What is pre-diabetes and how serious is it?

cured

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Diabetes is an insidious disease that can occur without a person feeling anything at all, yet all the while the disease is already taking its toll.


The definition of pre-diabetes is that your blood glucose (sugar) levels are higher than normal but not yet high enough to be classed as diabetes. Pre-diabetes is therefore the precursor to Type 2 diabetes. Pre-diabetes in itself is not life threatening because your blood sugar levels are still within the normal range. Not all people with pre-diabetes will develop T2, but if it is left untreated there is a very high probability that the pre-diabetes will develop into T2. Pre-diabetes is therefore very serious and must be remedied asap.


Pre-diabetes is caused by lifestyle factors, primarily obesity (being overweight due to eating the wrong types of food in excess) and indolence (being inactive), but also and probably more especially due to ignorance and indifference.


T2 diabetes develops when your body is not able to effectively use or produce enough insulin. Consequently you are at increased risk of heart disease (CVD) or stroke, and possibly gangrene and or organ failure, particularly of the kidney or pancreas, which medical conditions can be life-threatening and you should therefore take immediate remedial action for it, i.e. check your blood sugar, blood pressure and cholesterol levels, have an ECG (under stress) to determine the condition of your heart and change your lifestyle (a low GL, salt, fat, carb and calorie diet and regular exercise.)


Some doctors prescribe Metformin for pre-diabetes as a precautionary measure, particularly for patients over 50 years old, but it is generally always prescribed for those with T2. A high blood sugar level can be normalised by taking medication (Metformin) but it can be totally eliminated without the need thereafter to be prescribed medication for it if youpermanently change your lifestyle by adopting the appropriate diet and exercise regimen.


It is important to realise that medication on its own is not a panacea for diabetes because it treats the symptoms and not the cause of the disease. Therefore you cannot merely take the medication and continue to eat incorrectly and not exercise, as so many patients do. It is essential to maintain a healthy body weight and measure your blood glucose (sugar) levels on a regular basis to monitor your health.


The risks associated with T2 and pre-diabetes will therefore depend on our lifestyle (diet and exercise regimen) and our vital health statistics (A1c, BMI, WHR and BP). The worse these become, the more at risk we become of having amputations, heart disease, organ failure and a premature death!
 

Spl@

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I don't like this pre diabetes is different view. It is early t2. Simple. Less damage is done but it is exactly the same mechanism that cannot cope.

Likewise it has required the same efforts from myself (as a pre) as a full t2 to put it in check. Things have not failed to the same extent and can be saved.

Also obesity is not a cause. I is as often a symptom.

4/10
 
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Guzzler

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"a low GL, salt, fat, carb and calorie diet and regular excercise"

This equates to eat less move more. I cannot agree. If I followed this advice I would be so weak and fatigued that I would not be able to excercise but I'd probably lose weight. I would like to point out that BMI is, imo, a rubbish calculator and does not constitute a 'vital'.
 

Brunneria

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Hi and welcome to the forum @cured

It looks as though your post at the start of this thread was cut and pasted from somewhere else.
Could you tell us where it comes from please?

There is some information in your post which is not in line with recent science, and some which contradicts the experience of many on the forum.

I would also strongly suggest that you avoid telling people that their pre-diabetes is probably 'caused by indolence and indifference'. This is a forum for people who support each other in the management of their health conditions, and who work very hard to do so. Members who blame and criticise are subject to moderation.

Please familiarise yourself with the forum rules before you make any further posts.
You can find the forum rules here:
https://www.diabetes.co.uk/forum/threads/community-ethos-forum-rules.50278/
 

JoKalsbeek

Expert
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I reversed my Type 2
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Diabetes is an insidious disease that can occur without a person feeling anything at all, yet all the while the disease is already taking its toll.


The definition of pre-diabetes is that your blood glucose (sugar) levels are higher than normal but not yet high enough to be classed as diabetes. Pre-diabetes is therefore the precursor to Type 2 diabetes. Pre-diabetes in itself is not life threatening because your blood sugar levels are still within the normal range. Not all people with pre-diabetes will develop T2, but if it is left untreated there is a very high probability that the pre-diabetes will develop into T2. Pre-diabetes is therefore very serious and must be remedied asap.


