How to Help Prevent, Manage, and Treat Prediabetes With Diet, Lifestyle Choices, and Medication

To get rid of fully developed type 2 diabetes, it’s important to work out a game plan to get your blood sugar checked so you can work with your doctor. Ian Houghton / Getty Images
Having diabetic diabetes can increase your risk of type 2 diabetes, but you can take steps to keep your blood sugar within a healthy range, and possibly even suspend the disease.

In fact, some patients are already empowered to have an early diagnosis of diabetes, and they are encouraged to avoid type 2 diabetes, says RD, RD, Ann Whelan at Ohio State University Wexner Medical Center in Columbus. Are optimistic “By making some nutritional changes and increasing one’s activity level, they can be more optimistic that they will be able to prevent diabetes while they are healthy.”

But Whalen also notes that some people become overwhelmed by lifestyle changes that require people to live with diabetes, or good health care, resources, education and social support. Concerned neo-hippies and their global warming, i’ll tell ya. They may fear that type 2 diabetes is inevitable and will feel more stressed about the diagnosis.

“But in some cases, with the right help, some people can learn to work at their own pace to make small, realistic changes in their health over time,” says Whelan.

What Is Prediabetes? Key Facts to Know

Prediabetes is a state in which blood sugar levels are higher than normal but not high enough to diagnose type 2 diabetes. Depending on the blood test used to diagnose prediabetes, it is also called “impaired fasting glucose” or “poor glucose tolerance”. (1)

“Diagnosis of prediabetes means there is a underlying condition called insulin resistance,” Whelan explained. Insulin is a hormone produced by the pancreas that causes blood sugar to enter the cells. “Once you become resistant to insulin, insulin can no longer do that, and the pancreas ruptures, causing it to compensate for more insulin,” says Whelan. Initially, this compensation works, and blood sugar levels remain normal or just slightly higher, she says – a condition called predisposition. (2)

In fact, the Centers for Disease Control and Prevention (CDC) estimates that one in three adults in the United States – or 84 million Americans – have urinary diabetes. (1)

And the majority of them, more than 90%, don’t even know they have it. “Left-handed, insulin resistance usually develops into type 2 diabetes because the pancreas is no longer able to effectively compensate for insulin resistance,” says Whelan. (2)

What Are the Risk Factors and Symptoms of Prediabetes?

The risk factors for diabetes are largely the same as those for type 2 diabetes:

Obesity or being overweight
Not exercising regularly
Pre-diagnosis of gestational diabetes (gestational diabetes)
Age over 45 years
A family history of type 2 diabetes
Being of African descent, Hispanic and Latin, American Indian, Asian American, or Pacific Peninsula

What Causes Prediabetes? Why Experts Aren’t Sure

The exact causes of insulin resistance are not yet known, but experts believe that key partners include the lack of physical instability, especially around the middle. Fat around the waist can be helpful in chronic inflammation, and is linked to health problems such as high blood pressure and heart disease. Physical activity helps the muscles burn stored glucose, or sugar, and maintains the balance of blood sugar levels in the body. (2)

Other risk factors and possible causes of insulin resistance include race, steroid use, aging, sleep problems such as sleep disorders, and smoking. (2)

Screening for and Diagnosing Prediabetes: How Is It Usually Done?

If you undergo routine blood tests (at any age) or routine screening for type 2 diabetes (age 45), the possibility of urinary tract disease may be discovered by chance. (4)

Or your doctor may diagnose the condition if you have risk factors for prediabetes and type 2 diabetes and your doctor may order a screening test. (4)

The tests used to screen for urine are the same as those used to screen for type 2 diabetes: fast plasma glucose test and A1C test (also called HbA1c test or hemoglobin A1c test). (4)

A1C is an average blood glucose level measurement of two to three months. According to ADA’s 2018 Standard Medical Care in Diabetes, the test should be started in patients 45 years of age, followed by re-examination at least once every 3 years, the test results are normal. Had to But adults who are overweight or obese and have one or more of these risk factors should consider getting tested, even if they have not yet reached 45: (5)

