Quality CareFind out why Mayo Clinic is the right place for your health care. Make an appointment.
Meet the StaffFind a directory of doctors and departments at all Mayo Clinic campuses. Visit now.
Research and Clinical TrialsSee how Mayo Clinic research and clinical trials advance the science of medicine and improve patient care. Explore now.
Visit Our SchoolsEducators at Mayo Clinic train tomorrow’s leaders to deliver compassionate, high-value, safe patient care. Choose a degree.
Professional ServicesExplore Mayo Clinic’s many resources and see jobs available for medical professionals. Get updates.
Give to Mayo ClinicHelp set a new world standard in care for people everywhere. Give now.
Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations.
Subscribe to Housecall
Our general interest e-newsletter keeps you up to date on a wide variety of health topics.
Before people develop type 2 diabetes, they usually have prediabetes or impaired fasting blood glucose. If your blood sugar level is over 100 mg/dL (5.5 mmol) but less than 126 mg/dL (7 mmol), you're considered to have prediabetes.
Prediabetes/diabetes has become a worldwide epidemic. There are 57 million people in the United States alone who have prediabetes and most don't know it, according to the American Diabetes Association.
Unfortunately, many people who believe they're "borderline diabetic" or have "a touch of diabetes" think that they're safe. However, research has shown that some long-term damage is being done to the body, especially to the heart and circulatory system.
You can have prediabetes and not know it. Two tests are commonly used to diagnose prediabetes:
If you have prediabetes, you should do something about it. Studies have shown that people with prediabetes can prevent or delay the development of type 2 diabetes by up to 58 percent through changes to their lifestyle, including modest weight loss (as little as 5 to 7 percent of your current weight) and increasing physical exercise. That is huge!
Sara J. Carlson, R.N., C.D.E.
Peggy Moreland, R.N., C.D.E.
Selecting "Submit" signifies that you have read and agree to our posting guidelines.
My blood sugar has been over 220 for over a month and I'm on a strict carb diet I have a liver disease so what does this mean?
My fasting level is 101. Should I be worried? I exercise 4 times a week.
My fasting blood result was 7.7 two hours after glucose drink went down to 6.2. I'm confused any ideas?
Hi I am over weight my fasting blood sugar has been 108 do I need to worries?
I recently discovered I am prediabetic. I am not overweight, exercise moderately (I have arthritis). I am keeping my blood sugars more normal by cutting out carbs and losing weight as much as possible.
I have skinny friends men and women that have type 2 diabetes exercise like crazy 6 days a week. Eat health, never see the eat junk food. Their blood pressure is still high. Then I have heavy friends where blood sugar levels are normal blood pressure normal older not young people they tell me their cholesterol levels are so. They eat everything. I believe it is a defect in our bodies. Something happened to the pancreas to produce the enzymes property to lower the sugar level down. Also a liver problem. I have friends who drink beer in moderation. Their health is in good. Tests are all normal. Thanks for your information. I personally am pre-diabetes but under control I check my reading 6 times a day. I drink apple cider vinegar. That seems a help. My weight came down naturally. My immune system seems stronger, my liver is very clean. My blood tests show this.
Hello I was diagnosed pre-diabetic my reading was 5.9 I started to test my self every day at home. and my reading usually is under 100 but I noticed probably 3 times out of my 3 months testing myself my reading was 101 or 103 , I stopped completely white carbs ( bread. Pasta, etc) cut ice cream to a very low moderate portion. I am exercising 5-6 days a week, I don't know why I had 2-3 readings at 102 or 103 range. Should I worry?
What else can I do? I am working to lose weight, I just got a job that requires ALOT of movement - bending, standing, walking, lifting 15#, so I believe that will be sufficient exercise after a sedentary lifestyle.
Foods to avoid?
I think alot of the diabetes statements are wrong and could cause bad health to some people.
My doc said I may be prediabetic although the only risk factor I have is age (65). NO diabetes in my family, I exercise daily, am lean, and have a perfect diet.
What's going on?
Hi Peggy and Nancy,
I am not sure if you are still responding to comments, but if so, I need advice. My fasting blood glucose was 105 six weeks ago. I had a follow up last week and it is now up to 122!!! That is after I went super low carb (I am not a big carb person to begin with)for six weeks. I even replaced my cosmos with vodka sodas. I was good. I am 47 yrs old, 5'6 and 125lbs, I work out with a personal trainer 3 times a week and run or elliptical for 3 miles 3x a week. My cholesterol is off the charts good. My daughter was 9'10 at birth and I had gestational diabetes when I was pregnant with my son. So I understand why I am prediabetic, but unsure of what else I can do to get my glucose down. Please advise. Thank you.
im an Asian woman 52, very active % ft 4 inches and weigh barely 50 kg! But Im really woried because my Hb test today showed 6.9! I cant lose any weight surely and my carb intake is low(but I do indulge in a sweet occasionally. or small piece of cake_ So how does your advice apply?
