Second chances are rare when it comes to your health. But that’s one way to look at pre-diabetes, a condition in which blood sugar levels are higher than normal but not yet at the level of diabetes.
According to the U.S. Department of Health and Human Services, about 41 million Americans have pre-diabetes. Many of them will develop type 2 diabetes within 10 years, which means they’ll have higher risks for heart disease, stroke, blindness, kidney disease, and amputation.
That’s the bad news. But here’s where the second chance comes in. People with pre-diabetes may be able to bring their blood sugar levels back to normal and perhaps delay or even prevent type 2 diabetes. In a key study, people with pre-diabetes who used diet and exercise to achieve modest weight loss reduced their chances of getting diabetes by 58 percent.
Take the test
The typical symptoms of diabetes include fatigue, frequent urination, and thirst. For people at risk for pre-diabetes, screening is especially important. It usually involves a blood test after an overnight fast.
The National Institutes of Health recommends screening if you’re 45 or older and overweight. If you’re 45 or older and aren’t overweight, ask your doctor about being screened.
If you’re younger than 45 and overweight, screening may be advised if you:
- are African American, American Indian, Asian American, Hispanic or Pacific Islander.
- have a family history of diabetes.
- have high blood pressure.
- are a woman who has had gestational diabetes (a type of diabetes that may develop during pregnancy) or has given birth to a baby weighing 9 pounds or more.
- have abnormal cholesterol levels.
- are inactive.
If you have pre-diabetes, it’s time to act. Aim for at least 30 minutes of physical activity five or more days per week. You’ll also want to limit fat and calories, eat more fruits and vegetables, and watch your serving sizes. Avoid soft drinks and sweet tea.
People with pre-diabetes who use diet and exercise to achieve modest weight loss can reduce their chances of getting diabetes. These fairly simple steps may help you lose weight and reverse the course of pre-diabetes. And that’s a second chance no one should pass up.
Sonja B. Kelleher, MD, family medicine physician, sees patients at Erlanger South Family Medicine, 60 Erlanger South Drive, Suite A, Ringgold, GA 30736. For more information or to make an appointment with Dr. Kelleher, call 423-778-2900.
Article originally published by The Chattanooga Times Free Press on Sunday, April 26, 2015.