“It has already been proven that type II diabetes mellitus (hereinafter referred to as type II diabetes mellitus) does not have one single cause, but the presence of risk factors does not mean that the disease will necessarily develop,” AiF comments. endocrinologist of the first category, Minsk Regional Clinical Hospital IVOV named after. P. M. Masherova” Elena TINKEVICH. – If you are at risk for developing type II diabetes, this means that the disease may occur, and when several factors are combined, the risk of the disease increases. There are risk factors that can be managed throughout life and those that cannot be changed.
At-risk groups:
1. Overweight and obesity. The greatest danger is visceral obesity, in which there is excessive accumulation of fat in the abdominal cavity. In people with this type of obesity, the figure takes on the shape of an apple, and the waist circumference increases to more than 94 cm in men and more than 80 cm in women.
2. Low physical activity. It has been proven that our activity affects glucose metabolism and has a certain role in the development of type II diabetes. Training and physical activity increase insulin sensitivity. Conversely, low physical activity leads to a decrease in tissue sensitivity to insulin and an increase in its level in the blood. As a result, glucose tolerance develops. The prevalence of type II diabetes is 2 times higher in those who lead a sedentary lifestyle or have little physical activity.
3. Age over 45 years. Typically, at this age, many people lead a less active lifestyle and are obese or overweight.
4. Hereditary predisposition (the presence of type II diabetes in parents increases the likelihood of its development in offspring throughout life by 40%).
5. Gestational diabetes (develops during pregnancy) increases the risk of developing diabetes later in life.
6. Previously diagnosed prediabetes – a condition in which the sugar level is no longer within the normal range, but does not yet correspond to diabetes (this includes impaired glucose tolerance and impaired fasting glycemia).
7. Arterial hypertension (pressure increase more than 140/90)
8. Abnormalities in the blood lipid profile: changes in the level of “good” cholesterol (HDL) – less than 0.9 mmol/l, as well as the level of triglycerides (simple fats, TG) – more than 2.89 mmol/l.
9. Presence of scleropolycystic ovarian disease in women.
FINDRISK Questionnaire
The FINDRISK questionnaire can be used to determine the risk of developing diabetes.. By answering his questions and calculating the points, you can determine the risk of developing the disease in the next 10 years. When determining a high risk of type II diabetes (more than 15 points on this scale), a mandatory study of blood glucose levels is necessary.