{"id":37,"date":"2023-08-28T11:00:12","date_gmt":"2023-08-28T11:00:12","guid":{"rendered":"https:\/\/rajeshwarhospital.com\/blogs\/?p=37"},"modified":"2023-10-19T10:58:46","modified_gmt":"2023-10-19T10:58:46","slug":"prediabetes-this-is-important","status":"publish","type":"post","link":"https:\/\/rajeshwarhospital.com\/blogs\/index.php\/2023\/08\/28\/prediabetes-this-is-important\/","title":{"rendered":"Prediabetes – This is important"},"content":{"rendered":"
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\u00a0What is Pre-diabetes?<\/b><\/p>\n

A non-diabetic person has the following blood glucose profile :
\nFasting blood glucose less than 100 mg\/dl\u00a0HbA1c less than 5.7%
\nA person has diabetes if his blood glucose profile is :\u00a0Fasting blood glucose more than 125 mg\/dl\u00a0HbA1c more than 6.5%
\nWhat about fasting blood glucose 100 – 125 mg\/dl or HbA1c 5.7 – 6.5 %?\u00a0This state is termed as Prediabetes.<\/p>\n

Why is Prediabetes important?<\/b><\/p>\n

Most estimates put the prevalence of prediabetes between 25 to 33% of the adult population\u00a0in the developed world. In our country estimates vary between 10 to 20% of the adult\u00a0population. We have to note that this is a very huge number and can be considered a\u00a0modern epidemic considering its consequences on health.
\nThis condition is mainly asymptomatic and can be found to continue even for decades before\u00a0the onset of diabetes. It is also reversible to a greater extent and thus it may be more\u00a0beneficial to address it. Diabetes on the other hand is much more challenging to reverse. As\u00a0diabetes develops there is progressive damage to many body tissues like the retina,\u00a0kidneys, nerves, blood vessels etc. Progress to diabetes from a prediabetic state comes with\u00a0a variety of health issues that vastly reduce the quality of life, greatly increase the cost of\u00a0healthcare and despite the best efforts the outcomes are poor.<\/p>\n


\nHow does Prediabetes develop?<\/b><\/p>\n

Prediabetes is a condition of poor glycemic (blood glucose levels) control. It is generally\u00a0considered to result from the onset of insulin resistance. This happens when the body is\u00a0exposed to high levels of insulin for prolonged periods and eventually, the tissues\u2019 response\u00a0to insulin is blunted. This results in higher than normal blood glucose levels. This mechanism\u00a0gives way eventually as diabetes develops.
\nVarious causes are implicated for Prediabetes. Most of them are lifestyle and diet-related.
\nBeing overweight, frequent eating, imbalanced diet, stress, inactive lifestyle, substance\u00a0addictions and poor sleep have all been implicated. In addition, a family history of diabetes is\u00a0also contributory. Increasing stress in adults with an already sedentary lifestyle and faulty\u00a0habits has been implicated as the reason for the reduction in the age of prediabetes.<\/p>\n


\nSome indicators of Prediabetes<\/b><\/p>\n

Prediabetes increases with age. Especially after the age of 40 years. Although it’s of note\u00a0that this age has been coming down. Many individuals between 30 to 40 years old are being\u00a0found to be prediabetic. Some indicators can be considered as weight, central body fat\u00a0(belly, waist, chest, back), frequent hunger and eating, darkened armpits (acanthosis\u00a0nigricans) and neck skin and skin tags. In females, polycystic ovary syndrome is a condition\u00a0with close association with diabetes.<\/p>\n

Association with metabolic syndrome<\/b><\/p>\n

A condition characterised by abdominal fat, high blood pressure, increased triglyceride\u00a0levels, low HDL levels and increased blood glucose is termed as metabolic syndrome.
\nIt is\u00a0frequently co-occurring with prediabetes. Such conditions are still reversible with changes in\u00a0diet and lifestyle. Left unchecked, a progression to frank diabetes is imminent.<\/p>\n

What has to be done?<\/b><\/p>\n

If your blood tests or various other markers mentioned above indicate a prediabetic or\u00a0metabolic syndrome state, then it should be taken as a call for changes in lifestyle.
\nA\u00a0proactive approach to health must be taken. The importance of preventing the progress to\u00a0diabetes needs to be highlighted.
\nLifestyle modifications are the centre of addressing the problem. Frequent eating needs to\u00a0be stopped at the earliest. Carbohydrate and sugar intake should be evaluated and reduced.
\nHealthy proteins and fats should be taken in the right amounts. Fibres need to be increased\u00a0in the diet. Addictions need to be addressed. Smoking must be stopped and alcohol intake\u00a0kept to a minimum. Exercise is a great tool to go along with the above steps with great\u00a0health benefits.
\nAn evaluation by a physician may be considered if multiple indicators are present. A detailed\u00a0blood and hormonal workup may be undertaken by your physician.
\nA dietician consultation\u00a0may also be required. If high blood pressure or other metabolic syndrome components are\u00a0also present, an evaluation by the cardiologist may also be required. Stress management\u00a0and sleep improvement are also critical.<\/p>\n

Conclusion<\/b><\/p>\n

Prediabetes is a reversible state of many future health issues. It requires a proactive\u00a0approach from the individual. Do not hesitate to get an evaluation as early as possible. The\u00a0right advice at the right time may be the enabler of a long and joyous life.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

  \u00a0What is Pre-diabetes? A non-diabetic person has the following blood glucose profile : Fasting blood glucose less than 100<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-37","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/rajeshwarhospital.com\/blogs\/index.php\/wp-json\/wp\/v2\/posts\/37","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rajeshwarhospital.com\/blogs\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rajeshwarhospital.com\/blogs\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rajeshwarhospital.com\/blogs\/index.php\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/rajeshwarhospital.com\/blogs\/index.php\/wp-json\/wp\/v2\/comments?post=37"}],"version-history":[{"count":1,"href":"https:\/\/rajeshwarhospital.com\/blogs\/index.php\/wp-json\/wp\/v2\/posts\/37\/revisions"}],"predecessor-version":[{"id":38,"href":"https:\/\/rajeshwarhospital.com\/blogs\/index.php\/wp-json\/wp\/v2\/posts\/37\/revisions\/38"}],"wp:attachment":[{"href":"https:\/\/rajeshwarhospital.com\/blogs\/index.php\/wp-json\/wp\/v2\/media?parent=37"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rajeshwarhospital.com\/blogs\/index.php\/wp-json\/wp\/v2\/categories?post=37"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rajeshwarhospital.com\/blogs\/index.php\/wp-json\/wp\/v2\/tags?post=37"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}