Pre-diabetes is caused by lifestyle factors, primarily obesity (being overweight due to eating the wrong types of food in excess) and indolence (being inactive), but also and probably more especially due to ignorance and indifference.


T2 diabetes develops when your body is not able to effectively use or produce enough insulin. Consequently you are at increased risk of heart disease (CVD) or stroke, and possibly gangrene and or organ failure, particularly of the kidney or pancreas, which medical conditions can be life-threatening and you should therefore take immediate remedial action for it, i.e. check your blood sugar, blood pressure and cholesterol levels, have an ECG (under stress) to determine the condition of your heart and change your lifestyle (a low GL, salt, fat, carb and calorie diet and regular exercise.)


Some doctors prescribe Metformin for pre-diabetes as a precautionary measure, particularly for patients over 50 years old, but it is generally always prescribed for those with T2. A high blood sugar level can be normalised by taking medication (Metformin) but it can be totally eliminated without the need thereafter to be prescribed medication for it if youpermanently change your lifestyle by adopting the appropriate diet and exercise regimen.


It is important to realise that medication on its own is not a panacea for diabetes because it treats the symptoms and not the cause of the disease. Therefore you cannot merely take the medication and continue to eat incorrectly and not exercise, as so many patients do. It is essential to maintain a healthy body weight and measure your blood glucose (sugar) levels on a regular basis to monitor your health.


The risks associated with T2 and pre-diabetes will therefore depend on our lifestyle (diet and exercise regimen) and our vital health statistics (A1c, BMI, WHR and BP). The worse these become, the more at risk we become of having amputations, heart disease, organ failure and a premature death!
Sounds like a perfect blend to me. For getting malnourished, dehydrated and deficient in both vitamins & minerals, that is.
 

Mike d

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I don't like this pre diabetes is different view. It is early t2. Simple. Less damage is done but it is exactly the same mechanism that cannot cope.

Likewise it has required the same efforts from myself (as a pre) as a full t2 to put it in check. Things have not failed to the same extent and can be saved.

Also obesity is not a cause. I is as often a symptom.

4/10

Generous ... I gave it a 2 simply because of the misinformation and the "lecture".
 

cured

Member
Messages
15
"a low GL, salt, fat, carb and calorie diet and regular excercise"

This equates to eat less move more. I cannot agree. If I followed this advice I would be so weak and fatigued that I would not be able to excercise but I'd probably lose weight. I would like to point out that BMI is, imo, a rubbish calculator and does not constitute a 'vital'.
 

cured

Member
Messages
15
BMI is used as indicator of whether a person is obese. The NHS website states that :

A body mass index (BMI) above the healthy weight range, or too much fat around your waist, can increase your risk of serious health problems like heart disease, type 2 diabetes, stroke.
 

cured

Member
Messages
15
Hi and welcome to the forum @cured

It looks as though your post at the start of this thread was cut and pasted from somewhere else.
Could you tell us where it comes from please?

There is some information in your post which is not in line with recent science, and some which contradicts the experience of many on the forum.

I would also strongly suggest that you avoid telling people that their pre-diabetes is probably 'caused by indolence and indifference'. This is a forum for people who support each other in the management of their health conditions, and who work very hard to do so. Members who blame and criticise are subject to moderation.

Please familiarise yourself with the forum rules before you make any further posts.
You can find the forum rules here:
https://www.diabetes.co.uk/forum/threads/community-ethos-forum-rules.50278/
 

Guzzler

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Poor grammar, bullying and drunks.
BMI is used as indicator of whether a person is obese. The NHS website states that :

A body mass index (BMI) above the healthy weight range, or too much fat around your waist, can increase your risk of serious health problems like heart disease, type 2 diabetes, stroke.

BMI is height to weight ratio. The height to waist ratio is only slightly better in terms of T2 but is a different calculator.

BMI does not take muscle mass into account whether the NHS admit it or not. Step into the 21st century my friend.
 
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JoKalsbeek

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Pre-diabetes is caused by lifestyle factors, primarily obesity (being overweight due to eating the wrong types of food in excess) and indolence (being inactive), but also and probably more especially due to ignorance and indifference.

