Prediabetes is a condition in which the fasting or postprandial blood glucose is abnormal, meaning that the result is out of the normal range but does not meet the diagnostic criteria for diabetes, which can be diagnosed as prediabetes.

Prediabetes is defined as having a blood glucose fasting of 6.1-7.0 mmol/L and a 2-hour postprandial blood glucose of 7.8-11.1 mmol/L. Anyone with a blood glucose result in this range is said to be prediabetic. There is still a large number of pre-diabetic people in China, and in 2016, the World Health Organization released the Global Diabetes Report, a report that showed that 500 million Chinese adults are pre-diabetic.

Prediabetes can be reversed, which is good news for those worried about developing diabetes, and the Chinese Expert Consensus on Clinical Intervention in Prediabetes, developed in 2019, proposes relatively strict management of people with prediabetes.

Let's take a look at what characterizes people with pre-diabetes:

Pre-diabetes is more likely to occur in this population with a family history of diabetes, obesity, smoking, age, and a history of gestational diabetes and the birth of a giant child.

A careful analysis of these characteristics shows that there are some things we can't change, such as your parentage, age, etc., but quitting smoking and losing weight are things you can do.

The harmful effects of tobacco are publicized everywhere, the dangers are obvious, all it takes is your determination and perseverance. Lose the cigarette in your hand, stay away from people who smoke, and refuse secondhand smoke.

Lose weight, lose abdominal and visceral fat, increase muscle mass, and insulin resistance will decrease.

Studies have shown that controlling your diet, losing weight and increasing physical activity can successfully reverse pre-diabetes and reduce your risk of developing diabetes further.

Therefore, it is already pre-diabetic must resolve to quit smoking and lose weight, change bad habits you become a healthy person, do not change to become diabetic, which leads to a variety of complications.

If he manages his diabetes from pre-diabetes, loses weight and quits smoking, his blood glucose will be normal, his blood lipids will be normal, and in ten years' time he will be in better shape than he is now because of his health awareness, and the benefits of lifestyle modification will keep him healthy in the long run.

I'm Dr. Sun, pay attention to Dr. Sun talk about sugar, continue to learn more quality health knowledge, help please like, have questions please leave a message, will reply!

Many people are no strangers to diabetes. As one of the most common chronic diseases today, diabetes is afflicting more and more people, and it's getting younger. In fact, many patients go through a transitional period, known as "pre-diabetes", before they are diagnosed with diabetes.

Are there people who reverse pre-diabetes? How was it done?

Diabetes mellitus is a metabolic disease characterized by hyperglycemia, and obviously hyperglycemia is its most typical characteristic. Generally speaking, diabetes mellitus can be diagnosed by fasting blood glucose ≥7.0mmol/L or two hours postprandial blood glucose ≥11.1mmol/L. However, under normal circumstances, the fasting blood glucose level is 3.9-6.1mmol/L; postprandial blood glucose is <7.8mmol/L. That is to say, if the fasting blood glucose is 6.1-7.0mmol/L or 2 hours postprandial blood glucose is 7.8-11.1mmol/L, which belongs to the elevation of blood glucose but does not reach the standard of the diagnosis of diabetes mellitus, i.e., it is the prediabetic period.

The so-called pre-diabetes is a warning sign of diabetes. Studies have shown that if pre-diabetic patients are not treated in time, about 67.7% of them will turn into diabetes. If the patient at this stage, timely intervention treatment, can be completely reversed, to avoid the development of diabetes. So, how to reverse pre-diabetes?

Share a patient's case. This patient was accidentally found to have a fasting blood glucose of 6.44 mmol/L during a medical checkup. Because she was still young and the elevation of her blood glucose was not very serious, the doctor suggested not to take medication and to try a lifestyle intervention to bring her blood glucose down first. The patient went home and started her glucose-lowering journey, and two months later the test results finally showed normal. According to the patient's description, during this period of lowering sugar, it did not take medication and relied entirely on diet and exercise to regulate.

First of all, diet, he insisted on eating some low glycemic index food, and to ensure that the diet is rich and varied, each meal intake of a large number of vegetables, some fish, meat, eggs and milk, the main food should be moderate, with a variety of grains instead of fine rice and noodles, while paying attention to more postprandial blood glucose, in order to grasp the amount of food. In terms of exercise, he insisted on moderate-intensity aerobic exercise every day, and half-hour 5-kilometer morning jogging about five times a week to help reduce weight and control blood glucose, in addition to appropriate strength training sometimes. In addition, he would measure his blood glucose frequently, which helped him to detect problems in time and adjust the intervention program.

In fact, this patient's experience is a classic case of what he did, and what he did is a key measure in reversing pre-diabetes, which is really what we've been calling diet therapy and exercise therapy.

1. Dietary therapy:Dietary intervention is the key to lowering blood sugar, the requirement to reduce the intake of high sugar, high fat, high calorie food, less fatty meat, fried food, desserts, etc., but also to reduce the intake of salt, less use of seasonings, in addition to the amount of staple food should also be controlled, but not that do not eat, it is recommended to increase the intake of coarse grains, to reduce the amount of intake of fine pasta, and to eat more corn, oats, whole grains and so on. In addition, pay attention to eat less and more meals, eat food first and then eat staple food and meat, which will help the control of postprandial blood glucose.

2. Exercise therapy:Effective exercise should be regular, persistent, adhere to the daily exercise 30min, 5 times a week is appropriate, the exercise mode to jogging, fast walking, cycling, climbing and other aerobic exercise.

