One of the key points in the obesity crisis is that it is driving up the number of people developing type 2 diabetes as an alarming rate. Now, scientists have revealed that more than a third of adults in England have borderline diabetes or pre-diabetes, which is a precursor to developing the condition if nothing is done.
People are classed as having borderline diabetes when they have higher than normal blood glucose levels. Those with the condition are at high risk of developing diabetes and its associated complications.
The prevalence of pre-diabetes in England has tripled in the space of eight years, according to the researchers. The authors of the study examined data from Health Survey for England for the years 2003, 2006, 2009 and 2011 involving thousands of participants. They added: "This rapid rise in such a short period of time is particularly disturbing because it suggests that large changes on a population level can occur in a relatively short period of time. They said the findings have important implications on the NHS Health Check and other public health interventions across England.
Barbara Young, chief executive of Diabetes UK, said: "Having high enough blood glucose levels to be classified as having pre-diabetes leaves people at a significantly increased risk of developing type 2 diabetes, which is a lifelong condition that already affects more than three million people and can lead to serious health complications such as heart disease, stroke, amputation and blindness.
Pre-diabetes diagnosis is by blood sugar tests, if your number is higher than most young-healthy people has, then you are diagnosing as prediabetes. Based on the diabetes risk factors, certain standard is set for pre-diabetes screening criteria. If you met most of the above-said criteria, then you require undergoing for pre-diabetes screening. Fasting Plasma Glucose (FPG) – is a blood-glucose test taken after not having anything to eat or drink (except water - even do not drink a lot of water before the test) a minimum of eight hours before the test.
Oral glucose tolerance test (OGTT) – or glucose challenge test is a blood-glucose test before, one-hour and two hours after you eat a carbohydrate-rich food or drink a special sweet drink. Glycated hemoglobin test (A1C) – is a test done at any time, there is no fast or drink anything, and it measures the average BS for the past two to three months.
A study "Impaired fasting glucose or impaired glucose tolerance, what best predicts future diabetes in Mauritius," was published in Diabetes Care March 1999 vol.
Numerous studies show both IFG & IGT has been associated with a modest increased risk towards CVD, with IGT being a slightly stronger risk predictor.
A study shows the natural history of both IFG and IGT is variable; with 25% progressing to diabetes, 50% remaining in their abnormal glycemic state, and 25% reverting to NGT (normal glucose tolerance) over an observational period of 3 to 5 years. The popular institutions set ranges for healthy, pre-diabetes and diabetes based on the old study that say one who has knowingly diagnosed as pre-diabetes progress to diabetes early due to mental strain.
However, many health professionals think their patients are intelligent, smarter, and brave enough. If your blood-glucose number is in the unhealthy range, then take this alarm towards prediabetes & diabetes.
Learn to easily read a normal blood sugar levels chart, A good grasp and understanding of normal blood sugar levels chart is necessary whether you have diabetes or not. Diabetes blood sugar levels chart: what is a normal blood, Keep in mind that the blood glucose level before a meal for a non diabetic person and a person with prediabetes may be very similar.
Blood glucose levels chart and a normal blood sugar range, A blood glucose levels chart is a handy thing to have access to for deciphering those glucose numbers on a blood test.
Normal blood sugar levels chart – buzzle, You must have noticed that the normal blood glucose levels for men and women are slightly different.


