Prediabetes means that blood sugar levels are higher than normal, but not yet high enough to be classified as type 2 diabetes.
Two basic (routine)tests for pre-diabetes and diabetes are:
1. An A1C level
a. a level between 6 and 6.5 percent is considered prediabetes.
b. a level of 6.5 percent or higher on two separate tests indicates diabetes.
c. “Certain conditions can make the A1C test inaccurate — such as pregnanancy or having an uncommon form of hemoglobin (known as a hemoglobin variant). “
2. Fasting Blood Sugar level
a. bloods sugar levels lower than 100 milligrams per deciliter (mg/dL) is normal.
b. blood sugar levels from 100 to 125 mg/dL (5.6 to 6.9 mmol/L) is considered prediabetes … or impaired fasting glucose (IFG)
c. A blood sugar level of 126 mg/dL (7.0 mmol/L) or higher may indicate diabetes mellitus.
Pre-diabetes is a fairly reliable predictor of Diabetes. According the research published by the CDC and well documented in research literature, many individual who are currently diagnosed with diabetes, had pre-diabetes for 10 years prior.
So why do so many people with pre-diabetes end up with diabetes … the simple answer is that in most cases the pre-diabetic condition was perceived as important, not treated aggressively or not treated in a timely manner.
More specifically what can happens is:
- A medical care provider may tell the patient that “your blood sugars are higher than normal and we will be monitoring them”. Take the accountability off the patient.
- A medical care provider may tell the patient to watch what they eat or lose weight, but may neglect to emphasize the long term effects of prediabetes or just how to manage their weight.
- Patients switch medical care providers and previous histories may not follow the patient.
- When patients get a new provider, they may report that their “blood sugars were high in the past, but not specify for how long.
- Some medical care providers will monitor blood sugars above 100 up to 120 and beyond before prescribing medication or a restricted diet or diet/lifestyle consultation.
- Patients do not feel the effects of pre-diabetes so there may be little motivation to do anything about treating the condition.
- Some patients do not get annual physicals and only go to a medical care provider when ill. It is not uncommon the hear a patient report not seeing a physician for 2-3 years, and in some cases up to 10 years.
- We as a species ore overly optimistic …” it won’t happen to me syndrome”. We act in accordance with these beliefs. This has served us well through the millennium and is assuredly on reason we have survived as a species. This over optimistic view of the world around us can also be dangerous and in some cases life threatening.
- The patient has no compelling reason to make a change … they lack the motivation to make a change … lack of concern complications of diabetes, not considering/knowing the complications of diabetes, not considering what it would be like to have to take medication every day, not considering the additional medical costs associated with diabetes.”People with diagnosed diabetes, on average, have medical expenditures approximately 2.3 times higher than what expenditures would be in the absence of diabetes”” … average medical expenditures of about $13,700 per year” according to diabetes.org.
- We as a species, also tend to be over optimistic or over confident in our abilities to achieve desired outcomes or avoid the consequences …” I can do this on my own.”
This information is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical/nutritional/fitness advice. Information presented is subject to change as additional discoveries are made or additional research is published. Links to various sites are provided for your convenience only and we are not responsible or liable for the content, accuracy of information provided or privacy practices of linked sites or for products or services described on these sites.
Sources: http://www.webmd.com/diabetes/news/20141007/screen-everyone-over-45-for-diabetes-us-task-force, http://www.diabetes.org/advocacy, http://www.mayoclinic.org/diseases-conditions/, http://www.webmd.com/diabetes, http://en.wikipedia.org/wiki/, http://www.bostonglobe.com/