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One-third of adults with diabetes still don't know they have it

type 2 diabetes in the next 10 years. Also, pre-diabetes substantially raises the risk of a heart attack or stroke even if type 2 diabetes does not develop.

People with pre-diabetes may have IFG or impaired glucose tolerance (IGT) or both.

  • In IFG, blood glucose is high (100 to 125 milligrams per deciliter or mg/dL) after an overnight fast but not high enough to be diagnostic of diabetes.
  • In IGT, blood glucose is high (140 to 199 mg/dL) 2 hours after drinking a sugary drink in an oral glucose tolerance test but not high enough to be diagnostic of diabetes.

In the current study, researchers did not assess the prevalence of IGT because an oral glucose tolerance test was not a part of the survey.

People with pre-diabetes can often prevent or delay diabetes if they lose a modest amount of weight by cutting calories in their diet and increasing physical activity (for example, walking 30 minutes a day 5 days a week). A major study of people with IGT has shown that lifestyle changes leading to a 5 to 7 percent weight loss lowered diabetes onset by 58 percent.

If you are over age 45, you should consult your health care provider about testing for pre-diabetes or diabetes. If you are younger than 45, overweight, and have another risk factor, you should ask about testing. You are at greater risk of developing pre-diabetes and type 2 diabetes if you:

  • are age 45 or older
  • have a family history of diabetes
  • are overweight
  • have an inactive lifestyle (exercise less than three times a week)
  • are members of a high-risk ethnic population (e.g., African American, Hispanic/Latino American, American Indian and Alaska Native, Asian American, Pacific Islander)
  • have high blood pressure: 140/90 mm/Hg or higher
  • have an HDL cholesterol less than 35 mg/dL or a triglyceride level 250 mg/dL or higher
  • have had diabetes that developed during pregnancy (gestational diabetes) or have given birth to a ba
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Source:NIH/National Institute of Diabetes and Digestive and Kidney Diseases


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