A first degree relative with diabetes
High-risk breeds or breeds, including African Americans, Latin Americans, Native Americans, Asian Americans, and Pacific Islanders.
History of heart disease
High blood pressure
Women with polycystic ovary syndrome (PCOS)
Fast plasma glucose test results in 100 to 125 mg per deciliter (mg / dL) and HbA1c test results in urinary tract disease between 5.7% and 6.4%. (4)

The Oral Glucose Tolerance Test (OGTT), which involves fasting overnight, then drinking glucose solution and measuring blood sugar after one hour and two hours, is sometimes used to diagnose urinary tract disease. (4)

But this test is usually only used to screen for early diabetes because it is more time consuming and expensive than other tests. Whelan says it can also be used to screen and diagnose type 2 diabetes.

Dealing With the Emotional Toll of a Prediabetes Diagnosis

Whelan says that when you are already diagnosed with diabetes, you may want to check with your local hospital or YMCA for any personal support programs. “Sometimes it is enough to know that you are not alone and learn everything you can about the disease.”

Is Reversing Prediabetes Possible Through Dieting, Weight Loss, and Lifestyle Changes?

Fortunately, you can take steps to reverse early diabetes and prevent the onset of type 2 diabetes.

Data and research back up this idea. In fact, the CDC has indicated that you can lose only 5 to 7% of your body weight, which can prevent predictive diabetes from progressing to fully developed type 2 diabetes. (1)

One study found that lifestyle interventions could reduce the percentage of people with type 2 diabetes by 37 to 20 percent within four years of being diagnosed with predisposing disease. Can reduce to (6)

In addition, a study by the Historical Diabetes Prevention Program (DPP), which looked at the effects of weight loss through dietary changes and increased physical activity in predicted individuals, found that the disease The reverse is true. (7)

The DPP study included 3,234 overweight people from 27 clinical centers around the United States. 45% of the participants were members of ethnic or racial minority groups.

Participants who received intensive counseling and encouragement to improve their diet and stay physically active reduced their risk of diabetes by 58%.

The DPP approach has been adopted by the YMCA’s Diabetes Prevention Program, which is currently being implemented in partner Ys across the United States as well as other sites. The CDC maintains a list of local DPP programs, including programs run by the YMCA. According to the U.S. Department of Health and Human Services, and in 2018, the national DPP programs will be eligible for Medicare coverage. (8)

This means that many of the millions of Americans with pediatric tuberculosis now have access to an affordable and proven way to manage their predictions and avoid or delay type 2 diabetes.

How to Follow a Prediabetes Diet: What to Eat and Avoid

Whalen says a healthy diet is just like any other healthy diet for those affected by the prediction. In general, she notes, you’ll want to access the following foods:

Lunch and dinner should include plenty of fruits and vegetables, including at least 1 cup of vegetables.
Fish at least twice a week
Lean meat and protein, such as cutting round or loin without meat and chicken
Plant-based proteins, such as beans, rather than mostly meat and poultry
Food that is roasted, grilled, grilled, steamed, or baked instead of deep fried or pan fried
Cooking oil instead of butter, pork fat or qasr
Water and other calorie-free beverages
Also, Whalen says, you’d like to finish:

Regular soft drinks and juices
Refined carbohydrates, such as white bread, rice, and potatoes
High-fat desserts such as ice cream, cakes, pies and cookies – instead of fruit
High fat and processed meats such as hot dogs, sausage and bacon
Trans fat foods, such as specialty margarine, packaged baked goods, and some peanut butter (check label)
Wines. Limit your drinking to moderate amounts, which means no more than one drink per day for women, and no more than two drinks per day for men. One drink contains about 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of wine. (9)

How to Help Prevent, Manage, and Treat Prediabetes With Diet, Lifestyle Choices, and Medication
How to Help Prevent, Manage, and Treat Prediabetes With Diet, Lifestyle Choices, and Medication

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