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June 2, 2011

Pre-Diabetes & Diabetes

This week I received following question from the foodpicker.org

What is the difference between Pre-Diabetes and Type 2 Diabetes? Could you tell me the diagnostic criteria for both as well as the treatment? 

Center of Disease Control (CDC) 2011 Diabetes statistics shows that almost 26 million Americans have diabetes and an estimated 79 million adults have Pre-diabetes. 

Pre-diabetes is a condition with blood sugar higher than normal but not high enough to be diagnosed as diabetes.  It may be related to too little insulin being produced or decreased response to insulin by the body. People diagnosed with pre-diabetes have a higher risk of developing diabetes in the future. Studies have shown that most people with pre-diabetes develops diabetes within 10 years

DIAGNOSIS
Two tests are used to diagnose or confirm pre-diabetes. The blood sugar levels a -  
  1. Fasting Blood Glucose Test (FGT) - overnight fasting blood glucose
  2. Oral Glucose Tolerance Test (OGTT) - 2hr after oral glucose administration

    Source: American Diabetes Association
According to recent criteria, a normal fasting blood glucose level is 100mg/dl. Pre-diabetes is diagnosed or confirmed when
  • Following FGT if your fasting blood glucose levels are elevated (100-125 mg/dl), also known as Impaired fasting glucose (IFG). 
  • Following OGTT, if blood glucose levels are elevated (140-199 mg/dl), also known as Impaired glucose tolerance (IGT). 
People with blood sugar levels above 126 mg/dl (fasting glucose) and/or 200 mg/dl (2-hr oral glucose tolerance) are diagnosed as having diabetes  

TREATMENT
According to Diabetes Prevention Program (DPP), people with prediabetes can prevent  or delay the development of type 2 diabetes by making life style changes. Most of the people with pre-diabetes are overweight. Losing and maintaining weight loss of 5-10% can delay or prevent the risk of developing type 2 diabetes. Healthy eating combined with increase physical activity can help you to achieve weight loss. For weight loss tips visit Pre-diabetes and Weight Loss


RESOURCES: 

An ounce of prevention is worth a pound of cure ~ Ben Franklin

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