In a study published in the journal Clinical Nutrition, researchers followed the diets of more than 3,000 adults who didn't have type 2 diabetes for more than four years. They discovered that people with the highest consumption of legumes—especially lentils—had the lowest risk of diabetes. Replacing half a serving of eggs, bread, rice, or baked potato with legumes daily also was associated with lower risk of diabetes incidence. All legumes, which includes lentils and all types of beans, are high in fiber and a good source of protein.
Inzucchi, S. et. al. (2012 April 19 Online). Management of Hyperglycemia in Type 2 Diabetes: A Patient-Centered Approach, Position Statement of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care 2012;35:1364–1379. [On-line information]. PDF available for download at http://care.diabetesjournals.org/content/early/2012/04/19/dc12-0413.full.pdf. Accessed October 2012.

The table on this page shows what your A1C results say about your blood glucose control during the past few months. Some people are surprised when they have a high A1C result because when they check their blood glucose with their meter, they have relatively low numbers. But remember that checking your blood glucose gives you only a momentary sample of your blood glucose control. The A1C test measures your blood glucose control at all times during the previous 2-3 months, even times such as after meals or when you are asleep, when you don't usually check your blood glucose.
In the picture to the right you can see the lunch that I was unbelievably served at the 11th International Congress on Obesity in Stockholm 2010. This is a major international conference for obesity doctors and scientists. The food contains almost exclusively energy from sugar and starches, things that are broken down to simple sugars in the stomach.
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)

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What are the symptoms of prediabetes? People typically do not have symptoms of prediabetes, which is partially why up to 90% of people don’t know they have it. The ADA reports that some people with prediabetes may develop symptoms of type 2 diabetes, though even many people diagnosed with type 2 diabetes show little or no symptoms initially at diagnosis.
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In type 2 diabetes the body has an increasingly harder time to handle all the sugar in the blood. Large amounts of the blood sugar-lowering hormone insulin are produced, but it’s still not enough, as insulin sensitivity decreases. At the time of being diagnosed with type 2 diabetes, people usually have ten times more insulin in their bodies than normal. As a side effect, this insulin stores fat and causes weight gain, something that has often been in progress for many years before the disease was diagnosed.
Hemoglobin A1c is a specific fraction of hemoglobin A found in healthy individuals as well as individuals with diabetes mellitus. It is formed when the N-terminal valine of the beta chain of hemoglobin A is modified by the addition of a sugar moiety. This process is nonenzymatic, so the term glycation is preferred to the term glycosylation, although the latter is commonly used. Once formed, hemoglobin A1c is stable. As a result, the hemoglobin A1c level reflects the average blood glucose level over the course of the red blood cell’s lifespan, roughly 120 days.
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Some people who have diabetes monitor their blood sugar levels at home with devices. Your devices likely report your blood sugar levels in milligrams per deciliter (mg/dL) or millimoles per liter (mmol/L). A1C levels are reported as a percentage, but they correspond with estimated average blood sugar (glucose) levels. To help you tie your A1C levels back to your home monitoring, here's how A1C corresponds to the estimated average blood sugar level:
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Some doctors can use a point-of-care A1C test, where a finger stick can be done in the office, with results available in about 10 minutes. The A1C test results provide insight into how your treatment plan is working, and how it might be modified to better control the condition. Your doctor may want to run the test as often as every three months if your A1C is not within your target range.
L-glutamine, an amino acid needed in large amounts by your body, has been shown to help build lean muscle by suppressing insulin levels and stabilizing blood sugar. One study found that supplementing with L-Glutamine for six weeks improved body composition in patients with type 2 diabetes. L-glutamine has also been shown to help heal a leaky gut, which is important for digestive health and immunity. In addition to supplements, you can find L-glutamine in foods such as bone broth, grass-fed beef, cottage cheese, spirulina, asparagus, broccoli rabe, salmon, and turkey.

Metformin: The DPP study found that metformin, the safest first-line therapy for type 2 diabetes, may help delay the onset of type 2 diabetes in people with prediabetes. Participants who took the low-cost generic drug had a 31% reduced risk of developing type 2 diabetes compared to the control group (those not on metformin or intensive lifestyle intervention). Again, 15-year follow up data showed that 17% of those on metformin continued to have a significant reduction in type 2 progression. At this time, metformin (or any other medication, for that matter) is not currently FDA approved for prediabetes, and it is sometimes prescribed “off-label” by a healthcare provider. Your healthcare provider can give you more information and determine whether metformin is a good option for you.