My fasting BS before my first meal ranged from 98-106 on three tests. My blood sugar at 1 hr was 106 and at 2 hrs was 98 and 108 respectively. Can someone explain to me why I would show borderline Pre Diabetic numbers when fasting and normal-low after a meal?
The Dr. Is watching my bood sugar it is only high in mornings I walk 3 miles 3 to 4 times a week I move around a lot very little sitting. How can I get my blood sugars in the morning lowered? It runs in the low 30's. I have lost 20 pounds to help it. There are ten diabetics in my family both my children are diabetics.
does fasting,or the elimination of some meals reduce or slow down the onset of diabetes?
Monitoring is the key in beating diabetes
I was diagnosed with type 2 diabetes about an year back. My doctor did not start any medications immediately and advised me life style change. When I was diagnosed, my HbA1C was 8+. But with lifestyle change within 3 months I was below 6.
It is very important in this disease to monitor yourself. I used a web based software to log and monitor my parameters [www.friendofdiabetic.com]. The more you log your parameters, more it acts as a feedback to improve. I don’t think I would have achieved A1C of 6 without monitoring what I was doing.
if mine is 103 is it normal?
I wish the medical profession would also alert people that "pre diabetes" is not the first sign of trouble. If you can't lose weight (very frustrating when people keep telling you that if you'd just lose weight you could avoid diabetes), it may mean you have other systems failing you already (like your leptin and ghrenin (sp) receptors).
It would also be nice if MOST physicians kept up on the research into low carb diets, and quit scaring people with "you'll lose your kidneys" and pushing the same carb based diet on people even as they fall into pre-pre diabetes, prediabetes and then diabetes. I'm 20 years into this and am really frustrated at the lack of solid evidence that backs most "sound medical advice". The studies that show low carb (high vegetables, lean meats, low in high sugar fruits, almost no grains) are not only safe, but effective. They can delay or even reverse the symptoms of diabetes... yet even the ADA keeps pushing the high carb pyramid. Frustrates me to death. Mention "low carb" and they freak out... but prescribe medications with side effects that will make your hair curl? No problem.
Your heading says Prediabetic..do something about it. I do not find a list of things to do. Please list your suggestions.
I just rec news of a fasting glucose of 106. I am diet conscientious, no white stuff, fruits veggies lean protein. I exercise moderately. i am 5'4'' 132!!my hdl is excellent 88 and my ldl is wnl. my triglycerides are wnl! Being a nurse I asked for an A1C and an insulin level. Of course I am shocked,( and frustrated. I guess it could be a fluke,,,we shall repeat it, any thoughts?
Can a person have diabetes in the past and then be diagnosed with pre-diabetes at a later date?
"Do something now" --- are there any other tactics besides what you've listed?
Solidly far in the "green zone" on everything listed (e.g., BMI= 19), my diet already focuses heavily on regular meals of colored vegetables & proteins like tofu, fish, NF yogurt. Fasting glucose @100-107, not yet 50 y.o. I'd love to do something, but don't know what else I CAN do?!
Megan: You are not overreacting. We would definitely suggest that you see your primary provider for unexplained weight loss and your symptoms of nausea, light-headness, and shakiness for a diagnosis.
I guess I should also say that I eat alot - I have 3 to 5 meals a day (depending on how much time I have that day) and 3 protein rich snacks a day. I also am constantly drinking water. So the weight loss is not from not eating enough...
I was GD while pregnant with my daughter. I have been feeling very dizzy, nauseous, light-headed, and shaky lately ontop of dropping 5 pant sizes (size 5 to size 0) in a short amount of time. I also had my vision go black for 5 minutes one night. I am worried I might be pre-diabetic, or diabetic so I took my glucose level after eating a veggie sandwich - 2 hours after eating it read a 144. I am only 27, 110lbs, I exercise 3 times a week and eat extremely healthy (only sugar I have is in my morning coffee - no soda, low carbs, and no sweets or junk food except on special occasions.
I do not have a doctor at the moment. I was thinking of going to walk in care or the hospital to figure out what is wrong with me. Am I overreacting to my symptoms?
