Diabetes is a chronic medical condition in which the body is unable to properly use and store glucose, which is the body’s main source of energy. Type 2 diabetes is caused by a combination of genetic and environmental factors and is characterized by insulin resistance, or the inability to produce enough insulin to control blood sugar levels. Pre-diabetes or borderline diabetes is usually asymptomatic and you can have it for years without knowing it. It can increase your chances of getting type 2 diabetes, heart disease and stroke. If you have risk factors for diabetes, a regular health checkup is mandatory to diagnose prediabetes.
“Pre-diabetes, sometimes referred to as ‘borderline diabetes,’ is a condition that can develop before type 2 diabetes and increases the risk of developing type 2 diabetes. Therefore, it can be considered a precursor to type 2 diabetes. term Borderline diabetes is not used in the scientific literature. Fortunately, the progression of pre-diabetes to diabetes is not inevitable. Many people, according to research, can stop the progression of borderline diabetes to type 2 diabetes and even return to normal Making changes to maintaining a healthy weight, engaging in regular physical activity, and eating nutritious foods can help maintain normal blood sugar levels,” says Dr. Ranjit Unnikrishnan, vice president of Dr. Mohan.
What exactly is borderline diabetes?
“Borderline diabetes is a condition in which your blood sugar levels are above normal but not high enough to be classified as diabetes. For example, if your fasting blood glucose level is greater than or equal to 126 mg /dl, you are considered to have diabetes, whereas you are considered normal if your fasting blood glucose is below 100 mg/dl. Therefore, you may have borderline diabetes if your fasting blood glucose is 120 mg/dl,” says The Doctor. V. Mohan – President and Chief Diabetologist, Dr. Mohan.
What symptoms may be present
The Doctor. V. Mohan says that borderline diabetes is only diagnosed through a blood test, and the vast majority of the time, there are no symptoms.
The diabetologist says that if the condition progresses to overt diabetes, one may experience diabetes-related symptoms such as:
• frequent urination
• Increased headquarters
• Increased hunger
• Blurry vision
• Numbness or tingling in the feet or hands
• Delay in wound healing
Why should borderline diabetes be a cause for concern?
The Doctor. Mohan says borderline diabetes is a warning sign that you could develop type 2 diabetes, a more serious condition, in the future. Approximately one-third of people with borderline diabetes progress to diabetes, and this progression is faster and more likely among Indians. Also, if you have borderline diabetes, you are more likely to have cardiovascular disease (diseases of the heart and blood vessels), especially if you have other risk factors such as high cholesterol, high blood pressure, and smoking.
How is borderline diabetes diagnosed?
For borderline diabetes to be diagnosed, a blood glucose test is required. You can perform a fasting blood glucose test, a glucose tolerance test, or an HbA1c test. To confirm the diagnosis, the test may need to be repeated several times.
Who should take these tests?
If you have risk factors for diabetes, you should consider getting tested. These include
– Being overweight or obese
– Being older
– Having diabetes in the family
– Having had diabetes during pregnancy or giving birth to a large child.
“The India Diabetes Risk Score (IDRS) is a useful tool for determining a person’s likelihood of developing diabetes. The risk score is calculated by answering four questions and measuring the waist with a tape. blood test to determine you have diabetes or borderline diabetes if your score is 60 or higher,” says Dr. Mohan.
How can borderline diabetes be managed?
No matter how likely diabetes runs in your family, adopting a healthy lifestyle can lower your risk of prediabetes. It also has the potential to help turn borderline diabetes back to normal and slow the progression.
Lifestyle changes to reverse borderline diabetes
Nutritionist Umasakthy suggests some healthy lifestyle changes to reverse pre-diabetes.
• Consume nutritious foods
• Maintain regular physical activity
• Start a weight loss program if you are overweight
“It has been shown that losing just 5% of body weight can reduce the risk of developing diabetes from borderline diabetes. Likewise, reducing your carbohydrate intake, increasing your protein intake and switching to healthy fats can help return borderline diabetes to its normal state. Medication can also help in some cases. You can talk to your diabetologist for help,” says Umasakthy.
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