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Daniel’s first move was taking the stairs at work to get more fit, and he was surprised how quickly his blood pressure came down. But after seeing a photo of himself on Facebook, he decided he needed to lose the weight, too. He downloaded an app on his phone and started tracking food and calories, and he quickly discovered he was eating more calories at a single meal than he should in an entire day.
Online diabetes prevention programs: The CDC has now given pending recognition status to three digital prevention programs: DPS Health, Noom Health, and Omada Health. These offer the same one year long educational curriculum as the DPP study, but in an online format. Some insurance companies and employers cover these programs, and you can find more information at the links above. These digital versions are excellent options for those who live far away from NDPP locations or who prefer the anonymity and convenience of doing the program online.
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it is very possible to prevent prediabetes from developing into type 2 diabetes. Eating healthy whole food, addressing overweight and staying at a healthy weight, and committing to some physical activity—which can be a walk or two daily—is enough to help get your blood glucose level back into the normal range. That's the key to assuring you avoid not only the onset of diabetes but all the related complications including heart disease, vision, loss, nerve damage, and kidney failure.
If you’re of African, Mediterranean, or Southeast Asian descent or have family members with sickle cell anemia or a thalassemia, an A1C test can be unreliable for diagnosing or monitoring diabetes and prediabetes. People in these groups may have a different type of hemoglobin, known as a hemoglobin variant, which can interfere with some A1C tests. Most people with a hemoglobin variant have no symptoms and may not know that they carry this type of hemoglobin. Health care professionals may suspect interference—a falsely high or low result—when your A1C and blood glucose test results don’t match.
What can people with prediabetes do to avoid the progression from prediabetes to type 2 diabetes? The most important action people diagnosed with prediabetes can take is to focus on living a healthy lifestyle. This includes making healthy food choices, controlling portions, and increasing physical activity. Regarding weight control, research shows losing 5-7% (often about 10–20 lbs.) from your initial body weight and keeping off as much of that weight over time as possible is critical to lowering the risk of type 2 diabetes. This task is of course easier said than done, but sustained weight loss over time can be key to improving health and delaying or preventing the onset of type 2 diabetes.
If you are someone who has struggled with the roller coaster of blood sugar management, I have some good news! Research shows that there are common herbs and spices, likely ones that you already have in your kitchen, that have some potential positive effects on improving blood sugar. Today, I’m breaking down some of the superstar herbs and spices that data has indicated may help with blood sugar management.
Type 2 diabetes is by far the most common form (around 90% of all cases) and the one which is increasing the most. It primarily affects overweight people in middle age or later. It’s not uncommon for the affected person to also have a high blood pressure and an abnormal lipid profile. Gestational diabetes is a temporary special case of type 2 diabetes.
Moin, T., Li, J., Duru, O. K., Ettner, S., Turk, N., Keckhafer, A., ... Mangione, C. M. (2015, April 21). Metformin prescription for insured adults with prediabetes from 2010 to 2012: A retrospective cohort study [Abstract]. Annals of Internal Medicine, 162(8), 542–548. Retrieved from http://annals.org/aim/article-abstract/2275385/metformin-prescription-insured-adults-prediabetes-from-2010-2012-retrospective-cohort
Your muscles need blood glucose for fuel, which means that when you take that barre or CrossFit class, you’re helping move blood sugar from the bloodstream into the muscles where it’s then burned up. Over time, this can lower blood sugar levels and increase insulin sensitivity (i.e. how well your cells are able to absorb glucose from the blood and use it for energy). Intense exercise can temporarily raise blood sugar, so if you have poor blood sugar control, it make sense to start moderate (think: walking, jogging, or yoga), and then work your way up.
For example, a person with heart disease who has lived with type 2 diabetes for many years without diabetic complications may have a higher A1c target (e.g., 7.5%-8.0%) set by their healthcare practitioner, while someone who is otherwise healthy and just diagnosed may have a lower target (e.g., 6.0%-6.5%) as long as low blood sugar is not a significant risk.
As a complement to the A1C test, we recommend that you monitor your blood glucose regularly at home with a meter. Checking your blood glucose tells you how your diabetes is doing on a day-to-day basis.  Some people check their glucose once a day while some check eight times a day, depending on how their diabetes is treated and how well-controlled their diabetes is. Your healthcare team can help you determine how often to check. There are times when you should check more often than usual, such as when you’re sick or if you’re starting  a new diabetes medicine.  Also, women who are pregnant and have diabetes need to check more often.  
Garlic: Potent, but effective. Garlic is known as one of the oldest medicines in the world…and with good reason. An animal study that administered high doses of raw garlic to rats for 4 weeks found that it had a profound effect of reducing blood glucose levels, as well as cholesterol and triglycerides compared to rats who did not receive raw garlic (2). They also tested rats with boiled garlic, and saw no changes in blood glucose, so the benefit comes from raw garlic.

The majority of individuals can expect to lose 5–10% of their starting weight. So, if you recommend that an individual with or without type 2 diabetes lose weight, help him or her accept and set realistic weight loss goals. Grave et al.27 investigated the influence of weight loss expectations (expected 1-year weight loss, dream weight, and maximum acceptable weight) in 1,785 obese subjects enrolled in weight-loss programs. At 12 months, one of the strongest predictors of attrition was a higher expected 1-year weight loss with the risk being particularly high in the first 6 months. Thus, they suggested that unrealistic weight goals should be addressed at the beginning of treatment.
After a meal, your body secrets a hormone called insulin into your blood; insulin works as a signal to let your cells know that glucose is on the way to feed your cells. But, for people with diabetes, the signals that tell the cells to absorb the sugar are defective, or the body does not make enough insulin. As a result, high levels of glucose remain in the blood, which is thought to alter the structure and function of many different types of cells in your body. This is why diabetes can cause so many different kinds of serious illnesses if not controlled.
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If your blood sugar drops too low, you can have a low blood sugar reaction, called hypoglycemia. A low blood sugar reaction can come on fast. It is caused by taking too much insulin, missing a meal, delaying a meal, exercising too much, or drinking too much alcohol. Sometimes, medicines you take for other health problems can cause blood sugar to drop.
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