Prediabetes

14 min read

Prediabetes is a condition in which blood sugar levels are higher than normal, but not high enough to be classified as type 2 diabetes. It is estimated that 84 million Americans have prediabetes, and many of them don't even know it. Prediabetes is a serious health condition that increases the risk of developing type 2 diabetes, heart disease, and stroke.

What Causes Prediabetes?

The exact cause of prediabetes is unknown, but it is believed to be related to lifestyle factors such as being overweight or obese, having an inactive lifestyle, and eating an unhealthy diet. Other risk factors include having a family history of diabetes, being over 45 years old, and having high blood pressure or high cholesterol.

How is Prediabetes Diagnosed?

Prediabetes is usually diagnosed with a blood test called the A1C test. This test measures your average blood sugar level over the past two to three months. If your A1C test result is higher than normal, you may have prediabetes.

What are the Complications of Prediabetes?

If left untreated, prediabetes can lead to serious health complications, including type 2 diabetes, heart disease, stroke, and kidney disease. It is important to take steps to prevent or delay the onset of these complications.

How Can Prediabetes Be Prevented or Delayed?

Making lifestyle changes is the best way to prevent or delay the onset of prediabetes. These changes include eating a healthy diet, getting regular physical activity, and maintaining a healthy weight. If you have prediabetes, your doctor may also recommend medications to help control your blood sugar levels.

Take the Prediabetes Assessment

Symptoms

Common Symptoms of Prediabetes

  • Frequent urination
  • Excessive thirst
  • Extreme hunger
  • Unexplained weight loss
  • Fatigue
  • Blurred vision
  • Slow-healing sores
  • Frequent infections

If you experience any of these symptoms, it’s important to talk to your doctor. They can help you determine if you have prediabetes and provide you with the necessary treatment and lifestyle changes to prevent it from progressing to type 2 diabetes.

Risk Factors for Prediabetes

In addition to knowing the symptoms of prediabetes, it’s important to be aware of the risk factors. Risk factors for prediabetes include:

  • Being overweight or obese
  • Having a family history of type 2 diabetes
  • Being over the age of 45
  • Having high blood pressure
  • Having high cholesterol
  • Having a sedentary lifestyle

If you have any of these risk factors, it’s important to talk to your doctor about getting tested for prediabetes. Early detection and treatment can help prevent the condition from progressing to type 2 diabetes.

Causes

Genetics

Genetics can play a role in prediabetes. If you have a family history of type 2 diabetes, you may be more likely to develop prediabetes. This is because certain genes can make you more susceptible to developing the condition.

Obesity

Obesity is a major risk factor for prediabetes. Being overweight or obese can cause your body to become resistant to insulin, which can lead to prediabetes. Losing weight can help reduce your risk of developing prediabetes.

Lack of Exercise

Regular physical activity can help keep your blood sugar levels in check. If you don’t get enough exercise, your body may become resistant to insulin, which can lead to prediabetes. Aim for at least 30 minutes of moderate-intensity exercise most days of the week.

Unhealthy Diet

Eating a diet high in processed foods, sugar, and saturated fat can increase your risk of prediabetes. Eating a balanced diet that is rich in fruits, vegetables, and whole grains can help keep your blood sugar levels in check.

Age

Your risk of prediabetes increases as you age. This is because your body’s ability to produce and use insulin decreases with age. If you are over 45, it is important to get your blood sugar levels checked regularly.

Other Factors

Other factors that can increase your risk of prediabetes include smoking, high blood pressure, and a sedentary lifestyle. If you have any of these risk factors, it is important to talk to your doctor about ways to reduce your risk.

Getting a Diagnosis

Fasting Plasma Glucose Test

The fasting plasma glucose test is the most common method of diagnosing prediabetes. This test measures the amount of glucose in your blood after you have gone without food for at least 8 hours. If your blood glucose level is higher than normal, but not high enough to be classified as diabetes, you may have prediabetes.

Oral Glucose Tolerance Test

The oral glucose tolerance test is another method of diagnosing prediabetes. This test measures your blood glucose levels after you have consumed a sugary drink. If your blood glucose levels are higher than normal, but not high enough to be classified as diabetes, you may have prediabetes.

Hemoglobin A1C Test

The hemoglobin A1C test is a third method of diagnosing prediabetes. This test measures the amount of glucose that has been attached to your red blood cells over the past three months. If your hemoglobin A1C level is higher than normal, but not high enough to be classified as diabetes, you may have prediabetes.

