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Q: I have been told I'm "pre-diabetic." What does that mean and what can I do to prevent developing diabetes?

The term pre-diabetes is used to identify patients who are at increased risk for developing diabetes.  Most people with pre-diabetes have no symptoms and are identified on routine screening blood tests.  A fasting blood sugar between 100-126 typically indicates the need for additional testing, which may include a hemoglobin A1C or a 2 hour glucose tolerance test.  Hemoglobin A1C is a non-fasting blood test which represents a 3 month average blood sugar measurement.  A level between 5.7%-6.4% is indicative of pre-diabetes.  A 2 hour glucose reading between 140-199 during an oral glucose tolerance test is also considered pre-diabetic.  Risk factors for prediabetes include being overweight, being 45 years of age or older, family history of diabetes or having a history of diabetes during pregnancy.  Fortunately pre-diabetes can be managed with lifestyle measures and rarely requires medication.  Following a low carb diet, specifically limiting sweets and white carbohydrates such as pasta, potatoes, chips, and crackers may help.  Moderate exercise such as walking briskly for 30 minutes five times a week or incorporating strength training is also important to minimize insulin resistance and improve glucose utilization by the body.  Maintaining a healthy body weight is also key.  A weight loss of 5-7% of your body weight, which is equivalent to 10-14 pounds for a 200 pound person can be sufficient to prevent progression to diabetes.  If you are concerned about your risk for pre-diabetes, it is best to speak with your doctor, since early diagnosis and treatment can prevent a number of serious problems in the future.  For more information, visit www.ebrownmd.com.

Funerals for Tuesday, September 17, 2019

Beemon, Michael - 11 a.m., Snyder Cemetery, Churchville.

Cart, Edith Fay - 11 a.m., Beal Cemetery, Leatherwood.

Dent, Frances M. - 1 p.m., Allen Funeral Home Chapel, Hurricane.

Hagy, Alfred - 1 p.m., Simon - Coleman Funeral Home, Richwood.

Rogers, Diana - 2 p.m., Dunbar Towers, Dunbar.

Winter, Janet - 6 p.m., Elizabeth Baptist Church, Bancroft.