I haven't actually had my sugar tested at a doctor's, but I tested it at home with a home glucose meter. My post meal readings are within a normal range (125 at one hour & 111 at 2 hours) But my fasting sugar has been 99, 107, and 104 on 3 consecutive mornings. The pamphlet that came with my meter said that expected results for someone with normal sugar before eating would be below 110, but most sources online say it would be below 100. I'm worried that I could have pre diabetes, but I do know that these home meters aren't 100% accurate always. My health habits aren't perfect, but they are better than many people. I get to the gym about 3 times a week and don't drink soda except on special occasions and the same for dessert. My blood pressure regularly healthy. I don't know about my cholesterol. I'm within a healthy weight range. My parents and siblings don't have diabetes, but my grandma did, but she also ate crap all the time and was obese. My grandpa did, but not till he was in his 70's. So I really don't feel like I fit the profile for it, but numbers don't lie. What do you think?
Will taking my blood pressure med skew a fasting blood sugar test. I take cozaar?
A patient with diabetes is at 5 times greater risk of developing cardiovascular disease than patients without diabetes. One third of all cardiovascular diseases also affects people with diabetes. Three quarters of diabetics die from cardiovascular disease. Women with diabetes have a 4 times greater risk of death from cardiovascular disease.
Dear Nancy and Peggy, I try to scroll the comment down, but did not find any case similar to mine. My blood glucose is 106 (fasting) and 2 hours after eating sugar rich food is 85, it looks anomaly,this is always repeated where fasting glucose is higher than 2 hrs after eating one. I am 5'9", 130 lbs, eat healthy foods, no alcohol no smoking, exercise 3x a week, my BP 130/80. please tell me, any problem with this test or health condition? Thank you
Sorry I don't know of any information specifically on the benefits of HIIT in preventing type 2 diabetes, but route exercise in general helps delay or prevent type 2 diabetes.
I'm wondering about the benefits of HIIT (High Intensity Interval Training) in helping prevent type 2 diabetes. It is also called High-Intensity Intermittent Exercise (HIIE) or sprint interval training. Any thoughts?
My dad has diabetes and I am concerned about if it is something that will develop later in life for me.. any tips on what I can do to prevent this?
Thank you Peggy, I had a non fasting blood test a while after eating a couple of prunes and coffee, half and half and whip cream on it. my blood sugar was 58 or 59 and it was in the morning. a little concerned because I have had three large babies and was once diagnosed with hypo glycemia.
Hi April: Congratulations on the weight loss! As far as your blood glucose readng of over 200 mg/dl, we recommend discussing with your doctor as to whether you have diabetes. He/she can do further testing to confirm whether or not you have diabetes. It's great that you work out 4-6 times a week.
Hi I was wondering if people reply to my post where am I able to see it at? The only thing I saw was a link for read comments & Post. Where can I see if someone answers my post? Sorry I posted this here but, there isn't a contact link to ask them .
I just lost around 45 pounds & all the while when I was heavy I always checked my blood sugar. It has always been normal .90-110. I just checked again in the end of November & it was perfect. I took a blood reading a couple days ago & it was a little over 200. Does that automatically mean I am diabetic? Or can that happen sometimes to people when they over indulge. I had some Christmas cooking & cake eggnog. I work out 4-6 times a week & hardly ever have any junk food. Any help with this please let me know. Like I said I check it all the time & its fine this was the first time it was high & I'm freaking out.
it was very much helpful, thank u :)
I am 38 normal weight (bmi 22.4), excercise about 5 times a week and eat good. I was just told I'm prediabetic. My number is low 102, but I feel like it's bad cause I'm already healthy and still prediabetic. My dad has been prediabetic for a long time (he's not overweight either), so that is likely where it comes from. I love sweets, so I guess the only thing I can do is just completely stop eating them. If I had weight to lose or didn't excercise I could see how I could improve the number, but I don't have those problems. I don't really want to lose weight since I'm normal weight. Any other tips?
Type 2 DM's that are morbidly obese and lose a subtanial amount of weight, can reverse diabetes. But generally diabetes type 2 is a progressive disease. If you can have normal or near normal blood glucose readings, maintaining your weight loss, and exercise you can slow down the progression and stay off medication for a number of years. A normal A1c is 4-6 range.
Is it possible to reverse diabetes? I was diagnosed with diabetes when I had an A1c of 6.6 two years ago. Since then, with the loss of 40 lbs and diet and exercise my A1c has been in the 5.8-6.2 range. Am I still diabetic with these readings?
I have been diagnoised prediabetic and my job requires heavy. I spend most time in airports, on planes, arriving late to hotels and eating in hotels. I am looking for strategies to manage my condition.
Where are the detailed instructions for carrying out the treatment plan for prediabetes? Where can I find the special diet for managing elevated blood sugar and where are the suggestions for losing weight?
I know I am prediabetic but I also have peripheral neuropathy in my feet. My endocrinologist has always told me that prediabetes could cause it, but the study that came out last week said it couldn't. What should I do?
