Borderline diabetes and prediabetes are one and the identical and the previous is used informally. It is a situation that may develop earlier than kind 2 diabetes however not all individuals affected by it is going to get diabetes. To put it in easy phrases, prediabetes is a well being situation the place your blood sugar levels are larger than regular however not sufficient to be recognized as kind 2 diabetes. The good factor is that it is rather a lot reversible and all it’s a must to do is to introduce some wholesome way of life modifications to your life and follow them to keep away from the metabolic illness. (Also learn: Diabetes: Bedtime rituals that can help manage blood sugar)

Diabetes is a continual medical situation through which the physique is unable to correctly use and retailer glucose which is physique’s foremost supply of vitality. Type 2 diabetes is brought on by a mix of genetic and environmental components, and is characterised by insulin resistance or an incapability to provide sufficient insulin to handle blood sugar ranges. Prediabetes or borderline diabetes is often asymptomatic and you might have it for years with out even figuring out it. It can improve your modifications of getting kind 2 diabetes, coronary heart illness and stroke. If you might have threat components for diabetes, an everyday health-check-up is a should to diagnose prediabetes.

“Pre-diabetes sometimes referred to as ‘borderline diabetes’, is a condition which can develop before type 2 diabetes and increases one’s risk of developing type 2 diabetes. Therefore, it can be considered as a precursor of type 2 diabetes. Although the term borderline diabetes is not used in scientific literature. Fortunately, the progression of pre-diabetes to diabetes is not inevitable. Many people, according to research, can stop the progression of borderline diabetes to type 2 diabetes and even return to normal by making changes to their lifestyle. Maintaining a healthy weight, engaging in regular physical activity, and consuming nutritious foods can assist in maintaining normal blood sugar levels,” says Dr. Ranjit Unnikrishnan- Vice-Chairman, Dr. Mohan’s Diabetes Specialities Centre.

What precisely is borderline diabetes?

“Borderline diabetes is a condition in which blood sugar levels are higher than normal but not high enough to be classified as diabetes. For instance, if your fasting blood glucose level is greater than or equal to 126 mg/dl, you are considered to have diabetes, while you are considered normal if your fasting blood glucose is below 100 mg/dl. Therefore, you may have borderline diabetes if your fasting blood sugar is 120 mg/dl,” says Dr. V. Mohan – Chairman and Chief Diabetologist, Dr. Mohan’s Diabetes Specialities Centre.

What signs could also be current

Dr V. Mohan says borderline diabetes is barely recognized by a blood check, and the overwhelming majority of the time, there aren’t any signs.

The diabetologist says if the situation progresses to overt diabetes, one could expertise diabetes-related signs akin to:

• Frequent urination

• Increased thirst

• Increase in starvation

• Fatigue

• Blurred imaginative and prescient

• Numbness or tingling within the toes or arms

• Delay in wound therapeutic

Why ought to borderline diabetes be a trigger for concern?

Dr Mohan says borderline diabetes is a warning signal that you could be develop kind 2 diabetes, a extra severe situation, sooner or later. Approximately a 3rd of individuals with borderline diabetes progress to diabetes, and this development is quicker and extra seemingly amongst Indians. Also, in case you have borderline diabetes, you usually tend to get heart problems (coronary heart and blood vessel illness), particularly in case you have different threat components like excessive ldl cholesterol, hypertension and smoking.

How is borderline diabetes recognized?

For borderline diabetes to be recognized, a blood glucose check is important. It is feasible to carry out a fasting blood glucose check, a glucose tolerance check, or an HbA1c check. To verify the analysis, the check could must be repeated a number of occasions.

Who ought to go for these exams?

If you might have threat components for diabetes, you need to take into consideration having your self examined. These embody

– Being chubby or overweight

– Being older

– Having diabetes within the household

– Having had diabetes throughout being pregnant or given delivery to a big baby.

“The Indian Diabetes Risk Score (IDRS) is a useful tool for determining a person’s likelihood of developing diabetes. The risk score is calculated by answering four questions and taking a waist measurement with an inch tape. You should have a blood test to determine whether you have diabetes or borderline diabetes if your scores are 60 or higher,” says Dr Mohan.

How can borderline diabetes be managed?

No matter how seemingly diabetes is in your loved ones, adopting a wholesome way of life can decrease your pre-diabetes threat. It additionally has the potential to help in reversing borderline diabetes again to regular and slowing down the development.

Lifestyle modifications to reverse borderline diabetes

Dietician Umasakthy suggests some wholesome way of life modifications to reverse prediabetes.

• Consume nutritious meals

• Maintain common bodily exercise

• Begin a weight reduction programme if chubby

“It has been demonstrated that losing as little as 5% of one’s body weight can reduce the risk of development of diabetes from borderline diabetes. In a similar vein, reducing carbohydrate intake, increasing protein intake, and switching to healthy fats can assist in returning borderline diabetes to its normal state. Medication may also help in some cases. You can talk to your diabetologist for help,” says Umasakthy.

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