There is no obvious thirst, excessive drinking, or symptoms of polyuria, and the blood sugar is still above the standard

This may be the early warning of diabetes!

Pre diabetes, as the transitional stage from normal blood sugar to diabetes, means that one of our feet has stepped into the door of diabetes. In China, this potential 'killer' has quietly lurked around about 150 million people.

Scientists have actually discovered for a long time that there is a group of people with slightly elevated blood sugar levels. Initially, the two terms impaired fasting glucose (IFG) or impaired glucose tolerance (IGT) were used to define this high-risk group that may progress to diabetes in the future.

But these two medical professional terms are difficult to pronounce and obscure, making it difficult for ordinary people to pay enough attention to them. In 2001, the American diabetes Association (ADA) replaced "impaired fasting glucose" and "impaired glucose tolerance" with a more understandable term - "pre diabetes", and quickly promoted it to the world through the ADA diabetes guidelines.

So, how to judge whether you are in pre diabetes?

When the fasting blood glucose is between 6.1 and 6.9 mmol/L, or the blood glucose 2 hours after oral glucose tolerance is between 7.8 and 11.0 mmol/L, it can be diagnosed as pre diabetes. This shows that your blood sugar is rising quietly, which is only one step away from the real diabetes. The Expert Consensus on Pre diabetes Intervention for Chinese Adults pointed out in 2020 that the proportion of pre diabetes patients in China was as high as 15.5%, with an estimated 148 million, which even exceeded the total number of diabetes patients.

It is not feasible to directly screen all people for diabetes in reality. Doctors usually use the China diabetes Risk Score to assess the individual's diabetes risk. This assessment tool is applicable to the group aged 20 to 74, with a score ranging from 0 to 51. If the total score reaches or exceeds 25, it is considered as a high-risk group, and further oral glucose tolerance test (OGTT) is needed to screen diabetes. You can also self-test yourself based on the following chart to see if you belong to the high-risk group.

Image source: Tencent Medical Dictionary

Although pre diabetes has not yet developed into diabetes and lacks the typical "three more and less" symptoms, 5% to 10% of this population will progress to diabetes every year if there is no timely intervention. Moreover, pre diabetes is also closely related to the increase of cardiovascular disease, microvascular disease, tumor, dementia, depression and other health risks.

Therefore, before diabetes really comes, we must take timely action to stop this process. But we don't need to be nervous when we hear about "pre diabetes". What we need to understand is that by actively adjusting our living habits, we may delay the development of the disease at this stage.

02 What is the key to reversing pre diabetes?

Through active life intervention, such as diet control and increased exercise, the condition of pre diabetes may be delayed. It is important that we control our weight to achieve or approach a body mass index (BMI) of 24kg/m ², or to lose at least 5% of our weight within 3-6 months and maintain it over the long term. In addition, regular physical examinations and blood glucose testing are also crucial for early detection and intervention.

Why is there a special emphasis on weight control? Because obesity and overweight will increase the body's sensitivity to glucose and reduce the long-term overload of pancreatic islet beta cells, so it is easier to develop diabetes. Therefore, for overweight or obese individuals, reducing daily total calorie intake, controlling saturated fatty acid intake, and increasing aerobic exercise are all very effective intervention measures.

03 Pay attention to high-risk groups of diabetes!

In addition to lifestyle intervention, we also need to pay attention to high-risk groups of diabetes. If you meet any of the following characteristics: age ≥ 40 years old, body mass index ≥ 24kg/m ² or central obesity, first-degree relatives have a history of diabetes, lack of physical activity, a history of macrosomia delivery or a history of diabetes in pregnancy, it is recommended that you have a blood glucose test at least once a year.

In addition, some high-risk groups can effectively control their condition and avoid serious complications by taking hypoglycemic drugs on time under the guidance of doctors. For example, on the basis of conventional Western medicine and insulin treatment, Jinqi hypoglycemic capsules can be used in combination, which can not only synergistically control sugar, but also effectively improve uncomfortable symptoms such as thirst and fatigue in diabetic patients, and prevent the occurrence of complications.

总结

Pre diabetes is a stage that requires our high vigilance. Through active lifestyle interventions and regular physical examinations, we can effectively slow down the progression of the disease and even achieve a reversal.

Let's work together to protect our health and keep away from the threat of diabetes.