I am prediabetic (112). I am a 65-year old white male, 5'9" tall weighing 136 lbs. My wife has recently put us on a gluten-free and sugar-free diet (for her 10 lb weight loss and my prediabetes). We're lowering our carb intake as well. So now I've lost 12 lbs (down to 124 and as you can see I'm not obese). I do work out in the 100 degree heat and am sure that contributed somewhat.
Anyway, what's the best way to gain weight and not increase my blood glucose count?
American Diabetes Association: www.diabetes.org (for information you can trust)
I recently had routine bloodwork done and my fasting glucose was 116. My doctor says the reading is perfectly normal and nothing to be concerned about. I am concerned nonetheless. I've overweight and have high blood pressure, my mom and aunt both have type 2 diabetes, and my triglycerides are high. Who do you trust when the information on the internet contradicts what your doctor tells you?
My A1c test is 6.1. Last year it was 6.0 and the year before 5.9. My glucose was actually lower at 100 but had a 6.1 A1c. I am actually a little underweight,I do exercise and walk and I eat healthy. What else can I do to bring my Alc down? Thank you.
I find one of the best and most accurate places to find information on diabetes is on the American Diabetes Association (ADA) website. Everyone's blood glucose goes up after eating regardless if you have diabetes or not. Generally the blood glucose will start rising about 15-20 minutes after eating and peak in 60-90 minutes and be back at baseline in 3-4 hours. Also, it depends on the type of food you eat (carbs/protein/fat) and the amount of food you eat. Non diabetic individuals will not see the blood glucose rise more than 140 mg/dl or 7.7 mmol/L after eating. People with prediabetes will see the post meal numbers in the 140-200 range and individuals with diabetes will see numbers above 200 mg/dl for diagnosis.
What is the glucose drink and can I do this test at home with a glucose meter?
How much should my blood glucose go up after eating, and for how long?
Where can I find this kind of information?
Prediabetes, I couldn't find out how many people with pre-diabetes go on to develop full fledged type 2 diabetes, but the ADA says that research shows that you can lower your risk by 58% by losing 7% of your body weight and exercising moderately 30 minutes a day for five days a week. I do know that 50% of women with gestational diabetes will go on the develop type 2 diabetes later in life.
What percent of people with prediabetes do NOT go on to develop diabetes? What are the defined risks for a person that stays in the prediabetic range for decades?
Marie, perhaps u can try eating your food on time; inother words, according how they grow. Our bodies are part of the universe, everything in the universe is timed, otherwise, we would have chaos. When we eat out of time, our bodies suffer. In the morning eat foods from the trees, in the mid of the day, eat foods that are above ground up to 4 ft. up and at night eat foods that grow in the soil and in the water or in the dark. This is called solar nutrition. Try it and see if your blood sugar normalizes.
I have the same question Roman does, what do I do? I just got a letter from the doctor stating, once again, that I am pre-diabetic, come back in a year. What no let's try to stop this? I know that this can be reversed but how? What do I eat, not eat, I don't know.
Carol, stevia is not artificial, it is an herb, I have it growing in my yard, it has almost no calories yet tastes very sweet.
A thousand times you say if you have pre-diabetes you should do something about it. WHAT should I do about it?
I bought organic oats. Should I go back and get barley? I am new to this, but I am a vegetarian so that isn't difficult. Could I drink organic decaf. I am having a difficult time exercising and do weigh 30 lbs. too much. I am 76 and never had trouble before. I don't take any medication. I did get vitamins and 5htp for my depression and a vegan protein drink. thanks. I get sick to my stomach sometimes after eating.
If research shows that there is damage to the body with prediabetes then why isn't it all diabetes, just a matter of degree?
Does Chromium picolinate helps the pancreas, and how does it helps?
I randomly tested my mother with glucometer, in one reading of random it was 140 after 1 hour of eating and fasting was 109. I dont know if i should consider my mother as prediabetic as she has none of the risk factors mentioned above. Can it be a temporary increase in blood sugar level due to stress? she is very tensed lately. Can she go back to normal?
thank you for this article.
my doctor keeps telling me that anything above normal is full blown diabetes. Had enough of doctors who lie and just want to drug you up with meds that are not needed, and in themselves cause a whole heap of other problems health wise especially when one is allergic to the ingredients. doctors lately are under the impression the patient has no say in their health and will give meds without knowledge or consent. Has happened to me and I am still suffering from it. (injected three times under the guise of something else) but they all stick together so you can't take them to task for their bad behaviours. seems their aim is to make patients more ill. keeps them in business and the drug companies coffers always bulging
I have been tested twice for Diabetes the last one was about 6 months ago and my fasting blood glucose level was 140 same as it was the month before that. I haven't been able to go back in to get tested because I have no insurance. I was just wondering what you thought of my situation?
