Prediabetes(प्री डायबिटीज़): Symptoms, Treatment & Precautions

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  • 2 years ago
Dr. Rishi Mangat
General Physicians

Prediabetes(प्री डायबिटीज़): Symptoms, Treatment & Precautions

In this video SimpliHealth expert Dr. Rishi Mangat is talking about Prediabetes(प्री डायबिटीज़) and its Symptoms, Treatment & Precautions.

What is Prediabetes? Or प्री डायबिटीज़ क्या है?

As the name says, there is a state before the occurrence of diabetes, so we call it Prediabetes. This is often happening to young people because of their lifestyle, lack of exercise, and eating habits. It has been observed that before diabetes occurs in our body. The high blood sugar levels that our body may have already started affecting our different organs. 

So if we don’t control the pre-diabetes at that stage, those who are prediabetes will finally develop diabetes. 

Prediabetes Range & Symptoms

According to our experts, when our fasting sugar is above 126, So when our sugar levels are between 100 to 125, fasting and our post-meal sugars are between 140-185, and random sugars are around 200 K, then we say it is a pre-diabetic state.

If the HbA1c level is in the middle of 5.7 to 6.4, we call that patient pre-diabetic. Many people may have some risk factors. If they are, their chances are more to be pre-diabetic or diabetic, such as if a family member has diabetes. For example, they do not exercise even three times a week, are obese, have high blood pressure, have cholesterol complaints, have more obesity on their stomach, have taken some hormone treatment like steroids, some hormonal diseases like Cushing’s syndrome or acromegaly. In all this, the chances of getting diabetes increase considerably. 

Our experts usually suggest that earlier, our guideline was to monitor for diabetes above the age of 45. The latest data indicates that if there is a sedentary lifestyle, we should start monitoring people of 30 plus age, and they should get their blood sugar and  HbA1c checked every year at least once. And if they may come between this parameter, then that is the stage in which they can re-do it. It will not be diabetes for those people if they take action. 

This is the thing that our experts want to highlight pre-diabetes is that stage of diabetes that the whole impact of diabetes can be reversed and once diabetes occurs, controlling it and reversing its impact is much harder. It requires a lot of discipline, and you have to take physical exercise and diet in every way to control diabetes. 

Prediabetes Treatment

So in Prediabetes, we don’t usually give medicine because if you fix your diet, fix your exercise, and control the entire interval of your food, if you control the calorie count, you do not need medicine often. But if you are above 35 years, your cholesterol is high, and your family may have a history, you may not be able to control sugar constantly. You should start medicine because your sugars will be brought to the average level from that time. 

And for this, we usually give only one drug, which is relatively safe, and its side effects are also negligible. Reversing diabetes is patient dependent. They take the doctors’ advice more efficiently: the more regularly you follow-ups, the better your outcome so pre-diabetes can be reversed. Still, it needs the patient’s cooperation and effort with the doctor’s guidance, which can certainly be done. In 3 months, most likely, patients in 3-6 months can reverse their pre-diabetes, become non-diabetic, and have their sugar level in the normal range. 

Hence, mainly the factors which lead to this, that our experts already shared with you, And for lifestyle and many people who work in night jobs nowadays, their circadian rhythm is shaken, similar to our body’s rhythm in which insulin is secreted when there are more secrets in spurts, So it is related with our waking up. Still, today’s lifestyle is such that our system gets shaken if we do jobs even at night. 

Prediabetic Precautions

So all those young people, all those people who have stressed jobs and sedentary jobs, are sitting for a long time. For all of them, our experts would request that you bring some changes to your lifestyle. At least three times a week, you exercise for half an hour to 45 mins. Control the calories of the diet according to your height and weight by asking any good doctor and keep it in that count only. And must do routine check-ups once a year.

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