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Prediabetes is a condition that few people know about mostly due to the fact that it is rarely diagnosed and shows few or subtle symptoms. Here's how to assess your risk, get tested and if diagnosed — manage prediabetes.

There are various tests for prediabetes. Your doctor may recommend one test or a combination. All of them are designed to measure your blood sugar levels to varying degrees. 

The A1C or Glycated Hemoglobin test is designed to assess blood sugar levels for the past two to three months.  It measures the blood sugar percentage attached to hemoglobin:

·       5.7 A1C = NORMAL

·       5.7 to 6.4 A1C = PREDIABETIC

·       6.5+ = DIABETIC

Because certain factors can give a false reading your doctor may recommend additional tests like the Fasting Blood Sugar test.  

The Fasting Blood Sugar test requires to you refrain from eating for eight hours. It measures blood sugar levels specifically.

·       Less than 100  = NORMAL

·       100 - 125 = PREDIABETIC

·       125+ = DIABETIC

There is also a simpler test used during pregnancy called the Oral Glucose Tolerance test.  This involves drawing a blood sample after a fast of 8 hours followed by the ingestion of a sugar solution and another blood sample two hours later. 

·       Less than 140 = NORMAL

·       140 - 199 = PREDIABETIC

·       200+ = DIABETIC

How often you should be tested is determined by your levels and the risk factors you may demonstrate.  People with Prediabetes are tested more often and will receive further testing depending on their condition and on-going results. 

Lifestyle Changes To Manage And Prevent Diabetes

If you or someone you know has risk factors or has been diagnosed with prediabetes there are some basic lifestyle changes that can prevent or at least delay the onset of Diabetes.

1. Lose weight. Even a decrease of 5 to 10 percent of body weight can help to prevent the onset of Prediabetes or Type 2 Diabetes.

2. Eat right. Focus on nutrient dense vegetables that are high in fiber like leafy greens, broccoli and cauliflower. Eat proteins that are low in fat like skinless chicken, lean beef or salmon which is high in Omega-3 fatty acids that help to reduce LDL cholesterol levels. Avoid simple carbohydrates like sugars, pastries, candy and starchy carbs like pasta, white rice and many made with processed flours breads. 

3. Get physically active. You don't have to run a marathon. Gardening can be a great way to exercise. The same is true of walking, cycling, and swimming. Strive to do physical activities you enjoy for at least 30 minutes a day. If you can, aerobic exercise is ideal. 

Before you make any lifestyle changes, make sure you consult with your doctor. They may have specific recommendations for you or caution you about various physical activities. Much of it depends on your age, medical history and physical condition.  

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  • Photo courtesy of AlishaV via Flickr: www.flickr.com/photos/alishav/3535031488
  • Photo courtesy of Bev Goodwin via Flickr: www.flickr.com/photos/bevgoodwin/9625265138
  • http://www.diabetes.org/diabetes-basics/symptoms/?loc=db-slabnav. Tests for Diabetes: http://www.diabetes.org/diabetes-basics/diagnosis/?referrer=https://www.google.com/#sthash.82FBfHIA.dpuf pdf about Prediabetes: http://professional.diabetes.org/PatientEducationLibraryDetail.aspx?pmlPath=All_About_Prediabetes_24dee6ff-cbf0-4a55-80b7-9d5d29de0bd7&pmlName=All_About_Prediabetes.pdf&pmlId=101&pmlTitle=All%20About%20Prediabetes%20-%20English&utm_source=dorg&utm_medium=Online&utm_content=prediabetesd&utm_campaign=pem&s_src=vanity&s_subsrc=dorg http://diabetes.niddk.nih.gov/dm/pubs/insulinresistance/. http://www.uptodate.com/home. http://www.naturaldatabase.com.

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