Risk Factors

In addition to the tests mentioned above, your doctor may also consider your risk factors for prediabetes when making a diagnosis. Risk factors for prediabetes include being overweight, having a family history of diabetes, and having high blood pressure. If you have any of these risk factors, your doctor may recommend that you get tested for prediabetes.

Conclusion

Diagnosing prediabetes is important, as it can lead to serious health complications if left untreated. The most common methods of diagnosing prediabetes are the fasting plasma glucose test, the oral glucose tolerance test, and the hemoglobin A1C test. Your doctor may also consider your risk factors for prediabetes when making a diagnosis.

Questions for Your Doctor

Risk Factors

Discussing your risk factors with your doctor can help you understand why you may have developed prediabetes. Your doctor can explain the lifestyle and genetic factors that may have contributed to your condition. Knowing your risk factors can help you make lifestyle changes to reduce your risk of developing type 2 diabetes.

Blood Sugar Levels

Your doctor can explain your blood sugar levels and how they relate to prediabetes. They can also explain what your target blood sugar levels should be and how to monitor them. Knowing your blood sugar levels can help you make lifestyle changes to keep them in the target range.

Lifestyle Changes

Your doctor can help you understand the lifestyle changes you need to make to manage your prediabetes. This may include changes to your diet, physical activity, and stress management. Your doctor can also provide resources to help you make these changes.

Medications

Your doctor can explain any medications you may need to take to manage your prediabetes. They can also explain the potential side effects of the medications and how to manage them. Knowing the medications you need to take can help you make sure you are taking them correctly.

Follow-up Appointments

Your doctor can explain how often you should have follow-up appointments to monitor your condition. They can also explain any tests you may need to have done to monitor your blood sugar levels. Knowing when to have follow-up appointments can help you stay on top of your condition.

Questions and Concerns

Finally, make sure to ask your doctor any questions or concerns you may have about your prediabetes. Your doctor can provide you with the information and resources you need to manage your condition. Knowing the answers to your questions can help you feel more confident in managing your prediabetes.

Treatment

Lifestyle Changes

Making lifestyle changes is the first step in treating prediabetes. This includes eating a healthy diet, exercising regularly, and maintaining a healthy weight. Eating a balanced diet that is low in fat and sugar and high in fiber can help to reduce blood sugar levels. Exercise can also help to reduce blood sugar levels and improve overall health. Finally, maintaining a healthy weight can help to reduce the risk of developing type 2 diabetes.

Medication

In some cases, medication may be necessary to help manage prediabetes. Metformin is a common medication used to treat prediabetes. It works by decreasing the amount of glucose produced by the liver and increasing the body's sensitivity to insulin. Other medications, such as sulfonylureas, may also be prescribed to help manage blood sugar levels.

Insulin Therapy

In some cases, insulin therapy may be necessary to help manage prediabetes. Insulin therapy involves taking insulin injections to help regulate blood sugar levels. This can help to reduce the risk of developing type 2 diabetes and can also help to reduce the risk of developing complications associated with prediabetes.

Conclusion

Treating prediabetes is important to prevent it from progressing to type 2 diabetes. Making lifestyle changes, such as eating a healthy diet and exercising regularly, is the first step in treating prediabetes. In some cases, medication or insulin therapy may be necessary to help manage blood sugar levels. By taking steps to treat prediabetes, you can reduce your risk of developing type 2 diabetes and its associated complications.

Drugs & Medications

Types of Drugs for Prediabetes

The most common type of drug used to treat prediabetes is metformin. Metformin is a type of medication known as a biguanide, which helps the body use insulin more effectively. It is usually the first line of treatment for prediabetes, and it is often prescribed in combination with lifestyle changes, such as diet and exercise. Other medications used to treat prediabetes include sulfonylureas, thiazolidinediones, and alpha-glucosidase inhibitors.

Benefits of Taking Medication for Prediabetes

Taking medication for prediabetes can help reduce the risk of developing type 2 diabetes. Studies have shown that metformin can reduce the risk of developing type 2 diabetes by up to 31%. Other medications can also help reduce the risk of developing type 2 diabetes, although the exact amount of risk reduction varies depending on the medication. In addition to reducing the risk of developing type 2 diabetes, taking medication for prediabetes can also help reduce the risk of developing other health complications, such as heart disease and stroke.

