What is pre-diabetes, and who is at higher risk?

pre-diabetes, and who is at higher risk

About 50 percent of people with prediabetes will develop diabetes within 5 to 10 years if lifestyle changes are not made. What is pre-diabetes? When the blood sugar level is slightly higher than normal but below the prescribed level for the diagnosis of diabetes, the condition is called prediabetes or pre-diabetes. Many say borderline diabetes. It is not diabetes, but the ringing of diabetes. But if timely measures are not taken against it, it will soon turn into full-blown diabetes. Honestly, being diagnosed with pre-diabetes is a blessing. This is because, as a result, you can become aware of your potential diabetes risk, make positive lifestyle changes, and reduce your risk of future diabetes.

What is pre-diabetes called?

OGTT, or oral glucose tolerance test, is also required to detect pre-diabetes like diabetes. If the fasting blood glucose level is 6.1-6.9 mmol/liter in the morning and 7.8-11 mmol/liter two hours after consuming 75 grams of glucose, then it is called pre-diabetes. A measure of average glucose levels over a three-month period is currently used. This is HB A-1c. Even if its level is 6–6.4 percent, it can be called pre-diabetes.

What are the complications of pre-diabetes?

On the one hand, it starts ringing the bells of diabetes, as well as warning signs of damage to the heart, blood vessels, and kidneys. Blood sugar levels in pre-diabetes patients are high enough to cause heart disease and kidney disease. Rather, it can be said that diseases of large blood vessels are more severe in this condition, such as stroke, coronary-related heart disease, etc. So many people think my diabetes is borderline, so it won’t be a problem. Actually, the idea is wrong.

Whose risk is greater?


Age over 45 increases the risk of pre-diabetes. A waist size greater than 40 inches for men and 35 inches for women increased the risk. If the diet consists of red meat, processed foods, soft drinks, sweets, candy, an excess of burgers, and fewer vegetables, fruits, and fiber foods, then danger awaits. It is dangerous if bad cholesterol (cholesterol, triglycerides, and LDL) is high in the blood and good cholesterol (HDL) is low. In addition, exercise diversion increases the risk. Mothers with gestational diabetes and those who give birth to babies weighing more than nine pounds are also at risk. People with polycystic ovaries may experience polyuria along with other complications. Snoring also increases the risk of pre-diabetes.

What should you do if you have pre-diabetes?

The hope is that strengthening the immune system in the pre-diabetes stage can keep you free from diabetes even for life. For that, the weight should be kept in the bag. In addition to losing 5 to 7 percent of body weight, 30 minutes of vigorous walking every day will reduce the risk of diabetes by 60 percent. So the focus should be on shedding fat. Belly fat is the most harmful. This is called visceral fat. Visceral fat plays an important role in blunting the action of insulin. Change the food menu. The food plate should be filled with various vegetables, salads, and fruits. Cut down on simple carbohydrates, replacing them with fiber-rich complex carbohydrates. Have meat with a little unsaturated fat. Say goodbye to smoking. De-stress at work and become exuberant. Have a good sleep.

Don’t neglect pre-diabetes. For those with pre-diabetes, this is an ideal time to transform. After reaching the age of 40, get a blood test to see if you have pre-diabetes and take measures accordingly.

Lt. Colonel Dr. Nasir Uddin Ahmad, Medicine Specialist, CMH, Dhaka

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