Marion: Symptoms of diabetes. This is for the American Diabetes Association website which puts it in layman's terms: Diabetes often goes undiagnosed because many of its symptoms seem so harmless. Recent studies indicate that the early detection of diabetes symptoms and treatment can decrease the chance of developing the complications of diabetes.
Type 1 Diabetes
Unusual weight loss
Extreme fatigue and Irritability
Type 2 Diabetes*
Any of the type 1 symptoms
Cuts/bruises that are slow to heal
Tingling/numbness in the hands/feet
Recurring skin, gum, or bladder infections
***Often people with type 2 diabetes have no symptoms
Ed: Good question! We advise to continue testing your blood sugars as you are doing. Exercise may help keep blood sugars down.
My glucose level has always been normal until the past few months. With a random glucose test 1 month ago it was 200. After increasing my amount of daily exercise and eliminating all sugars and white bread I was had a fasting glucose test. It was 133. My primary Dr. suggested that I obtain a meter and do home testing 3 times each day so that she can decide what medicines to start me on. Now, I read that with pre-diabetes (I am barely above that) it is possible to be fully diabetic within 10 years. I am already 87 yo. a WM not overweight but with controlled high blood pressure. So - why medication this late in life?
In laymens terms, what are the symptoms of diabetes, without having tests, how may you have a hint of the problem?
Today i went to the doctors office for a cough. He said i had a post infection cough because i had a n ear infection 2 weeks earlier. My mom asked about the dark skin behind my neck on my underarms. The docter said i might have pre diebeties. So i am going to a fasting test this friday? i am scared. any Support? Comment i am only 12 and freaking out? Any help?
I just had blood work done and it indicates I am pre-diabetic at 128 w/fasting w/my HbA1c>6.4%. It was suggested to repeat test. I have been looking at the symptoms, etc, and I really only have been experiencing an uptick in urination and feeling hungry, seems I am always tired. I am not over-weight, diabetes does not run in my family, I typically always have low blood-pressure. My cholesteral is actually high right now, and I am white. I have scheduled an appt to see my doc, but wondering if I should be worrying about this when my risk factors are just about nil...
Sounds like wonderful advice. Thanks.
"Exercise, at least 20 minutes 2x a day, and lose weight." So easy. Any revelations for those that are physically unable to exercise or can't lose weight no matter well they eat?
Unless you are paralyzed, everyone can exercise. There are devices you can sit on & rotate from, You can do work outs from a chair. You can swim. You can lay on padded mat and roll like a sausage across the floor or scoot on your butt.
As for weight loss, if you really want it,cut way back on animal products, eat more organic, whole uprocessed foods. Read the book "EAT TO LIVE" & follow. There are 2 rules - eat a raw salad daily, & follow the GOMBS (Greens, Onion, Mushrooms, Berries/Beans, & Seeds) list for where the majority of your colories come from. No portion control, no counting. I would add, cut out all sweetners both natural and artificial.
If you eat hot barley for breakfast, add natural applesauce & mashed ripe banana plus cinnamon & flax seeds. Lunch - have a big green salad with spinach, spring mix, parsley, sliced apples, some berries, seeds & chopped raw nuts. Make dressing blending soft tofu, apple cider vinegar, & a pint of berries.
For dinner make a minstrone soup with purified water, cut celery, carrots, onions, zuchini, green beans, kale or spinach,parsley, navy beans, peeled tomatoes, bell pepper, quinoa, & lots of garlic, oregano, & other Italian seasoning. That will heal your body,cause weight loss & ge
I have been giving metformin for my diabetes. I lived like a elderly for a year and 3 months because i have been allergic to metformin, it took me a year to get to where i am at now....and i am still fatigued. I have been under test after test and now the doctor wants to rule me as chronic fatigue syndrome. What i want to know is ...did metformin screw me up in someway? I used to be okay and walk 5 miles a day before the metformin.
Hi ~ I'm prediabetic (124 fasting and 145 2hours after normal breakfast). I also have severe G.E.R.D. which is doing OK with aggressive treatment and lifestyle changes. So, I know what NOT to eat for G.E.R.D. and I'm researching and learning what NOT to eat for diabetes (by the way, different resources contadict each other). :-/ BUT, I need to know WHAT I CAN EAT. I'm having trouble finding out what is OK to eat for diabetes. (Then, I can rule out what's bad for G.E.R.D.) Can someone please tell me a good resource that will tell me what I CAN eat for diabetes? Thanks! :o)
Carol: You have good questions. Your dietician would be the one to give you the answers you are seeking. Did your dietician give you guidelines as to how much carbohydrates to have per meal as a guideline to losing weight?