3. Test your blood sugar more often:To control blood glucose stability, regular blood glucose measurement is equally crucial, requiring regular blood glucose measurement according to one's condition, especially postprandial blood glucose measurement, and suggesting that the frequency of blood glucose measurement be enhanced when adjusting the treatment regimen.

4. Quit bad habits:In addition to the above interventions, it is also required to quit bad habits, such as quitting smoking and drinking, avoiding overwork and staying up too late, avoiding bad emotions such as tension and anxiety, etc., and to do regular work and rest, and maintain a calm mind.

I am Pharmacist Wang, insisting on spreading the knowledge of cardiovascular and cerebrovascular diseases with simple and easy-to-understand words, and dedicating my own small efforts for a healthy China. If you think my answer is helpful to you, please leave a like! In addition, if you still have questions related to pre-diabetes, welcome to leave a message, we discuss together!

The criteria for diagnosing diabetes are so arbitrary that a fasting blood sugar of over 7 is called diabetes, insulin resistance is called diabetes, and because of physical injuries

Elevated blood sugar is said to be diabetes, and many of these so-called diabetic conditions can be completely cured.

Our people's daily diet is based on cereals, supplemented by vegetables and fruits, so there is no danger of dietary fiber deficiency, but with the living

As the level of food quality rises, the degree of food refinement becomes higher and higher, and the proportion of animal food increases greatly. Dietary fat in some big cities

The proportion of heat production has increased from 20% to 25% decades ago to 40% to 45% at present, while the intake of dietary fiber has decreased significantly.

The so-called "life is getting better and better with less and less fiber" has led to some of the so-called modern civilization diseases, such as obesity, diabetes, and other diseases.

Diseases, hyperlipidemia, etc., as well as some diseases related to low dietary fiber, such as intestinal plague, constipation, intestinal polyps and other diseases, the incidence of which is increasing.

Since most illnesses are caused by eating, let's find a way to eat them back.

Regular routine, early to bed and early to rise, hot water foot soak at night, comb your hair in the morning.

Eat a light diet with plenty of coarse grains and vegetables rich in dietary fiber.

Exercise should be gradual outdoors and not sedentary indoors, so get up and move around more.

Food and medicine are the essence of Chinese culture. Sun Simiao, a great ancient medical doctor, advocated that: whenever you want to treat, you should first treat with food. Food therapy is not

The cure, and then the medicine. Dietary source of an inherited formula of therapeutic nutritional meals, effective to our modern unscientific way of eating adjustments to change over.

[Professional doctor to answer your questions

Prediabetes is a state of abnormal blood glucose, although the elevation of blood glucose does not reach the diagnostic standard of diabetes, but the cause of the occurrence of elevated blood glucose is basically the same as the cause of diabetes, research has shown that: their own pancreatic islet cells have also occurred to a certain degree of damage, some of which can be restored, while some of the damage is irreversible. Therefore, not all people in the pre-diabetic stage can be reversed, but as long as standardized and reasonable interventions are taken, it is possible to stop the progression of islet cell damage, and it will not progress to diabetes in ten or even ten or twenty years.

Clinical practice has a number of pre-diabetic people who have learned some lessons and practices, such as:

• "Methods and measures are actually quite simple, is to be aware of to control the mouth to open the legs, must change before eating irregularly and do not love sports bad habits".

• "Do not eat too much on three meals, the key is to eat reasonably, do not this also dare not eat, that can not eat, want to eat what you eat, just pay attention to not eat more. At the beginning of the blood sugar almost did not come down much, adhere to the blood sugar can basically come down to the normal level".

• "Don't get hung up on how much your blood sugar goes up and down each day, make weight control a long term goal, used to be a little overweight and obese, set myself a goal of getting my weight down to the standard range within a year, this gave me a lot of motivation, which can only be accomplished by eating a diet that strengthens your exercise, and as long as you can stick with it, your blood sugar won't be high and it's stable ".

• "Previously irregular life, not only eat irregularly, hungry and full, but also very little exercise, but also often stay up late and do not sleep, as long as you can change all these bad habits, blood sugar will naturally have a drop, very effective."

• "I listened to the doctor's arrangements, took a period of time of hypoglycemic drugs, not only blood sugar down to give me confidence, and the doctor said that on the basis of some more conducive to the establishment of a good lifestyle, more than three months after no longer taking medication, I also developed good habits, blood sugar never high again".

I hope this answer can help you, welcome to click on the attention and leave a message, together to learn and exchange more health knowledge.

First of all, I would like to tell you that up to now, not only in China, but also in the whole world, there is no real method or drug that can cure diabetes. If someone in your daily life sells you a certain method or a certain drug, then I can tell you responsibly that it is probably mostly false or exaggerated.

In fact, there is no need to worry, there is no need to feel that diabetes is very scary, because it is, after all, a chronic disease, if we are in the early stage through the correct intervention, for example, the early stage is due to obesity, lifestyle-oriented diabetes, through the weight loss, through lifestyle interventions, or appropriate assistance with some drugs, it can even be reversed back. Even if it can't be reversed, at a later stage, through the various ways and drug interventions I mentioned earlier, it is possible to control blood glucose in the normal range.

In addition, with the progress of science and technology, many, many western medicines or treatments for diabetes have continued to make progress, and now western medicines are becoming more and more effective, with fewer and fewer side effects, and they are becoming more and more convenient to take; there are those that are taken once a day, and for early or light patients, a pill a day may be sufficient and also very convenient.