What is prediabetes?
It's considered borderline diabetes, where your blood glucose is high but not to the extent that it's considered diabetes.
Thus it's a reversible syndrome if appropriate prevention and treatment methods were applied, and it could progress to type 2 diabetes mellitus if not managed correctly.
Risks of developing prediabetes:
Genetic predisposition
Family history of type 2 diabetes mellitus
Unhealthy lifestyle
Obesity
Old age
Gestational diabetes
Signs and symptoms of prediabetes:
Most patients don't experience symptoms.
But in the minority of people who do, they might experience:
Increased micturition/urination
Increased thirst and appetite
Unintentional weight loss
Recurrent skin infections
Increased pigmentation of the skin of your neck and/or armpits
Fatigue, blurred vision and sweating
How is prediabetes diagnosed?
First, The physician will ask for a fasting blood glucose test, where your blood sugar level is tested after fasting for 8-12 hours.
The ranges for the results of a fasting blood glucose test are:
Normal | Between 70 to 99 mg/dL |
Prediabetes | Between 100 and 125 mg/dL |
Your physician may also ask for a hemoglobin A1c test, this test provides information about your average blood glucose levels over the past 3 months.
The ranges for the results of a HbA1c test are:
Normal | Below 5.7% |
Prediabetes | Between 5.7% and 6.4% |
How to prevent progression into type 2 diabetes mellitus?
A healthy diet, weight loss and regular exercise are the most effective methods to reverse prediabetes and prevent its progression.
Losing at least 7% of your starting weight, through 30 minutes of moderate physical activity at least 5 times a week and following a diet rich in vegetables, fruits, whole grains and low-fat dairy, can help reverse prediabetes.
On the other hand, hypoglycemic and antidiabetic drugs are not recommended in prediabetes, unless the physician proclaims you as a high-risk patient for diabetes mellitus.
References
American Academy of Family Physicians. What is Prediabetes? (https://familydoctor.org/condition/prediabetes/?adfree=true) Last updated 5/31/2023. Accessed 11/8/2023.
Alvarez S, Coffey R, Algotar AM. Prediabetes (https://www.ncbi.nlm.nih.gov/books/NBK459332/). 2023 Jul 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Accessed 11/8/2023.
Davidson's principles and practice of medicine textbook. Assessed and Endorsed by the MedReport Medical Review Board