-----

The worse these become, the more at risk we become of having amputations, heart disease, organ failure and a premature death!


I was obese while I only ate one meal a day. When I went to a dietican she forced carbs down my throat in three square meals a day, leading me to believe it was the only way to lose weight... And I became morbidly obese. I was barely eating, certainly not indulging, and I was huge to begin with. A blimp at the end of it. Do not dole out blame when you know nothing about any of us.

On this forum we support one another, give HOPE, and try to give this condition a positive twist: letting newly diagnosed people know they/we are not alone, we are not to blame for our genetic predisposition or medicine use that got us here. And we're not going to drop dead any time soon either. Not if we can help it.

This doc you're peddling in other threads is NOT reputable. Far from it. People'll see that too as they google.

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cured

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My article was firstly written in Word, then copied and pasted from that into the Forum. I thought that members were allowed to express their personal opinion?
My comments were not intended to offend and I apologise if they did, but I strongly believe that trying to be PC can often be the biggest obstacle as was proved by the Fight Fat campaign in Newcastle.
Diabetes is a silent killer and most people only realise they have it after the damage has been done. It is aimed at those who have pre-diabetes but who are unaware of it. An obese lady in the Fight Fat program was still having difficulty going on a diet and exercising despite the fact that her father had just had his leg amputated due to being diabetic! Regardless of whether a person has or does not have diabetes it is essential to remain active.

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M

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It’s hyperinsulinemia. The label means little. Prediabetes just means a different point on the spectrum of insulin resistance as decided by an arbitrary scale. It’s not a different condition. The hyperglycaemia is the same symptom as diabetes but to a lesser degree. A little bit of diabetes, as it were.

That’s my view at least, but I won’t labour the point because I’m mindful that it probably doesn’t sit too well with many.
 
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cured

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Please refer to the Banting and Patrick Holford diets, the latter being a recognised dietician specialising in diabetics
 

JoKalsbeek

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My article was firstly written in Word, then copied and pasted from that into the Forum. I thought that members were allowed to express their personal opinion?
My comments were not intended to offend and I apologise if they did, but I strongly believe that trying to be PC can often be the biggest obstacle as was proved by the Fight Fat campaign in Newcastle.
Diabetes is a silent killer and most people only realise they have it after the damage has been done. It is aimed at those who have pre-diabetes but who are unaware of it. An obese lady in the Fight Fat program was still having difficulty going on a diet and exercising despite the fact that her father had just had his leg amputated due to being diabetic! Regardless of whether a person has or does not have diabetes it is essential to remain active.
You apologise and then say the same thing again.

Basing judgements on a TV show... Yeah. Okay. Very scientific.

Kinda useless apology mate.
 
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Guzzler

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Poor grammar, bullying and drunks.
My article was firstly written in Word, then copied and pasted from that into the Forum. I thought that members were allowed to express their personal opinion?
My comments were not intended to offend and I apologise if they did, but I strongly believe that trying to be PC can often be the biggest obstacle as was proved by the Fight Fat campaign in Newcastle.
Diabetes is a silent killer and most people only realise they have it after the damage has been done. It is aimed at those who have pre-diabetes but who are unaware of it. An obese lady in the Fight Fat program was still having difficulty going on a diet and exercising despite the fact that her father had just had his leg amputated due to being diabetic! Regardless of whether a person has or does not have diabetes it is essential to remain active.

Essential to remain active? The daughter said in that programme (if memory serves) that Dad loved his traditional meals and refused to change. Neither of them were aware of alternative approaches. Excercise or'activity' would not have helped either of them in the face of the modern western diet.

Yours is not an article as such, it is an opinion and I'm afraid it is quite an outdated one.
 
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britishpub

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I thought that members were allowed to express their personal opinion?

They can, as long as that opinion isn't offensive or intentionally provocative

It is aimed at those who have pre-diabetes but who are unaware of it.

Well they would hardly be likely to be reading this forum then would they?

It is common practice on the forum and polite to declare your interest in Diabetes by the way, so that other posters and those that read your comments can understand and appreciate your experience of Diabetes.