Can you reverse or prevent pre-diabetes?
Do you have pre-diabetes?
Diabetes and its precursor pre-diabetes is a disease that has afflicted my family for the last forty years . . . . that’s about the time when many of them migrated from the West Indies to the US. It’s also about the time when fast food was not only a growing trend but became a necessity for the working folks. Although we still ate our healthy traditional meals at home, many times breakfast and lunch were eaten on the road. As a consequence, things like high blood pressure and diabetes began to appear in otherwise healthy people.
This is not to say that diabetes doesn’t occur in the Islands . . . it does and is becoming a problem there as well, however, not on the magnitude of the US and other westernized countries, based on population ratios.
I have lost close family members to this disease and it is currently affecting others in varying degrees from pre-diabetes through dialysis and insulin pump.
Diabetes, including type 1, type 2 and its precursor, pre-diabetes, continues to grow at an alarming rate in this country. It is estimated that 29,000 young people are being diagnosed with type 1 diabetes for the first time on an annual basis in the US alone. Can you imagine what’s happening in the rest of the world?
Together, they affect about 100 million people in this country and some 600 million world-wide. These are the diagnosed cases. How many people are living with this disease and are clueless? I am sure you either have a family member or know someone who is affected by this disease.
What is it? Where did it come from? Do I have it? How can I prevent it? These are some of the questions I will attempt answer in this blog series.
Because pre-diabetes is the potential stepping stone to full-blown diabetes my focus will be on how to prevent pre-diabetes from happening in the first place.
What is Diabetes?
Before I discuss how to prevent pre-diabetes let’s look at the three main types of diabetes affecting our population today . . .
Type 1 or juvenile diabetes
It has been theorized that the origins of juvenile (type 1) diabetes was the body’s reaction to the effects of cold weather on early man.When hunter- gathers lived in the northern climes some 13,000 to 14,000 years ago their bodies had to be able to withstand the extreme temperatures of the ice age. Many inhabitants died. However some were able to survive because their bodies could keep more glucose in their blood stream. This enabled them to survive the frigid cold temperature since the circulating glucose would to keep cells and tissues from freezing.
Many researchers have argued that certain diseases originate as a result of the bodies need to protect itself from common pathogens and that type 1 diabetes is one such disease since the body evolved to protect itself from the effects of extreme cold temperatures.
Fortunately we don’t have to live in colder climates today, however many people still carry the genetic make-up of their ancestors. Although this is one theory, it seems plausible. The fact is that type 1 diabetes is a condition that continues to plague us today. The good news for those who do have it is that they are not condemned to slow death but can live an almost normal life as those without it.
Some facts about type 1 diabetes . . . .
- It is an autoimmune disease – meaning that it is a conditions in which normal cells are attacked by the body’s immune system
- It is a chronic or life long disease characterized by high levels of sugars in the blood
- It can occur at any age but is usually diagnosed in children and young adults . . . . hence juvenile diabetes
- The insulin produced in the pancreas necessary to unlock the cells for glucose to enter is either not produced or is in short supply causing a build up of sugars in the blood vessels
- It can be passed down to family members
It is usually triggered by extreme events in a person who is susceptible to it . . . such as undue stress, cold weather or a virus.
Symptoms of type 1 diabetes include:
- Unusual thirst
- Feeling hungry
- Feeling fatigue all the time
- Having blurry eyesight
- Feeling numbness or tingling in the extremities such as hands and feet
- Losing weight without trying
- The need to urinate more often
If you are experiencing any of these symptoms let your doctor know so that further tests can be done to determine whether or not you have the disease.
If you do have it — take heart; it’s not the end of the world. You will now have to make some life style changes. You will need to learn certain rules when managing your diabetes, one of which is to visit with your doctor more often so that they can check on your status and make adjustments to your diet, insulin intake and make sure you’re testing regularly.
Insulin will be a type 1’s best friend since they will need to take it every day. They will have to know how much to take, when to take it, how exercise affects glucose, the effects of low and high blood sugar, types of food to eat and those to avoid plus a myriad of other pertinent information. Their healthcare provider and a good dietician will be able to educate and guide them throughout the process.
Type 2 or adult on-set diabetes
Documented type 2 diabetes has been around since the time of ancient Egypt and was diagnosed then by observing the sweetness of someone’s urine. Yes — someone actually tasted the urine to determine the presence of excess sugar. It was also noted that ants would gather at the urine site of someone who had the disease.
This type of diabetes is much more prevalent than type 1, affecting about 92 % of the total population of diabetics, which as stated earlier is estimated to be 26 million people in the US.
Diabetes Mellitus, as it is formally called, is a condition whereby the pancreas’ beta cells does not produce enough insulin or the body has lost the ability respond to it.
(As indicated earlier, insulin is a hormone that helps to get sugar (glucose) from the circulating blood into the body’s cells where it can be used for energy. You can call it the key that unlocks receptors in the cells to allow glucose to get in.)
Although type 1 diabetes is growing, diabetes mellitus has been affecting a larger number of the population at an alarming rate over the last few decades . . . . and continues to do so in spite of the many scientific advances.
If it continues at its current rate, it’s estimated that in another twenty years close to half the population of the US will have type 2 diabetes or its precursor pre-diabetes. It is directly related to diet and exercise and is being noticed more and more in young people.
One of major risk factor that jump starts Type 2 diabetes is being over weight.
Symptoms of type 2 diabetes
Now that you have a general idea of what type 2 diabetes is, lets look at some at of the symptoms.
