{"id":2050,"date":"2007-11-01T09:19:04","date_gmt":"2007-11-01T13:19:04","guid":{"rendered":"http:\/\/ehealth.cooperhealth.org\/?p=2050"},"modified":"2007-11-01T09:19:04","modified_gmt":"2007-11-01T13:19:04","slug":"over-45-and-overweight-you-could-have-pre-diabetes-heres-what-you-need-to-know","status":"publish","type":"post","link":"https:\/\/blogs.cooperhealth.org\/ehealth\/2007\/11\/01\/over-45-and-overweight-you-could-have-pre-diabetes-heres-what-you-need-to-know\/","title":{"rendered":"Over 45 and Overweight? You Could Have Pre-Diabetes. Here\u2019s What You Need to Know"},"content":{"rendered":"

\"\"<\/a>Before people develop type 2 diabetes, a lifelong disease marked by high levels of glucose (sugar) in the blood, they almost always have a condition known as \u201cpre-diabetes.\u201d This occurs when blood glucose levels are higher than normal but not high enough to be diagnosed as diabetes.<\/p>\n

According to the American Diabetes Association, most of the estimated 16 million American adults who have pre-diabetes will develop type 2 diabetes within 10 years. Research also shows that long-term damage to the body can occur during pre-diabetes, especially to the heart and circulatory system.<\/p>\n

\u201cWe now know that pre-diabetes \u2013 referred to in medicine as impaired fasting glucose or impaired glucose tolerance \u2013 is a precursor to type 2 diabetes, a very serious and widespread disease that can result in heart disease, stroke, nerve damage, kidney failure, blindness and limb amputation,\u201d said Denise Joffe, M.D., a Cooper endocrinologist.<\/p>\n

\u201cIt\u2019s very important for people to recognize and address their pre-diabetes in order to prevent serious complications later on,\u201d added Dr. Joffe.<\/p>\n

In a major diabetes-prevention study completed by the National Institutes of Health in 2002, evidence was conclusive that people with pre-diabetes can prevent the development of type 2 diabetes by making modest changes in their diet and increasing their physical activity. They might even be able to return their blood glucose levels to normal, the study suggests.<\/p>\n

But recognizing and seeking help for pre-diabetes can be tricky. People with pre-diabetes frequently have no symptoms at all, or they dismiss what symptoms they might have as a normal part of aging.<\/p>\n

\u201cTiredness, darkened skin around the eyes, more frequent urination, increased abdominal fat, changes in vision\u2026these are all possible pre-diabetes signs that many middle-age people simply attribute to the natural aging process,\u201d said Dr. Joffe.<\/p>\n

Regardless of symptoms, if you\u2019re overweight and age 45 or above, the American Diabetes Association strongly recommends that you get screened for pre-diabetes during your next routine medical office visit.<\/p>\n

Your doctor can utilize two different screening tests to determine whether you have pre-diabetes, the fasting plasma glucose test or the oral glucose tolerance test. Either test is effective in determining whether you have a normal metabolism, pre-diabetes or diabetes. If your blood glucose level is abnormal following the fasting plasma glucose test, you have impaired fasting glucose (IFG); if it\u2019s abnormal following the oral glucose tolerance test, you have impaired glucose tolerance (IGT).<\/p>\n

\u201cScreenings for IFG or IGT should also be considered for overweight adults who are under age 45 and have other diabetes-risk factors,\u201d Dr. Joffe said.<\/p>\n

Risk factors for diabetes include high blood pressure, low HDL cholesterol and high triglycerides, a family history of diabetes, a history of gestational diabetes (development of the disease while pregnant), or belonging to an ethnic group at higher risk for developing diabetes: African American, American Indian, Asian American, Hispanic American\/Latino and Pacific Islander.<\/p>\n","protected":false},"excerpt":{"rendered":"

Before people develop type 2 diabetes, a lifelong disease marked by high levels of glucose (sugar) in the blood, they almost always have a condition known as \u201cpre-diabetes.\u201d This occurs when blood glucose levels are higher than normal but not high enough to be diagnosed as diabetes. <\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[197,231],"class_list":{"0":"entry","1":"post","2":"publish","3":"author-admin","4":"has-excerpt","5":"has-more-link","6":"post-2050","8":"format-standard","9":"category-ehealth-connection","10":"post_tag-diabetes","11":"post_tag-endocrinology"},"yoast_head":"\nOver 45 and Overweight? You Could Have Pre-Diabetes. 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