Is stevia a good artificial sweetener to use?
Can a prediabetic still use sugar and honey in moderation? How much per day?
I have been told that I am prediabetic with a1c 6.4 and fasting blood sugar 112. My Dr. said to avoid white flour, corn, cashews,and white potatoes. A dietician told me it is not necessary to avoid these things-just count the carbs. I have been on a Weight Watcher program which is very healthy. Would it be a good idea for me to continue my Weight Watcher program and just count the carbs too?
I just want to warn everyone out there that even a slightly elevated blood sugar can cause nerve damage. The medical establishment is barely waking up to this fact. Doctors need to test their "healthy" patients' blood sugar levels routinely. Prediabetes can be invisible until it's too late.
In January 2010 my hands and feet lit up like they were on fire. After many tests I learned I was prediabetic. AND THAT WAS WITH AN A1C OF 6.8!!!! I have since lost 48 lbs, walk 30 miles a week, gotten my A1C down to 5.9, & try (not always successfully) to eat right. But the nerve damage remains, though the symptoms are under control with Lyrica. I also take metformin.
Admittedly my mom was diabetic, but I do believe my inactivity and being overweight caused this condition. (Lots of "if onlys"...). Believe me, NONE of you out there want neuropathy, not to mention any of the other complications of diabetes....it can KILL.
My glucose is 111 it was 108 last year, I eat a balanced diet, no soda,sugar, or salt. very little red meat mostly chicken and fish. I go to the gym 5 times a week for an hour and do 30 minutes of cardio each time. i also go to aerobics for 45 minutes twice a week. What else can I do to get my blood sugar level down bwlow 100?
James, diabetes is a progressive disease.
Patricia, I needed to add to my previous comments, that it would be a good idea to see a dietitian. A dietitian can calculate the number of calories you need daily to maintain or lose weight and divide this out into daily carbohydrates, proteins, and fats per meal.
Suzanne, It does not appear that any major changes are necessary in your life style management at this point. Continue to monitor the blood glucose for changes. Remember, a diabetic diet is a healthy diet everyone should eat.
Patricia, two good books listing total carbohydrate grams are "The Calorie King- Calorie, Fat & Carbohydrate Counter" and "The Diabetes Carbohydrate and Fat Gram Guide" by Lea Ann Holzmeister RD CDE
I have been warned that I have "Prediabetes" since they lowered the scale to less than 100 and from 7.0 to 6.5 a1c. I have had blood sugars from 94 to 108 consistantly for the past 13 years so what is the big deal now? Just a deeper net for more fish?
My husband has Type 2 diabetes and for months I have been trying to figure out how to cook. I notice you have exchange lists on the site which is very good, but HOW DO YOU USE THEM? I cannot find anything to tell me how many carbs, how many protein, fat, veggies, fruits, etc he should have. Same for me. How many and where do I find this info.
Dear Nancy & Peggy:
My endocrinologyst who periodically orders blood tests because I am on Synthroid has recently ordered a series of glucose tests and told me he considers me a pre-diabetic and prescribed a diabetic diet. When I showed the test results to my internist (a friend of this doctor) he waved his hand and said I am his healthiest patient. I am confused.
My fasting glucose is consistently beteen 80-90, hemoglobin A1C was 5.9; test results 2 hours after a glucose rich breakfast were 82 and 5.8 respectively.
I am an 80 year ol female in good health and no family history of diabetes. My BMI is 19, I always had low blood pressure (under 120/75), cholesterol 157 (HDL 62) and I exercise regularly. I am concerned that with this diet I will not be able to keep my 110 lb weight, I loose weight easily. Do I really need it?
I have heard if you are prediabetes and don't take the proper precautions - once you get type 2 diabetes there's no going back. How is it possible that it can't be reversed?
Meters are considered accurate if your blood sugar is within 15% of the blood lab's test result. Your blood sugar can varies. In the morning you have wakeup hormones that will raise the fasting blood sugar in the morning. This is called the "dawn phenomena".
How accurate are home meters? I took my level as soon as I got out of bed (88). 1 hour later I took it again (98) no food. Before I got to the Lab for my test it came back 101. How come it keeps going up with no food?
Bonnie, Stress does affect the blood glucose (generally increases the blood glucose), but it seems to effect everyone differently.
