable medical diagnostic center for the most specific advice and answers.

Treatment of Pre-Diabetes

When receiving test results to diagnose patients with prediabetes, many people worry and ask the question is pre-diabetes can be cured?

Pre-diabetes is treated and controlled to prevent the risk of developing type 2 diabetes by changing lifestyle habits and a healthy and scientific diet.

To do this, the patient needs to do the following:

  • Have a reasonable diet, add lots of green vegetables and healthy foods, stay away from fast foods and foods that are too sweet for a long time.

Weight loss is an effective method to help stabilize blood glucose. Specifically, you should lose about 10% of the weight for a significant improvement by increasing exercise and nutrition.

  • Should take 30 minutes a day to practice and regularly about 3-4 times a week with healthy exercises, or play badminton, jogging, swimming … suitable for your condition and health situation.

Limit the use of stimulants, especially cigarettes.

  • Control and treat high blood pressure and cholesterol intake.
  • Follow treatment regimen and doctor's opinion about diet and exercise. Should use the drug as directed and follow-up periodically according to an appointment.

Pre-diabetes is the stage before diabetes develops. At this stage, if the patient can make positive lifestyle changes combined with a reasonable diet will help control blood sugar well.

If you are not active in the treatment of pre-diabetes until the onset of diabetes will cause serious health effects, and risk leading to many diabetes complications.

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The site cannot and does not contain medical advice. The medical information is provided for general informational and educational purposes only and is not a substitute for professional advice. Accordingly, before taking any actions based upon such information, we encourage you to consult with the appropriate professionals.