Diabetes Self-Management Articles

These articles cover a wide range of subjects, from the most basic aspects of diabetes care to the nitty-gritty specifics.

Links not loading properly?

Some of our pages use Portable Document Format (PDF) files, which require Adobe Acrobat Reader. To download Acrobat Reader for free, visit www.adobe.com.

Sign up for our weekly e-mail newsletter and receive a FREE GIFT! Enter your e-mail below.

Learn more

Learn more about diabetes

Links to help you learn more about diabetes.

Ask a diabetes expert
Other diabetes resources
Browse article topics

 

Dealing With Prediabetes

by Joseph Gustaitis

Nearly 24 million people in the United States are estimated to have diabetes. That’s a big number. But it’s not nearly as big as the estimated number who have prediabetes — 57 million.

People who have prediabetes have blood glucose levels that are above normal but that are not high enough to be diagnosed as diabetes. Many people with prediabetes develop Type 2 diabetes within 10 years.

One of the problems with prediabetes is that there has not been a universally agreed-upon treatment plan for people with the condition. Until now, that is. In the summer of 2008, a consensus conference of the American College of Endocrinology and the American Association of Clinical Endocrinologists released a list of recommendations for comprehensively treating people with prediabetes.

The treatment plan focuses on a number of approaches. The first involves lifestyle changes, and it’s not hard to guess what those are — weight loss, exercise, and improved diet. The task force recommended that people with prediabetes lose from 5% to 10% of their body weight and said that they should get at least 150 minutes of moderate-intensity exercise, such as biking or brisk walking, every week. The panel also recommended following a diet that’s moderate in calories, high in fiber, and possibly limited in carbohydrate.

A second approach is aimed at those who are at particularly high risk. This includes people who have made lifestyle changes but whose blood glucose levels continue to climb, who have signs of cardiovascular disease, or who have nonalcoholic fatty liver disease, polycystic ovary syndrome, or a history of gestational diabetes. For them, medicine should be considered, with drugs to lower cholesterol, blood pressure, and blood glucose levels. (The drugs metformin [brand name Glucophage and others] and acarbose [Precose] were specifically recommended for lowering blood glucose).

Because diabetes tends to run in families, the World Health Organization now recommends that relatives of people with Type 2 diabetes be alert to the disease. A diagnosis of prediabetes is a wake-up call.

 

 

More articles on Diabetes News
More articles on Diabetes Basics

 

 


Statements and opinions expressed on this Web site are those of the authors and not necessarily those of the publishers or advertisers. The information provided on this Web site should not be construed as medical instruction. Consult appropriate health-care professionals before taking action based on this information.

 

 

Have a Spouse With Type 2? Your Risk May Be Increased
It has long been known that having relatives with Type 2 diabetes increases a person's risk... Blog

Exercise May Equal Meds for Common Conditions
The health benefits of exercise, such as helping control blood glucose and maintain weight... Blog

Navigating Your Way to Optimal Health
"If one does not know to which port one is sailing, no wind is favorable." —Seneca... Article

Roughly how many calories a day will nursing my baby require? Get tip


Carbohydrate Restriction: An Option for Diabetes Management
Some people find that decreasing the amount of carbohydrate they eat can help with blood glucose control. Here’s what to know about this approach.

Insulin Patch Pumps: A New Tool for Type 2
Patch pumps are simpler to operate than traditional insulin pumps and may be a good option for some people with Type 2 diabetes who need insulin.

How Much Do You Know About Vitamins?
Learn what these micronutrients can and can’t do for you.

Complete table of contents
Get a FREE ISSUE
Subscription questions