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The Question
08/20/09 01:19 PM

"could you please tell me if pre diabetes can be reversed or if you can prevent diabetes?"
Asked By: hockeymom3  
Category: Prediabetes

Background Info Hide
long story short 10 months ago went for physical had blood done sugar was alittle high and a1c alittle high. have gone on diabetic diet and exercise program. go every 2 months for blood since then fbs always under 126 but above 99 a1c has gone down evertime is now 6.4. went to endo for evalu and diet plan which i got none of. only answer was you are pre diabetic and will eventually becom full diabetic and need meds, is this true? my primary says no it can be prevented or reversed if i cont diet and exerc, lost 33lbs already counts near normal now. iam also in menopause could thid have anything to do with it. no diabetes in family. should i see another endo or just leave everything to my primary doc who i trust and is very knowledeable, thank you in advance

Expert Answers (1)

08/23/09 11:24 PM

The diabetes prevention program (DPP) study showed that diabetes can be delayed or prevented by 58% if you lose 5-7% of your weight by eating a diet low in fat and reduced calories and exercising a minimum of 150 minutes per week. However, some clinicians also recommended starting people on Metformin as well because this medication addresses many of the problems occurring in the body. Metformin slows the digestion of the food you are eating and slows the rise in blood sugar after a meal, in addition it reduces insulin resistance allowing your insulin to work better. Recent CDC treatment guidelines for prediabetes suggest starting Metformin if the lifestyle changes are not effective. For your information, there are new guidelines being suggested for diagnosing diabetes. If these guidelines are adopted, we will be using the A1c test to diagnose diabetes. An A1c of 6.5 or greater would be a diagnosis of diabetes. An A1c of 6.0-6.4 would be considered at high risk for developing diabetes. Unfortunately prediabetes is not an exact science and the rate of progression to diabetes will vary among individuals. Have you attended a class on prediabetes? many diabetes centers offer classes on the physiology of prediabetes and review behavior changes to help prolong the progression. Many people with prediabetes will progress to diabetes, but that does not mean it is inevitable! Keep working hard and be proud of your accomplishments. No matter what happens you are improving your health!
Answered By: Deborah Greenwood
Accreditations: MEd, CNS, BC-ADM, CDE
Sources Show

Community Answers (1)

08/23/09 08:37 AM

No one wants to hear there prediabetic or diabetic it isnt one of those fun things we hear. My mom was dx at age 19 a type 2 and was very thin, and very active. For her is was genetics but diabetes was there. Even if you can control it with diet and exercise the diabetes will always be there underlying in your system. If you lower your carb intake to a very small amount you might be able to keep it at bay. With your a1c at 6.4 means your bs are running higher at times your not testing and yes your in the prediabetic range at least. All I can say is keep on doing the right things and realize its a healthy lifestyle your living so it is good for you anyways.
Answered By: furball64801
FLAG
SourcesShow



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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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