Thank goodness for this blog.I just had my second fasting glucose of 113 - 110 2 months ago.I am 57 and other than HTN and migraines extremely active and in good health. I mentioned my concern to my doctor again as my grandmother was diabetic, my mother is prediabetic.and I have HTN.The response by my physician"just take it easy on the sweets"! I am small, normal BMI -even a little under,and do watch my sweets and carbs already.After reading this blog, I think my missing factor is exercise.I work full time and go to school but this has scared me into realizing I have to do something to try to prevent diabetes if possible.My question is how much is stress a factor in glucose levels for pre-diabetics? Thank you for any information you may be able to provide.
Winie, 25% of individuals with type 2 diabetes are normal weight, so weight loss will not necessarily help with the blood glucose control in these individuals. Some times it just comes down to the state of the pancreas and how insulin deficient the pancreas is. There are no herbs that contain insulin and insulin a(Protein) if taken in a pill form is destroyed by the stomach acids. There are a number of herbs classified as hypoglycemic (blood glucose lowering) herbs, including the two you mentioned. While several of the herbs show some promise, there is little or no hard medical evidence that any is as effective as insulin or oral diabetes drugs in controlling diabetes. Remember herbal products aren't suject to rigorous standards as are drugs. Vendors can make health claims about products based on their own review without FDA authorization.
Question for Nancy & Peggy.
I am diagnosed as a pre diabetic a year ago. I am small frame and skinny not over weight. Although I follow my diet of low sugar, low carb,and exercise regularly. My blood sugar still go up a bit higher. A friend has recommended me to take herbal supplements such as bitter melon and Gymnema. Since bitter melon is claim to contain insulin, will my pancreas totally give up from producing any after I take these supplement ? Is it possible to reverse the pre diabetic situation. I already following my healthy diet and exercise, it has been a year, not much has been change. I am concern if these supplement will slow down or shut down my insulin if I try them, my body may rely on them instead of producing it's own. Your advise is much appreciated.
Elsie, hi. You didn't mention your family history or how physically active you are. You may want to make sure any bread you eat is whole wheat. One serving of bread is one slice--two slices shouldn't be eaten during a single meal. What I've been learning is that just as important as what you eat is the combination of foods as well as serving size. Good luck!
(continued from previous post)
In June of this year I made a commitment to getting my sugar under strict control, even if there is little hope of regaining function in the ruined senses, so that conditions don't worsen -- at least my liver and kidney functions are still good. I began by keeping a personal diary of EVERY bit of food that went into my mouth and then keeping a rigorous paper trail of my glucose levels 3 to 4 times a day. As I began to see the correlation of foods to sugar levels and apply what I was learning, in the three months since I started to my most recent A1c test, I have reduced my A1c from 9.3 to 5.9. I have also lost 18 pounds and have been taken off one of my diabetic medicines (although I'm not sure that I'm ready to lose that one completely from recent glucose numbers.) Even though my life has been very stressful and suffered multiple grievous losses, if I had been able to do this even 10 years ago, I would probably not be disabled at such an early age.
Take care of yourself.
I have been diabetic for 30 years and now suffer from many of the above listed symptoms. I have had two laser surgeries on each of my eyes, several injections in both eyes and "retinal peels" of both eyes (under general anesthesia). I am visually disabled and had to surrender my driver's license. I also have neuropathy in both my feet and lower legs. I suspect it also in my hands (along with carpal tunnel syndrome). At night, both my hands "fall asleep" and I waken frequently because of it. My body temperature is low, around 97 degrees. I have a "profound" hearing loss in one ear and am unstable on my feet. I've had two MRI's and other tests to find out where the unstability is coming from (well, at least it shows there IS a brain in there). I have "recruitment" which means, I think, that sounds are magnified. Because of this, the sound of my grandchildren's laughter is painful to my ears. Even the sound of my own voice is painfully magnified. I have to meet with a vascular surgeon next week due to a blockage in my leg that sometimes causes a complete lack of feeling in the leg. This is what a lifetime of not taking care of diabetes can do to you. I am 57 years old, blind for all intents and purposes, deaf, and housebound.
I have had 4 years of stress from my parents dying, and my sisters financial situation being dumped on me along with typical stress at work. I also had surgery this january. I was tested and my blood glucose was 136. I exercised (walked twice a day) for 2 weeks and focused on eating fish/chicken/green veggies and fruit.
when i was retested the sugar level was 126.
my question is: does this make me a diabetic or could the levels be high due to stressful situations? thanks for answering
Will diabetes cause loss of muscle? I have type2 diabetes and it seems as though I am losing muscle mass but still weighing the same.
How could that be possible?
"Exercise, at least 20 minutes twice a day, and lose weight." So easy. Any revelations for those that are physically unable to exercise or can't lose weight no matter well they eat?
Can certain foods , vitamins, minerals and others prevent diabetes 2 and which foods increase the risk on diabetes 2.