So how do you know if you have this type of diabetes? Let’s look at some clues that would signal the beginnings of (pre-diabetes) or full-blown diabetes. They include:
- Frequent urination
- Excessive thirst and hunger
- Unusual weight loss
- Constant fatigue
- Blurred vision
- Tingling and numbness in your hands and feet . . . usually referred to as peripheral neuropathy
As you can see, the symptoms are very similar to those of type 1 diabetes but the causes are different.
If you have more than one of these indications, please check with your doctor or health-care provider. They can confirm whether you have this disease or not and advise as to the next steps to take. Although anyone can get type 2 diabetes, it is seems to affect African-Americans, Latinos, Native Americans and people of Asian Pacific origins more than other ethnic groups.
Consequences of untreated diabetes
If type 2 diabetes is left unchecked it can lead to kidney failure. Imagine what it’s like to be hooked up to a dialysis machine three times per week for the rest of your life. Who wants that?
It could also cause blindness, peripheral neuropathy, strokes, heart attacks and even amputations. This is not a disease to be taken lightly as the result can be life changing. Many of these complications have had a direct impact on my family and I am doing all in my power to prevent my children from getting this disease.
How many people are walking around with this disease and don’t know they have it? You now have some idea as to ‘what is diabetes’. If you suspect that you have it based on the symptoms listed above please seek professional help.
The good news is that if you have type 2 diabetes there are corrective measures that can be taken to prevent major complications if caught in time.
Research is ongoing to find a permanent cure for this disease but until then follow your doctor’s advice and control your weight through diet and exercise. The earlier you know, the sooner you can take the necessary steps to correct it.
A third type of diabetes is gestational diabetes. It is a condition which occurs in women who have high blood sugar during pregnancy. It happens when the pancreas of mother to be can’t make enough insulin during pregnancy.
During pregnancy, the body makes more hormones and experiences other changes, such as weight gain. These changes cause the body’s cells to use insulin less effectively, a condition referred to as insulin resistance. Insulin resistance increases the body’s need for insulin. If your pancreas can’t make enough insulin, you will have gestational diabetes.
All pregnant women have some insulin resistance during late pregnancy. However, some may have insulin resistance even before they get pregnant, usually because they’re overweight. These women start pregnancy with an increased need for insulin and are more likely to develop gestational diabetes.
The problem with gestational diabetes is that it can affect the baby and result in certain health issues one of which is that baby will be more likely to become overweight and develop type 2 diabetes as he or she grows up.
Even if blood glucose levels return to normal after pregnancy, the chances of getting diabetes—usually type 2 diabetes—later in life are high. Therefore, women who had gestational diabetes should be tested at least every 3 years for diabetes or pre-diabetes. To restore their body’s proper hormonal balance they should eat a healthy diet and get targeted of exercise.
Because pre-diabetes is the precursor or the first indicator of full-blown diabetes — which as stated is the most common form of the disease — I will dedicate this blog series to presenting as much information about it and how to prevent it from happening in the first place.
What is pre-diabetes?
In most diagnosed cases of type 2 diabetes . . . . pre-diabetes was present as a condition before they develop the disease. This means that blood glucose levels were becoming and staying higher than normal, however it’s not at the full-blown diabetes stage as yet.
This condition is a major risk factor for type 2 diabetes and can be the beginning stages for many complications suffered by those who do have diabetes. The good news is that if pre-diabetes is caught early enough, it can be reversed by switching to a healthier lifestyle.
What are the symptoms of pre-diabetes?
Someone who is becoming pre-diabetic will begin to notice the following conditions:
- increased thirst and hunger
- a need to urinate more often
- muscle weakness and general fatigue
- vision becomes blurry
- experiencing numbness in the extremities
- men will begin to have erectile dysfunction issues
If you are noticing more and more of these symptoms, you should visit with your doctor, who can give you a better assessment. They will then recommend the next steps to take in-order to reverse this condition.
Tests to determine pre-diabetes condition
For your doctor to know the whether you are in fact pre-diabetic they will usually do one or more of the following tests:
- glycosylated hemoglobin test or HbA1C or simply A1C test. This test is performed by averaging the daily glucose monitor reading over a period of two to three months. A1c test results of 5.7% to 6.4% usually indicates pre-diabetes and over 6.5% confirms diabetes.
- fasting plasma glucose test – This test is done on the blood plasma of someone who has fasted for at least eight hours. If the presence glucose is above 100 – 125 ml/dl then they are diagnosed as being pre-diabetic. Over 126 ml/dl is considered to be in the diabetic range.
- oral glucose tolerance test or OGTT. The person being tested is given a blood test to get a blood glucose reading. They are then given a pre-measured sugary drink and tested again to determine how well they are processing glucose. If the blood glucose level is 140-199 mg/dl then this indicates pre-diabetes. Over that then the person is diabetic.
If a pre-diabetes condition exists, then the following steps can be followed to restore good health.
- Start eating more natural food with low glycemic levels including avocados, nuts (walnuts, almonds) fish, dark green vegetables, apples and bananas. It’s time to put away the high glycemic foods such as white bread, white potatoes, pizza, raisins, rice
- Limit fat to about 25 % of the food on your plate
- Consume no more than 2300 ml of salt per day (about 1 teaspoon amount)
- Cut out the sugary drinks
- Lose weight
- Exercise for at least 30 minutes five days per week
Diabetes can be prevented if it is caught in the early stages of pre-diabetes. It’s important to know the symptoms and confirm whether it’s the beginnings of pre-diabetes by visiting with a doctor. If tests indicates the likelihood of the disease developing then steps can be taken to prevent it.
As stated earlier, it seems to affect certain ethnic groups more that others. Also if the condition is present in other family members, tests should be done to confirm its presence.
I will be discussing many of these topics in future blogs.
Stay healthy my friends.