What is normal blood sugar level – healthiack, The blood sugar concentration or blood glucose level is the amount of glucose (sugar) present in the blood of a human or an animal.
Normal blood sugar levels chart mmol – medhelp, Common questions and answers about normal blood sugar levels chart mmol.
The Diabetes Forum - find support, ask questions and share your experiences with 209,001 people. The number of adults with prediabetes is growing - 1 in 3 adults in England has prediabetes Prediabetes, also commonly referred to as borderline diabetes, is a metabolic condition and growing global problem that is closely tied to obesity. If undiagnosed or untreated, prediabetes can develop into type 2 diabetes; which whilst treatable is currently not fully reversible.
Prediabetes is characterised by the presence of blood glucose levels that are higher than normal but not yet high enough to be classed as diabetes.
Prediabetes may be referred to as impaired fasting glucose (IFT), if you have higher than normal sugar levels after a period of fasting, or as impaired glucose tolerance (IGT), if you have higher than normal sugar levels following eating.
The increasing number of new cases of prediabetes presents a global concern as it carries large scale implications towards the future burden on healthcare.
Prediabetes is a critical stage in the development of diabetes, for it is at this point that lifestyle choices can be made to turn it around.
While pre-diabetes may affect anyone, of any age, gender or racial type, some groups are genetically more prone. Either a fasting plasma glucose test or an HbA1c test may be used to diagnose type 2 diabetes or prediabetes. If your results are above the upper limits for prediabetes, your GP may either diagnose you with type 2 diabetes or take another test in the near future to confirm whether you have diabetes. If you are diagnosed with prediabetes, your doctor should clearly set out the steps you need to take to lower your risk of developing type 2 diabetes. With pre-diabetes, you have the chance to pull things back and prevent yourself from having to actively control your blood sugar levels.
As pre-diabetes is an early form of type 2 diabetes, the symptoms will be less pronounced and more difficult to recognise. Such symptoms may include feeling tired or lethargic even feeling hunger after a meal shortly after a meal. An oral glucose tolerance test is where you have a very sugary drink and then your blood glucose levels are measured over the following few hours to see how well your body responds to the intake of glucose. Pre-diabetes will generally not involve treatment unless it develops into type 2 diabetes. A diagnosis of pre-diabetes means you are more susceptible to type 2 diabetes, so you will likely need regularly blood tests to check the condition is not developing. The good news is that cases of prediabetes that are identified early on can be reversed, preventing them from progressing into full-blown type 2 diabetes. Find support, ask questions and share your experiences with 209,001 members of the diabetes community.
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But at the moment not everyone who is eligible for this check is getting one and we need this to change. Prediabetes also called as borderline diabetes and impaired glucose tolerance (IGT) or impaired fasting glucose (IFG), depending on which test has used to detect it.


People with IFG along have hepatic insulin resistance and optimal muscle insulin sensitivity. Individuals who are older, overweight, and have other diabetes risk factors are more likely to progress.
Additionally, preserving beta-cell function, and delay the likelihood of micro vascular, and cardiovascular complications. In the UK, around 7 million people are estimated to have prediabetes and thus have a high risk for developing type 2 diabetes.
Between 2003 and 2011, the prevalence of prediabetes in England alone more than tripled, with 35.3% of the adult population, or 1 in every 3 people having prediabetes. This is because the condition often develops gradually without any warning signs or symptoms.
With type 2 diabetes, once you have it, you’re faced with having to control your blood sugar levels for life.
If you have pre-diabetes, you are said to have impaired glucose tolerance or impaired fasting glucose.
The symptoms are most likely to be recognised after a meal – particularly a meal that has quite a high amount of carbohydrate. If you notice you frequently have these after meal symptoms and have one or more of the risk factors, it’s worth going to your doctor for a diagnosis. Someone diagnosed with pre-diabetes will instead need to make lifestyle changes such as cutting down on smoking and drinking; taking more physical activity and eating a healthy, balanced diet and try to cut down on the amount of processed food you may be eating. You will likely need to be more disciplined with your lifestyle than before and, if you are, you could either significantly delay or prevent yourself from getting diabetes later on in life. Each year in the UK, 5% to 10% of people diagnosed with prediabetes go on to develop type 2 diabetes. People with IGT alone have been normal to slightly reduced hepatic insulin sensitivity and moderate to severe muscle insulin resistance.
Moreover, low insulin secretion and severe insulin resistance identify individuals more likely to progress to diabetes.
However, prolong unhealthy blood glucose level can lead to diabetes complications even if not progress to diabetes.
In many cases, the sufferer only learns of their borderline diabetic state once the symptoms of type 2 diabetes start to appear. If you can catch pre-diabetes before it becomes type 2 diabetes, you have a chance of stopping its development. It shows the higher sensitivity of IGT over IFG for predicting progression to type2 diabetes. Metformin was the first drug shown to be effective; however, it is just about the half of that of lifestyle modification. Screening by the criteria for IFG alone would identify fewer people who subsequently, progress to type2 diabetes than would be the oral glucose tolerance test.




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