I would encourage all readers to do a serious shift in their exercise and eating habits. If you keep looking for the answers in chromium, vanadium, cinnamon etc. you are playing with your future. Exercise, at least 20 minutes twice a day, start eating fresh, whole foods (no flours, no sugars), and loose weight. If you think that's too expensive, quit kidding yourself. Diabetes will cost you so much more.
Normal fasting blood glucose is 70-100
blood sugar levels 101-125 is pre-diabetes
As a pre diabetic, I would like to encourage others to recognise how different we are from non pre diabetics. I remember craving sugar from the age of 2, and can pick which child of mine has that problem.
I feel way more hungry more often, on more food, than my tall husband and it is all to do with blood sugar levels. The more I eat, the hungrier I get, and the stronger the cravings. But unlike cigarettes or drugs, food is not something you can give up completely, unfortunately.
I just want to say that the cravings for high GI food, as with any addict, do subside after a few days of hell. Life is so much better when you are not looking for your next 'hit' of carbohydrates. You will learn to be very wary of those foods, look at them and remember how they start the awful cravings and then find delicious alternatives.
It is much easier to live without the hunger, and feel good about some weight loss and massive health benefits. It is, as with any addict, just getting through the first few days withdrawals, and avoiding getting hooked back on from then on in.
Just wanted to encourage somebody to grit their teeth and do it.
Well done Elsie, you must have staved off diabetes for years with your excellent diet and weight control. Start some exercise if you don't already do some, and don't smoke or stress. Maybe you can regard pre diabetes in your case as you would regard getting grey hairs, simply genetically inevitable as you get older.
"The Cell membrane when we talk about the DNA of the body the important component that we need to begin with is the cell membrane
It is the foundation the root to all the things that happen in the body if we remake the cell membrane and increase its bio chemical efficiency
then we can change along a negative things that happened in are bodies it's really not a matter of medicine it's a matter of physiology".
Protocol or preventing and reversing diabetes is coming to market a practicing physician has discovered the proper recipe With over 70% success in 8 to 12 weeks for type 1 Type II diabetes or metabolic syndrome
using all natural ingredients, without harmful side effects
Many doctors are joining this physician to bring his protocol
to the masses,
Obviously there are other doctors
that are skeptical which is normal
but once they find out its true some of these doctors
Go into denial and start to become
very resistant to the evidence present to them.
If this post gets deleted it could be
a control issue I hope I'm permitted to continue my discussion and to provide evidence that's being created
For web-based distribution next week for further evidence that it's working
Jim, Vanadium is a trace mineral and is found in mushrooms, shellfish, black pepper, parsley, and grains... and may help insulin sensitivity. Clinical studies of Vanadium have included a total of less than 40 patients. Until more is known about using Vanadium for treating type 2 diabetes, Vanadium is not recommended for treatment in individuals with diabetes. High doses of Vanadium are toxic to the kidneys.
More evidence is needed to rate vanadium for these uses.
andre, about cinnamon and Chromium; Chromium supplements are generally not effective in helping glucose control unless there is a chromium deficiency and that is rare, because many foods contain Chromium. A preliminary 2006 study showed that cinnamon extract seemed to lower bood glucose some in people with type 2 diabetes.
I just found out I have pre-diabetes and am 150 pounds, 5' 9" tall, had blood sugar of 150. Just cutting down sugar from my diet lowered it to 110 and just found the Glycemic Index on line which explains how to handle carbs and sugar. I suggest you take a look at it; I expect to be well below 100 in two months when I see my doctor again.
I've heard a medication called Vanadium has some cure properties for type 2 diabetes. Can you elaborate on this and a recommended doseage?
What should we do? Recommendations?
Is using cinnamon and chromium gtf advisable if you have pre-diabetes and is it better not to eat potatoes etc. please advise. thank you.
our U S gov. is paying our farmers to grow more corn so it can be put in most everything in the form of high corn fruit syrup witch is a high factor in type 2 diabetes and more profit in big corp at tax payers expense a drain on med cost medicare & others ins cost. cut all sugar everywhere you can use cinnamon & chromium picolinate supplements to help keep under control & maybe hold back prediabetes keep carbs under 200 mgs a day eat lots of fiber when you eat carbs
This week I was told that I have pre-diabetes and to lesson my carb intake. I have always been quite thin, 116 lbs., 5'5'' tall, and do not want to lose weight ! I don't eat sweets, pasta, potatoes, pizza, over 2 slices of bread, no butter, milk, or junk food. I have only eaten normal portions of veggies, two fruits per day, fish, fat free cheese, oatmeal, and 1serv. almonds.
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.
Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.
A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.
We comply with the HONcode standard for trustworthy health information: verify here.