In the early stages of abnormal glucose metabolism, i.e., prediabetes, many people may feel confused and uncertain. At this stage, blood glucose levels are higher than normal but have not yet met the diagnostic criteria for diabetes. This period is a critical period for the transition from prevention to diabetes, but it is also a time of controversy and questions. This article aims to delve into the key points of diagnosing prediabetes, when to start medications, and how to manage the condition through lifestyle modifications.
1. Definition and diagnosis of prediabetes.
Prediabetes doesn't happen overnight, but evolves gradually. At this stage, the body's insulin sensitivity decreases and islet cells are able to compensate by increasing secretion, but this balance is extremely fragile. Having the right diagnostic methods not only helps to detect risks early, but also prevents over-medical treatment from occurring. Blood glucose monitoring, glucose tolerance testing, and glycosylated hemoglobin A1c testing are commonly used diagnostic tools, each with its own specific scope and limitations.
2. Lifestyle adjustments: the first choice
In prediabetes,Lifestyle modifications are preferred." This includes diet management, regular exercise, and maintaining a healthy weight. In terms of diet, there is an emphasis on low-sugar, high-fiber dietary patterns, such as the Mediterranean diet or low-carb diet. Regular physical activity, such as 150 minutes of moderate-intensity exercise per week, is essential to improve insulin sensitivity and control blood sugar levels. In addition, weight loss has been shown to significantly reduce the risk of developing diabetes.
3. Medication**: When does it start?
Although lifestyle modifications are the cornerstone, in some cases, medications** may become necessary. Medications** can be used as a supplement, especially for individuals whose lifestyle changes are not effective, or for whom blood sugar control is still suboptimal. Commonly used medications include metformin, which increases the body's sensitivity to insulin and reduces sugar production in the liver. Deciding when to start medication** requires an assessment of the individual's health status, blood glucose levels, and risk of complications.
4. Integrated management: monitoring and adjustment.
For individuals with prediabetes,:Regular monitoring of blood sugar levels is essential. Not only can this help assess the effects of lifestyle modifications and medications**, but it can also detect any abnormal changes in blood sugar levels in a timely manner. In addition to blood glucose monitoring, regular check-ups, including cardiovascular health assessments, kidney function tests, and fundus examinations, are also important to detect and manage potential complications early.
Take proactive action to prevent problems before they occur.
The management of prediabetes is a comprehensive challenge that requires the joint efforts of individuals, families and even society. With the right diagnosis, positive lifestyle modifications, timely medications**, and ongoing monitoring and evaluation, the progression of diabetes can be effectively delayed or prevented. Everyone's situation is unique, so it's crucial to have a personalized management plan in place. In the face of prediabetes, take action and start today to lay a solid foundation for your healthy future.