Prediabetes: A Doctor's Insight on Your Health Concerns - Family Medicine

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Doctor, I apologize for bothering you again?


Hello, I always want to confirm whether I am currently in a prediabetic state.
I have a chronic illness, and I am committed to taking good care of my body.
I also appreciate the doctor's advice.
I interpreted the doctor's recent words as: you might be unwell, but I'm not telling you because I don't want to hurt you.
Is that correct? Thank you for your response, and I appreciate your understanding of my anxiety.

xuesheng, 20~29 year old female. Ask Date: 2020/08/21

Dr. Wu Zongying reply Family Medicine


Hello: First, don't worry.
You are currently not in the prediabetic range (fasting blood glucose levels should be between 100-126 mg/dL).
It is recommended that you exercise more and engage in outdoor activities, as this is beneficial for both your physical and mental well-being.
Stay optimistic, maintain your health, and be a cheerful, positive person.

Reply Date: 2020/08/21

More Info


Understanding prediabetes is crucial, especially for individuals who are concerned about their health and the potential progression to type 2 diabetes. Prediabetes is a condition where blood sugar levels are higher than normal but not high enough to be classified as diabetes. It serves as a warning sign that you are at risk for developing diabetes, and it is a critical time to make lifestyle changes to prevent the onset of the disease.

To determine if you are in the prediabetic range, healthcare providers typically use one of three tests: the fasting plasma glucose test, the oral glucose tolerance test, or the hemoglobin A1c test. A fasting plasma glucose level between 100 and 125 mg/dL, an A1c level between 5.7% and 6.4%, or a two-hour glucose level between 140 and 199 mg/dL during an oral glucose tolerance test indicates prediabetes.

Your concern about your health is valid, and it’s important to address any fears or anxieties you may have regarding your condition. It’s common for patients to feel apprehensive when they suspect they might have a health issue. However, it’s essential to have open communication with your healthcare provider. If your doctor has indicated that you might be unwell but has not provided specific details, it could be a way to encourage you to take proactive steps without causing undue stress. It’s crucial to ask questions and seek clarity about your health status, as understanding your condition can empower you to make informed decisions.

If you are diagnosed with prediabetes, there are several lifestyle changes you can implement to help manage your blood sugar levels and reduce your risk of developing type 2 diabetes. These include:
1. Dietary Changes: Focus on a balanced diet rich in whole grains, fruits, vegetables, lean proteins, and healthy fats. Reducing the intake of processed foods, sugary beverages, and high-calorie snacks can help maintain stable blood sugar levels.

2. Regular Physical Activity: Engaging in regular exercise, such as walking, cycling, or swimming, can improve insulin sensitivity and help manage weight. Aim for at least 150 minutes of moderate-intensity aerobic activity each week.

3. Weight Management: If you are overweight, losing even a small percentage of your body weight (5-7%) can significantly reduce your risk of developing diabetes.

4. Regular Monitoring: Keep track of your blood sugar levels as recommended by your healthcare provider. Regular check-ups can help monitor your progress and make necessary adjustments to your management plan.

5. Stress Management: Chronic stress can affect blood sugar levels. Incorporating stress-reducing techniques such as mindfulness, meditation, or yoga can be beneficial.

6. Sleep Hygiene: Ensure you are getting adequate sleep, as poor sleep can negatively impact insulin sensitivity and overall health.

7. Education and Support: Consider joining a diabetes prevention program or support group. Education about prediabetes and connecting with others facing similar challenges can provide motivation and accountability.

In conclusion, being proactive about your health is commendable, and understanding your risk factors is the first step toward prevention. If you have concerns about your health status or the possibility of prediabetes, don’t hesitate to reach out to your healthcare provider for further evaluation and personalized advice. Remember, early intervention can make a significant difference in your health outcomes.

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