Prediabetes - Am I at Risk?
What is Prediabetes?
What is the Cost Impact of Diabetes in the U.S. Healthcare System?
Should I Be Tested for Prediabetes or Diabetes?
- If you are over 45 years and overweight, get tested.
- If your weight is normal but you are over 45 years, ask your doctor.
- If you are under age 45, but overweight with high blood pressure, low HDL (“good”) cholesterol, or high triglycerides you may need testing.
- Get tested if you have a family history of diabetes, diabetes in pregnancy, or you gave birth to a baby over 9 pounds.
- Black, Hispanic, Pacific Islander, Asian, or American Indian ancestries may need to be tested.
What are the Complications from Having Prediabetes or Diabetes?
- Heart disease and stroke
- High blood pressure
- Blindness due to diabetic retinopathy in the eye
- Kidney disease requiring dialysis or transplant
- Nervous system damage (neuropathy)
- Lower-limb amputations
What are the Symptoms of Prediabetes or Diabetes?
- Excessive thirst
- Frequent urination
- Blurred vision
- Extreme fatigue
- Frequent infections
- Slow healing cuts or bruises
- Numbness in hands/feet
- Darkened skin areas (neck, armpits, or elbows)
How is Prediabetes and Diabetes Diagnosed?
Some of these tests may require that you have not had anything to eat for 12 hours (fasting) and only water to drink, so check with your doctor before you have blood tests completed.
What Tests Are Used to Diagnose Diabetes?
- A1C: The A1C test measures your average blood glucose over the past 2 to 3 months; results greater than 6.5% usually results in a diagnosis of diabetes.
- Fasting Plasma Glucose (FPG): Diabetes is diagnosed with values greater than or equal to 126 mg/deciliter (dL).
- Oral Glucose Tolerance Test (OGTT): Your blood sugar levels are checked before and 2 hours after you consume a sweet drink; a positive result is over 200 mg/dL.
- Random Plasma Glucose Test: Diabetes is diagnosed with glucose greater than 200 mg/dL.
How Do I Know if I Have Prediabetes?
- An A1C of 5.7% to 6.4%
- A fasting blood glucose of 100 – 125 mg/deciliter (dL)
- An OGTT 2 hour blood glucose of 140 mg/dL – 199 mg/dL
My Tests Show I Have Prediabetes - What Now?
- Losing about 7% to 10% of your body weight (15 to 20 pounds if you weigh 200 pounds).
- Moderate exercise (such as brisk walking, swimming or bicycling) 30 minutes a day, 5-6 days per week.
Is There a Treatment for Prediabetes?
Finished: Prediabetes - Am I at Risk?
- American Diabetes Association. Diabetes Basics. Prediabetes. Accessed July 28, 2013 at http://www.diabetes.org/diabetes-basics/prevention/pre-diabetes/
- American Diabetes Association. Diabetes Basics. Prediabetes FAQs. Accessed July 28, 2013 at http://www.diabetes.org/diabetes-basics/prevention/pre-diabetes/pre-diabetes-faqs.html
- American Diabetes Association. Fast Facts. Data and Statistics About Diabetes. Accessed August 30, 2014 at http://professional.diabetes.org/admin/UserFiles/0%20-%20Sean/FastFacts%20March%202013.pdf
- U.S. Department of Health and Human Services. National Diabetes Information Clearinghouse (NDIC). Prediabetes - What you need to know. Accessed July 28, 2013. http://diabetes.niddk.nih.gov/dm/pubs/prediabetes_ES/
- U.S. Department of Health and Human Services. National Diabetes Information Clearinghouse (NDIC). Insulin resistance and prediabetes. Accessed July 28, 2013. http://diabetes.niddk.nih.gov/dm/pubs/prediabetes_ES/
- Drugs.com. Health Tip: Should I Be Screened for Prediabetes? Accessed July 28, 2013 at http://www.drugs.com/news/health-tip-should-screened-prediabetes-42359.html.
- U.S. Diabetes Rate Jumps to 29 Million:CDC. Drugs.com, June 10, 2014. Accessed August 28, 2014 at http://www.drugs.com/news/u-s-diabetes-rate-jumps-29-million-cdc-51944.html