What is “pre-diabetes?”
Pre-diabetes (also known as “impaired fasting glucose” or “impaired glucose tolerance”) is a condition in which your blood sugar(“glucose”) level is higher than normal, but not high enough to be classified as (type 2) diabetes. However, if you have pre-diabetes, you are at increased risk of developing diabetes. Without intervention, 25% with pre-diabetes will develop type 2 diabetes in as little as 3-5 years. But, progression from pre-diabetes to type 2 diabetes is not unavoidable. With healthy lifestyle changes, you may be able to bring your blood sugar level back to the range of normal.
What level qualifies as “pre-diabetes?”
A normal fasting blood glucose level (after 12 hours of fasting) should fall in the range of 65-100. Levels above 125 are considered diagnostic of type 2 diabetes. Thus fasting levels between 100 and 125 are considered to
reflect “pre-diabetes.”
Why is it important to prevent diabetes, type 2?
Diabetes is associated with many long-term complications, including heart disease and stroke, kidney disease, nerve damage, blindness, cataracts, glaucoma, serious infections requiring amputation, increased
risk of bacterial and fungal infections, osteoporosis, and increased risk of Alzheimer’s disease.
These conditions may develop gradually but are often associated with significant disability and possibly death. It is possible that even having “pre-diabetes” may put you at increased risk for some of these problems.
Are there any signs or symptoms associated with pre-diabetes?
Usually, there are no symptoms associated with pre-diabetes. However, it is important to watch for signs of
type 2 diabetes, which may include:
- Increased thirst
- Frequent urination
- Extreme hunger
- Unexplained weight loss
- Fatigue
- Blurred vision
- Slow-healing sores or frequent infections
Are there treatments for pre-diabetes?
Generally, the condition of pre-diabetes does not require medications. However, if your condition progresses to type 2 diabetes or if you have other more serious risk factors for cardiovascular disease, it may be necessary for you to undergo treatment to prevent the more serious complications associated with diabetes.
Is there anything I can do to manage my pre-diabetes and to prevent the onset of type 2 diabetes?
In general, maintaining a healthy lifestyle can be helpful in preventing the progression of your pre-diabetes, even if diabetes already affects members of your family. Some general principles to employ include:
- Choose a variety of healthy foods and a vegetarian-based diet. Choose fresh fruits and vegetables, legumes, and whole grains (all are high in fiber, which helps to slow the release of glucose into
your blood stream). Limit sugars, sweets, and the “white” breads, rice, noodles/pasta.
Sue Kim, M.D., M.S.
Heshmat Pain Management Clinic
Choose “100% whole” wheat or grain and “low-carb” varieties. It may be helpful to include foods with a low glycemic index (GI)/glycemic load (GL).