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“Pre-diabetes”, how far are you from diabetes?

“Your milk tea, full sugar, has been served…” Today’s young people, a cup of full sugar milk tea seems to relax the tired body and mind immediately. The life of “relying on sugar” is not only a cup of milk tea, but also the “happy fat house water” in summer… These “sweet traps” are quietly raising our blood sugar.

I don’t know when it started. Diabetes was no longer called a disease of wealth. It began to become a world epidemic. I don’t know when it started. Diabetes is no longer the patent of middle-aged and elderly people. The development of unhealthy living habits in modern society has made the trend of diabetes more and more youthful. Do you still feel that diabetes is far away from you?

Today, Mr. Disease Control will give you a term “pre-diabetes” in popular science, to talk with you about how far diabetes is from us.

What is “pre-diabetes”?

Generally, to diagnose whether a person has diabetes, two blood sugars need to be measured:

Called fasting blood glucose , it refers to before breakfast, fasting blood glucose measured in the state. When monitoring fasting blood glucose, it is required to have dinner the night before, and do not eat at night after dinner, otherwise it will affect the determination of fasting blood glucose.

Another criterion for the two-hour postprandial blood glucose , is from the eating began to count, two-hour postprandial blood glucose monitoring.

If the fasting blood glucose is greater than 6.1 or the blood glucose two hours after a meal is greater than 7.8, but it does not meet the diagnostic criteria for diabetes, this situation is called “pre-diabetes”. People in the pre-diabetic stage may become new diabetes patients every day, so the “pre-diabetic” population is the key population to prevent diabetes.

Note: According to WHO (1999) standards, impaired fasting blood glucose and impaired glucose tolerance are collectively referred to as pre-diabetes.

The prevalence of pre-diabetes in my country is about 35.7%, and the total number of people is more than that of diabetic patients. These hundreds of millions of people are diabetes reserve. Pre-diabetic population and central obesity are the most important high-risk populations of type 2 diabetes. If not controlled, 5%-10% of pre-diabetic patients will progress to type 2 diabetes each year.

What are the symptoms of “pre-diabetes”?

Pre-diabetes usually have no obvious symptoms, but there are also great health risks. Not only does the risk of diabetes increase, 33%-65% of patients will eventually progress to diabetes, and compared with the normal population, the risk of cardiovascular and cerebrovascular diseases, retinopathy, kidney disease, tumors, dementia, depression and other diseases There are also varying degrees of increase.

However, lifestyle intervention can effectively delay or even reverse the occurrence of type 2 diabetes. Once you are diagnosed with diabetes, you need to take long-term medication to control your blood sugar. “Pre-diabetes” is the last chance your body gives you. You must fully recognize the potential harms, change bad behaviors, and strengthen self-management. Many studies have proved that through diet and exercise control, the risk of diabetes can be reduced by 43%-58%.

So how should patients with prediabetes improve their lifestyles?

Patients with pre-diabetes usually rely on lifestyle interventions to improve blood sugar through reasonable diet, weight control, moderate exercise, salt restriction, tobacco control, alcohol restriction, and psychological balance.

Reasonable diet

Patients with prediabetes should pay attention to a balanced diet, control total calorie intake, and ensure that they are rich in nutrition. Eat more high-fiber foods such as coarse grains and vegetables, less salt and less sugar, and less high-fat foods. Use vegetable oil for cooking to increase the intake of unsaturated fatty acids. When the control is not ideal, you can choose foods with a low glycemic index. At the same time, smoking and drinking are not recommended, and the calories of alcohol are also included in the total calories.

Moderate exercise

Increase the amount of daily activities. Overweight and obese patients must lose weight to achieve a BMI of 24kg/m 2 or a weight loss of 5%-10%. If possible, choose running, swimming, cycling, aerobics and other aerobic exercises and resistance exercises, and ensure that at least 3 times a week, each time> 30min of moderate-intensity exercise. Especially those who have been in the office for a long time, should reduce the sitting time and relax at intervals.

Regular monitoring

Patients with prediabetes should also pay attention to their blood sugar changes regularly. If the blood sugar remains unchanged after 6 months of lifestyle intervention, drug intervention may be needed.

Pre-diabetes is a key window period to prevent the occurrence of diabetes. The above intervention measures can effectively prevent the further rise of blood sugar. At the same time, attention should be paid to the control of blood lipids and blood pressure. In addition, some patients may also need to use appropriate drug interventions as adjuvant treatments under the guidance of doctors. At the same time, experts also suggest that high-risk groups such as obesity and family history of diabetes should develop the habit of regular check-ups, early detection and early intervention of diabetes, so as to suppress the risk of diabetes in the bud.