diabetes is
1) HbA1C 6.5% (48 mmol/mol) or more
2) have blood sugar levels After fasting for 12 hours, 126 mg% (7.0 mmol/L) or more, 2 times
3) Blood glucose level 2 hours after drinking 75 grams of sugar 200 mg% (11.1 mmol/L) or more.
4) having a random blood glucose level of 200 mg% (11.1 mmol/L) or more
But people who are not diabetic but have sugar 100-125 mg% (5.6-6.9 mmol/L) or HbA1C between 5.7-6.4% (39-47 mmol/mol) or have a blood sugar level of 2 hours. After drinking 75 g of sugar, if it is at 140-199 mg%(7.8-11 mmol/l), it can be considered a “to-be” diabetes.
but even if you are not diabetic yet People with diabetes should take good care of themselves. To prevent the disease from progressing to the stage of diabetes And even though sugar or HbA1C is in the level of “to” diabetes, only it can have a bad effect on physical health. Especially the heart, blood vessels (all over the body) and kidneys, and if not careful can quickly become diabetic. There will be a risk of diabetes. Especially if you don’t change your life behavior.
In general, diabetes-prediabetes There are usually no symptoms (symptoms) or signs (signs), except there may be black skin on certain parts of the body such as the neck, armpits and groin. Diabetic symptoms include thirst, frequent urination, frequent hunger, fatigue, blurred vision, numbness in the limbs and tingling (tingling) in the limbs.
The exact cause of prediabetes is unknown. but family history of diabetes And genetics are important. Of course, the body can’t process sugar normally. Sugar in the body comes from the food we eat. When eating food, sugar enters the blood system. make insulin This is a hormone that is produced by the pancreas. Insulin helps the sugar get into the cells. lowers blood sugar levels when blood sugar levels drop The pancreas decreases the production of insulin in ordinary people. But in people with prediabetes, their blood glucose control system is impaired, for example by producing less insulin. Or the cells are insulin resistant (insulin resistant) causing sugar to not enter the cells. The blood sugar levels are therefore higher.
Risk factors for prediabetes and diabetes are overweight and obesity. especially on the abdomen between skin and muscle The cells become more resistant to insulin.
The bigger the size of the belly, the more likely it is to be insulin resistant. The risk of insulin resistance is greater in men with waists greater than 40 inches and women with waists over 35 inches.
Eating foods that contain red meat, processed meat, drinking a lot of sugary drinks, not being active. The smaller the movement, the greater the risk. Family history If you have a father, mother, sibling with type 2 diabetes, ethnicity (ethnicity) race (race), such as Hispanic blacks, American Indians, Asian Americans are more at risk than other races. women with diabetes during pregnancy Both mother and child are at risk for diabetes, polycystic ovary syndrome, snoring and respiratory arrest. often have insulin resistance and people who are overweight or obese have an increased risk of snoring and respiratory arrest It increases the risk of complications of diabetes.
and high blood pressure, low HDL (good cholesterol) levels in the blood and high blood triglyceride levels.
Including people with metabolic syndrome, i.e. people with 3 of these 5 factors: 1) high blood pressure 2) low HDL 3) high triglycerides 4) high blood sugar 5) large waist.
Metabolic syndrome is more common in obese people. insulin resistant people are at high risk of developing diabetes, heart disease, and paralysis
Even prediabtes can have long-term effects. to the heart, blood vessels, kidneys, even though it has not yet reached diabetes and if you have diabetes It’s more likely to have high blood pressure. High cholesterol, heart, paralysis, kidney, nerve disease fat accumulation in the liver He was blind and had to amputate his limbs.
The best prevention for prediabetes and diabetes is diet, exercise, weight loss, not smoking, taking care of blood pressure and cholesterol.
Preventing, taking care of “reporting” diabetes and diabetes is all there is?! If diabetes is uncontrollable Your doctor may need medication.
Dr Pinit Kullawanich
2023-08-12 19:00:00
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