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What factors contribute to the development of prediabetes?

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Published At February 26, 2024
Reviewed AtFebruary 26, 2024

Patient's Query

Hello doctor,

As a 38-year-old male who recently received a diagnosis of prediabetes through blood work, I am seeking insights into what prediabetes is, how it is defined, and its implications. Could you please provide information on the following:

  1. What exactly is prediabetes, and what are the key indicators or test results that signal its presence?
  2. What factors contribute to the development of prediabetes?
  3. How likely is it for prediabetes to progress to type 2 diabetes over time?
  4. What are the potential health consequences if prediabetes is left unaddressed?
  5. What are the recommended lifestyle changes for individuals with prediabetes, including diet, physical activity, weight management, and stress reduction?
  6. How important is diet in managing prediabetes, and what dietary guidelines and food choices can help stabilize blood sugar levels and improve insulin sensitivity?
  7. How does regular physical activity impact prediabetes, and what types of exercises are recommended? Also, how often should individuals engage in physical activity to effectively manage their condition?

Thank you in advance.

Answered by Dr. Arpit Varshney

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Prediabetes is a serious health condition where blood sugar levels are higher than normal, but not high enough yet to be diagnosed as type 2 diabetes. Approximately 96 million American adults have prediabetes. Of those with prediabetes, more than 80% do not know they have it. Prediabetes puts you at increased risk of developing type 2 diabetes, heart disease, and stroke. The good news is that if you have prediabetes, the CDC-led National Diabetes Prevention Program can help you make lifestyle changes to prevent or delay type 2 diabetes and other serious health problems. Insulin is a hormone made by your pancreas that acts like a key to let blood sugar into cells for use as energy. If you have prediabetes, the cells in your body do not respond normally to insulin. Your pancreas makes more insulin to try to get cells to respond. Eventually, your pancreas cannot keep up, and your blood sugar rises, setting the stage for prediabetes and type 2 diabetes down the road.

Signs and symptoms - You can have prediabetes for years but have no clear symptoms, so it often goes undetected until serious health problems such as type 2 diabetes show up. It is important to talk to your doctor about getting your blood sugar tested if you have any of the risk factors for prediabetes, which include:

  1. Being overweight.
  2. Being 45 years or older.
  3. Having a parent, brother, or sister with type 2 diabetes.
  4. Being physically active less than three times a week.
  5. Ever having gestational diabetes (diabetes during pregnancy) or giving birth to a baby who weighed more than 9 pounds.
  6. Having polycystic ovary syndrome.
  7. Race and ethnicity are also a factor: African Americans, Hispanic/Latino Americans, American Indians, Pacific Islanders, and some Asian Americans are at higher risk.
  8. If you have prediabetes, losing a small amount of weight if you are overweight and getting regular physical activity can lower your risk for developing type 2 diabetes. A small amount of weight loss means around 5 % to 7 % of your body weight or just 10 to 14 pounds for a 200-pound person. Regular physical activity means getting at least 150 minutes a week of brisk walking or a similar activity. That is just 30 minutes a day, five days a week.

    I hope this information helps you.

    Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Arpit Varshney
Dr. Arpit Varshney

General Medicine

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