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Should I Worry About Prediabetes?: Diabetes Questions & Answers

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Prediabetes risk checkboxes -- Should I Worry About Prediabetes?: Diabetes Questions & Answers

Q: I was recently diagnosed with “prediabetes” (fasting blood sugar was 104 mg/dl). I feel perfectly fine, except for feeling a little sleepy after I eat. Is this something I should worry about?

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A: Be thankful that your doctor cared enough to have you checked. Yes, prediabetes is something to be concerned about. It is a sign that your body has developed “insulin resistance” — the insulin you produce is not lowering your blood sugar levels the way it should. At this point, your pancreas can make enough extra insulin to compensate, but it won’t be long before your pancreas can’t keep up with the increased demand and your blood sugar levels start to rise.

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This may already be starting to happen after meals. One of the symptoms of high blood sugar is sleepiness, and you reported that you are already feeling unusually drowsy after you eat. Luckily, you caught this early and can do something about it. Ask your physician to refer you to a diabetes educator. They can teach you about using exercise, stress reduction, weight loss and a healthy diet to improve your insulin sensitivity and (hopefully) keep type 2 diabetes from developing.

Want to learn more about prediabetes? Read “Prediabetes: What to Know,” “Prediabetes Treatment” and “Prediabetes Definition.”

Gary Scheiner, MS, CDE

Gary Scheiner, MS, CDE

Gary Scheiner, MS, CDE on social media

The Owner and Clinical Director of Integrated Diabetes Services LLC, a private practice specializing in advanced education and glucose regulation for patients utilizing intensive insulin therapy. Scheiner, who has had Type 1 diabetes since 1985, was the AADE 2014 Diabetes Educator of the Year. He is the author of Think Like A Pancreas — A Practical Guide to Managing Diabetes With Insulin, Practical CGM, Diabetes-How To Help (A Guide to Caring for a Loved One With Diabetes), The Ultimate Guide to Accurate Carb Counting, and Until There Is A Cure.

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