Side Effects of Taking Medication for Prediabetes

Although taking medication for prediabetes can be beneficial, it is important to be aware of the potential side effects. Common side effects of metformin include nausea, vomiting, diarrhea, and abdominal pain. Other medications may also cause side effects, such as weight gain, low blood sugar, and increased risk of hypoglycemia. It is important to talk to your doctor about any potential side effects before starting a medication for prediabetes.

Conclusion

Prediabetes is a serious condition that can lead to serious health complications if left untreated. Fortunately, there are medications available to help manage prediabetes and reduce the risk of developing type 2 diabetes. Metformin is the most common type of medication used to treat prediabetes, and it can reduce the risk of developing type 2 diabetes by up to 31%. Other medications, such as sulfonylureas, thiazolidinediones, and alpha-glucosidase inhibitors, can also help reduce the risk of developing type 2 diabetes. It is important to talk to your doctor about any potential side effects before starting a medication for prediabetes.

Diet

Eat a Balanced Diet

A balanced diet is important for everyone, but especially for those with prediabetes. Eating a variety of foods from all the food groups can help you get the nutrients you need while controlling your blood sugar levels. Aim to eat a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats. Avoid processed and sugary foods as much as possible.

Watch Your Portion Sizes

Portion control is key when it comes to managing prediabetes. Eating too much of any food can cause your blood sugar levels to spike. Try to stick to recommended portion sizes and measure out your food when possible. Eating smaller meals more frequently throughout the day can also help you keep your blood sugar levels in check.

Choose Low-Glycemic Foods

Low-glycemic foods are those that are digested slowly, which helps to keep your blood sugar levels stable. Examples of low-glycemic foods include whole grains, legumes, fruits, and vegetables. Eating these foods can help you feel fuller for longer and reduce your risk of developing type 2 diabetes.

Limit Added Sugars

Added sugars are found in many processed and packaged foods, and can cause your blood sugar levels to spike. Try to limit your intake of added sugars as much as possible. Read food labels carefully and opt for foods that are low in added sugars. Natural sweeteners like honey and maple syrup can be used in moderation.

Stay Hydrated

Staying hydrated is important for everyone, but especially for those with prediabetes. Drinking plenty of water can help you feel fuller for longer and reduce your risk of developing type 2 diabetes. Aim to drink at least 8 glasses of water per day and avoid sugary drinks like soda and juice.

Get Regular Exercise

Exercise is an important part of managing prediabetes. Regular physical activity can help you control your blood sugar levels and reduce your risk of developing type 2 diabetes. Aim to get at least 30 minutes of exercise per day, such as walking, jogging, or cycling.

Conclusion

Making changes to your diet can help you manage your prediabetes and reduce your risk of developing type 2 diabetes. Eating a balanced diet, watching your portion sizes, choosing low-glycemic foods, limiting added sugars, staying hydrated, and getting regular exercise can all help you keep your blood sugar levels in check.

Lifestyle

Eat a Healthy Diet

Eating a healthy diet is one of the most important lifestyle changes you can make to help manage your prediabetes. Eating a balanced diet that is low in saturated fat, trans fat, and cholesterol, and high in fiber can help you maintain a healthy weight and reduce your risk of developing type 2 diabetes. Eating a variety of fruits, vegetables, whole grains, and lean proteins can also help you get the nutrients you need to stay healthy.

Get Regular Exercise

Regular physical activity is another important lifestyle change you can make to help manage your prediabetes. Exercise can help you maintain a healthy weight, lower your blood sugar levels, and reduce your risk of developing type 2 diabetes. Aim for at least 30 minutes of moderate-intensity physical activity, such as walking, jogging, or swimming, most days of the week.

Manage Stress

Stress can have a negative impact on your health, so it’s important to find ways to manage it. Regular exercise, yoga, meditation, and other relaxation techniques can help you reduce stress and improve your overall health. Additionally, talking to a counselor or therapist can help you learn how to better manage stress and cope with difficult emotions.

Get Regular Checkups

Getting regular checkups is an important part of managing your prediabetes. Your doctor can monitor your blood sugar levels and provide advice on how to manage your condition. Additionally, your doctor can help you identify any other health issues that may be contributing to your prediabetes and provide treatment if necessary.

Conclusion

Making lifestyle changes can help you manage your prediabetes and reduce your risk of developing type 2 diabetes. Eating a healthy diet, getting regular exercise, managing stress, and getting regular checkups are all important steps you can take to help manage your prediabetes and stay healthy.