Many people have heard about type 2 diabetes, but its common precursor, prediabetes, doesn’t get as much attention. Prediabetes is estimated by CDC to affect 86 million Americans (this includes 51% of people 65 years and older), and an estimated 90% of people with prediabetes don’t even know it. According to the CDC, 15-30% of these individuals will develop type 2 diabetes within five years. In other words, as many as 26 million people that currently have prediabetes could develop type 2 diabetes by 2020, effectively doubling the number of people with type 2 diabetes in the US.
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Hemoglobin, a protein that links up with sugars such as glucose, is found inside red blood cells. Its job is to carry oxygen from the lungs to all the cells of the body. Glucose enters your red blood cells and links up (or glycates) with molecules of hemoglobin. The more glucose in your blood, the more hemoglobin gets glycated. By measuring the percentage of A1C in the blood, you get an overview of your average blood glucose control for the past few months. Your doctor should measure your A1C level at least twice a year.

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Insulin is a hormone made by your pancreas that acts like a key to let blood sugar into cells for use as energy. If you have prediabetes, the cells in your body don’t respond normally to insulin. Your pancreas makes more insulin to try to get cells to respond. Eventually your pancreas can’t keep up, and your blood sugar rises, setting the stage for prediabetes—and type 2 diabetes down the road.
Insulin acts a key that unlocks the door to let glucose in to feed our cells. When insulin is present, it also turns off the process of using glycogen from the liver to ensure that the glucose level does not rise further after a meal. In fact, insulin reduces blood glucose by collecting any excess glucose that is present in the blood stream so that it can be stored as glycogen for future use.
Prediabetes occurs when your fasting blood glucose, or sugar, level is above normal. Prediabetes can progress to type 2 diabetes, in which the body does not produce or use enough of the hormone insulin to turn glucose into energy. Diabetes is linked to high blood pressure, heart disease, stroke, kidney disease, nerve damage, eye problems and other serious health conditions.
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Doctors, pharmacists, and other health-care professionals use abbreviations, acronyms, and other terminology for instructions and information in regard to a patient's health condition, prescription drugs they are to take, or medical procedures that have been ordered. There is no approved this list of common medical abbreviations, acronyms, and terminology used by doctors and other health- care professionals. You can use this list of medical abbreviations and acronyms written by our doctors the next time you can't understand what is on your prescription package, blood test results, or medical procedure orders. Examples include:
Hemoglobin, a protein that links up with sugars such as glucose, is found inside red blood cells. Its job is to carry oxygen from the lungs to all the cells of the body. Glucose enters your red blood cells and links up (or glycates) with molecules of hemoglobin. The more glucose in your blood, the more hemoglobin gets glycated. By measuring the percentage of A1C in the blood, you get an overview of your average blood glucose control for the past few months. Your doctor should measure your A1C level at least twice a year.
Although not discussed here in great detail, encourage regular physical activity. Low cardiorespiratory fitness and physical inactivity have been shown to be independent predictors of all-cause mortality in men with type 2 diabetes regardless of their weight,29 and even increased BMI did not increase mortality risk in fit men with type 2 diabetes.30 A stepwise relationship between fitness and mortality is evident within all BMI strata and is independent of body fat percentages. These results highlight the importance of counseling people with diabetes to increase physical activity and improve fitness, not only as a means of controlling weight, but also for the benefits of fitness that are independent of weight loss.

Your A1C goal is specific to you. Several factors come into play, such as your age, how advanced the diabetes is, and any other heath conditions you have. A common A1C goal for people with diabetes is less than 7 percent, Dodell says. If you can keep your A1C number below your goal, you help to reduce the risk of diabetes complications, such as nerve damage and eye problems.

What is a random glucose test? Diabetes occurs when a person has too much glucose in their blood. Doctors can diagnose diabetes with a random glucose test. A person can have this test at any time during the day and does not need to fast beforehand. For a reliable diagnosis, the doctor will usually repeat the test on another day. Learn more here. Read now


Many studies have sown that there is a relationship between persistently elevated blood glucose levels and risk for adverse cardiac events and death. Evidence shows that individuals with prediabetes are susceptible to many metabolic complications that may lead to blindness, stroke, heart disease, and renal failure. These individuals are also at a high risk for developing peripheral neuropathy and loss of limb. Further, the elevation of blood glucose during pregnancy also increase the risk of maternal and fetal mortality. [15][4](Level V)
Your diet is something you need to pay extra attention to when you’re trying to lose weight after being diagnosed with Type 2 diabetes. While you may be working out and keeping your calories and macros in check in order to control the effects that adult onset diabetes has on your body, you must tailor your food consumption patterns as per a diabetic diet. This doesn’t mean that you have to give up on your daily staples completely. According to Dr. Maaz Shaikh, Co-founder & Vice President of Product & Care at Wellthy, it’s less about what you eat and more about making smart food choices with your existing diet.
As of January, 2010, the American Diabetes Association began promoting the use of hemoglobin A1c as the preferred diagnostic test for diabetes mellitus. Among its advantages over fasting glucose values (or 2-hour glucose values during an oral glucose tolerance test) is that samples can be drawn at any time and need no special handling (whereas ongoing glycolysis can falsely lower glucose values). [6, 7]

That points to an important lesson that Taylor hopes doctors and patients will learn from the results. He says that it’s critical to discuss from the start — when people are diagnosed with diabetes — the possibility of using diet and weight loss to treat their disease. If more people can benefit from losing weight alone, then that would mean less cost to the health care system, as fewer people will suffer the serious complications of advanced disease, which can include heart problems, neuropathy, vision issues and even amputations.
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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.

A little more than 9.2% of pregnant women have gestational diabetes. It is very common that all women are tested during their pregnancy. If you haven’t yet, bring it up to your physician’s attention. The cause is really unknown, but doctors believe that it is because the extra hormones that are released during pregnancy hinder the insulin sensitivity and increase the need for more insulin. It is very important to keep blood sugar levels under control because high blood sugars can lead to complications such as:
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Following a balanced diet and eating meals at consistent times can help with blood glucose control. Glucose comes primarily from the foods that we eat, specifically carbohydrates — and it’s not just sweets. While all carbohydrate-containing foods affect your blood glucose levels, they also play an important role in your overall health by providing energy for your daily activities. You do not need to cut carbohydrates out of your diet!


You should always be in touch with your doctor about your disease and any changes you make or problems that you notice. Having that line of open communication is key to gaining knowledge and insight into what can make your life and your health better. Try the things mentioned in this article, but if they don’t help, then talk to your physician about what else is available for you.

Prediabetes can be reversed with lifestyle changes. This includes being more physically active and following a healthy diet plan such as a low glycemic index diet, rich in quality, real foods. Quitting smoking, stress management, and keeping alcohol intake moderate all help too. If lifestyle is not changed, prediabetes usually progresses to diabetes.


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Prediabetes: What you need to know Prediabetes is a common condition that can develop into diabetes type 2. It is when blood glucose levels are high, but not high enough to indicate diabetes. Obesity, older age, and having symptoms of metabolic syndrome are all risk factors. Following a healthful diet and getting enough exercise can help prevent it. Read now
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This is the advice that people with type 2 diabetes received a hundred years ago. Even in Sweden, with the high fat-Petrén diet that included fatty pork cuts, butter and green cabbage. And when they start eating this way today the same thing happens as it did in the past. Their blood sugar levels improve dramatically from day one. This makes sense, as they avoid eating what raises blood sugar.
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