Prediabetes means you have a higher-than-normal blood sugar level – you are at high risk to develop type 2 diabetes and the long-term damage due to diabetes may already have started.
Blood sugar level can be measured by a fasting blood sugar test, an A1C test, or a glucose tolerance test.
A blood sugar level of 100–125 mg/dL (5.6–6.9 mmol/L) indicates prediabetes
A1C test
An A1C level of 5.7%–6.4% indicates prediabetes
An A1C level of 6.5% or higher indicates diabetes
Glucose tolerance test
A blood sugar level of 140–199 mg/dL indicates prediabetes
HbA1c level between 42 and 47 mmol/mol to be pre-diabetic.
An HbA1c level of 48 or higher indicates diabetes.
Common Symptoms
Prediabetes is often a “silent” condition and usually doesn’t usually have any signs or symptoms.
Few early signs may include:
- Darkened skin on certain parts of the body – neck, armpits and groin.
- Early changes in the eyes that can lead to retinopathy – blurry vision.
- Slow healing of cuts and wounds can indicate impaired blood sugar control.
- Feeling fatigued or exhausted, even having enough sleep
- Tingling, pain, or numbness in the hands or feet
- Frequent infections
- Irritability and mood changes
- Skin tags
- Increased thirst & hunger
- Urinating more often than usual
- Losing weight without trying or
- Weight gain, especially around the abdomen.
Possible Causes & Risk factors of prediabetes.
Prediabetes is mostly caused by insulin resistance – a condition when the pancreas doesn’t produce enough insulin or the insulin it produces isn’t effective.
- Family history and genetics.
- Being 35 or older
- Bad or high glycaemic foods intake – eating red and processed meat, and drinking sugar-sweetened beverages,
- Obesity or being overweight – A large waist size (40 inches in men and 35 inches in women) can indicate insulin resistance.
- High blood pressure
- High levels of triglycerides
- Low levels of HDL, or “good,” cholesterol
- Sedentary lifestyle – physically inactive.
- Smoking
- Suffering from obstructive sleep apnoea
- History of gestational diabetes (during pregnancy)
- PCOS – polycystic ovarian syndrome
- Certain ethnic groups
- Smoking or chewing tobacco may increase insulin resistance and the risk of type 2 diabetes.
Prevention
- Healthy lifestyle choices can help you prevent prediabetes and its progression to type 2 diabetes.
- Controlling your blood pressure and cholesterol
- Not smoking
- Eating healthy foods, making physical activity part of your daily routine and staying at a healthy weight can help bring your blood sugar level back to normal.
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