Pre-Diabetes: Borderline Diabetes
Prediabetes: a condition where blood glucose (blood sugar) has risen above the norm for an individual, indicates that insulin function is impaired: the precursor to diabetes.
Pre-diabetes is the stage before contracting diabetes itself. It could be classified as borderline diabetes, in that the measurement of diabetic blood sugar levels does not show them to be outside the normal range. However, the readings may be outside the normal range for the individual. The only way to tell, is to monitor readings on a regular basis. When you see a gradual increase above your base blood glucose norm, then it is time to consider if prediabetes is upon you, and for you to consult your doctor or medical team.
Disclaimer: I am not a doctor. I am a diabetic. Everything in this article is from a personal point of view. If you are, or think you may be, diabetic, then you should consult your medical practitioners for their diagnosis, treatment and advice
What Is Pre-diabetes?
The first thing to say is that many of us are predisposed to diabetes. What this means is that the genetic make-up of many of us predetermines that, under the right (or is that, wrong?) conditions, we are susceptible to contracting diabetes.
I suppose, under these conditions, everybody that is predisposed to diabetes, is pre-diabetic. But that is not the condition prediabetes.
Prediabetes is when your body begins to have difficulty processing blood glucose. At this point the diabetic blood sugar range is within the bounds that would associated with a non-diabetic condition, but it is higher than the normal range for the individual. With prediabetes there is a gradual increase in the blood sugar range, but not to the extent that diabetes would be diagnosed.
It is only each individual that can tell if their blood sugar level is out of the normal range for them. The only way to determine that you are prediabetic is to monitor your blood sugar levels on a regular basis, and keep a record of the results. Only by doing this can you see when it rises over a period of time.
Pre Diabetes Testing Equipment
The only way to determine if you are pre diabetic is to test your blood sugar levels
When it is on the rise over a period of time, then you can assume that prediabetes is a likely prognosis. This is the time to re-evaluate your lifestyle (if not before), and to consult your medical team (if not before).
The only way to monitor for the onset of prediabetes
The only way to test for prediabetes is to test for diabetes. The same blood glucose monitors are used. Whereas for diabetes you would be testing that your diabetic blood sugar levels are within tolerance, i.e. between ~ 70 to 130 [(US), ~ 4 to 7 (UK)], for prediabetes you are monitoring for changes over time.
If you know that it is likely you are predisposed to contracting diabetes, for instance when other members of your family have the condition, then it is sensible to monitor your blood condition on a regular basis.
Keeping a record of your weekly or monthly glucose measurements is essential to determine if or when an increase is noticeable. Testing should always be done under the same conditions each time. That is to say, at the same time of day, after a similar meal, taken at the regular time.
Food digestion has an impact on blood glucose readings. You will see an increase in the numbers after a meal, and a lowering after fasting, i.e. overnight, but before your first meal of the day.
Your normal average blood glucose level may be 5.7, two hours after a meal. If you take measurements regularly at the same time, and under the same conditions, then a sustained increase to 6.1, for instance, might be an indication that blood sugar is not being processed as efficiently as previous. This could indicate the onset of prediabetes.
Further Reading On Pre Diabetes
The diagnostic thresholds for diabetes look, at first glance, clear and complete. Yet there is an interim area in which blood-sugar levels are borderline. This used to be called border line diabetes but is now better classified as pre-diabetes.
Pre-diabetes is where a higher than usual blood-sugar reading is present. This increase may not have been registered yet. You may not have had a blood-glucose test. So you may be in the pre-diabetes stage without knowing it. Everybody should have regular blood-glucose tests to determine that blood-glucose levels in the bloodstream are within the normal parameters.
The in-between numbers that are recorded in pre-diabetes are considered to be a distinct condition known as ‘impaired glucose tolerance’, or IGT. This indicates that your cells are becoming insulin resistant.
At this point you should consult your medical team to see what they suggest as a means to mitigate the condition. If diabetes can be thwarted at the prediabetic stage, then this is the best result for all concerned. It may be that the condition can be controlled with diet, weight loss and exercise. A much better outcome than medication in tablet form, or insulin injections. It may be that simply reducing your cholesterol level is beneficial.
Pre-Diabetes: Do I Have Diabetes?
Diabetes is when blood glucose processing is impaired to the point where measurements for glucose levels in the blood show outside a predetermined range.
Pre diabetes is considered to be the start of blood glucose processing impairment.
Being aware that prediabetes is present is the best chance to minimize the chances of diabetes occurring. It is your chance to put in place a regime of dietary changes and exercise that halts (and maybe reverses) the condition.
Of course the most best way is to implement that regime BEFORE pre-diabetes is found to be present.
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