When you have diabetes, excess sugar (glucose) builds up in your blood. Your kidneys are forced to work overtime to filter and absorb the excess sugar. If your kidneys can't keep up, the excess sugar is excreted into your urine, dragging along fluids from your tissues. This triggers more frequent urination, which may leave you dehydrated. As you drink more fluids to quench your thirst, you'll urinate even more.
When it comes to food, too many people have no idea what’s good, what’s bad, and what’s too much, Marrero says. He tells the story of a woman at a diabetes seminar who complained she had nothing for breakfast but coffee and a muffin. Those two items came to 1,600 calories. “She wiped out seven-eighths of her dietary intake needs just with a simple cup of joe and a muffin,” he says.
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:
Learn about how to make healthier food decisions at the grocery store, in the kitchen, and when eating out. The more you know about how food works in your body and what you should be eating, the easier it is to make healthy choices for yourself. Your doctor may recommend nutritional counseling or a visit with a dietitian. They can help you break your old habits and learn how to live healthier.
Hemoglobin A1c (“HbA1c” or just “A1c”) is the standard for measuring blood sugar management in people with diabetes. A1c reflects average blood sugars over 2 to 3 months, and through studies like DCCT and UKPDS, higher A1c levels have been shown to be associated with the risk of certain diabetes complications (eye, kidney, and nerve disease). For every 1% decrease in A1c, there is significant pretection against those complications.
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It is likely that early in the course of the disease process, when insulin resistance is still prominent, either energy restriction or weight loss will improve blood glucose levels. But as the disease progresses and insulin deficiency becomes more prominent, it may be too late for weight loss to be helpful. In fact, at later stages of the disease, when medications, including insulin, need to be combined with nutrition therapy, prevention of weight gain often becomes the goal. However, glycemic control should take precedence over concerns about weight.
The easiest way to make sure that your carb intake is appropriate is to count carbohydrates. It is a simplified way to evaluate foods based on their nutritional value. The best place to start when counting is to aim for 45 to 60 grams of carbohydrates per meal and roughly 15 to 30 grams for each snack in between meals. You may have to adjust this based on your individual needs and your blood sugar readings. It is a lot easier to calculate the carbohydrates when you have a food with a label, but many foods do not. Check the serving size on the label to be sure that you are counting correctly. The US Department of Agriculture has a website that allows you to type in any food and it will give you the nutritional values. Check it out at https://ndb.nal.usda.gov/ndb/. A few examples of 15 grams of carbs include:
Hemoglobin is the oxygen-carrying protein molecule in the blood, specifically in the red blood cells. High hemoglobin count may be caused by dehydration, smoking, emphysema, tumors, or abuse of Epogen. Low levels of hemoglobin may be caused by anemia, blood loss, nutritional deficiency, bone marrow problems, chemotherapy, kidney failure, or sickle cell disease.
Kim SE, Castro Sweet CM, Gibson E, Madero EN, Rubino B, Morrison J, Rosen D, Imberg W, Cousineau MR. Evaluation of a digital diabetes prevention program adapted for the Medicaid population: Study design and methods for a non-randomized, controlled trial. Contemp Clin Trials Commun. 2018 Jun;10:161-168. [PMC free article: PMC6052649] [PubMed: 30035241]
Excess weight can greatly affect your health in many ways, with type 2 diabetes being one of the most serious. There are many forms of measurement used to evaluate someone’s excess weight; however, the most commonly-used method is calculating your body mass index (BMI). BMI is a number calculated by dividing a person’s weight in kilograms by his or her height in meters squared. BMI is a useful tool used in determining the degree of an individual’s excess weight. There are five weight status categories that you may fit into:
The first step—the mantra of dLife from the very beginning—is test, don’t guess! To master your blood sugar, you must first know where it is. And if you only check first thing in the morning, you’re cheating at solitaire. If you want to truly master your blood sugar, you should fearlessly seek out your very worst, highest numbers. That means checking after meals. Don’t let that high number flashing on your meter get you down. Rejoice that you’ve found it. It’s just a problem to be fixed—and as you roll out the rest of these tips, those high numbers, like the walls of Jericho, are going to come a-tumblin’ down.
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