Pre-diabetes is a misnomer; in fact, diabetes activist Riva Greenberg calls it "a lie."
What distinguishes pre-diabetes from diabetes? Sad to say, not much. Let's look at what they have in common: elevated blood sugars, insulin resistance, high insulin levels, high cortisol levels, micro-vascular complications, heart disease and — oh, wait a minute, the side effects are exactly the same.
78 million Americans (1 in 3 U.S. adults above the age of 20) have been told they have pre-diabetes, or they are walking around with it unbeknownst to them. In 2011, The International Diabetes Federation reported 280 million people worldwide had pre-diabetes, according to the Huffington Post.
Does calling elevated blood sugars pre-diabetes negate the actual acknowledgement that something has gone astray? After all, if you are "pre" something that should mean you don't have it yet; not that you just don't have as bad as you could.
- Pre-diabetes: Is diagnosed when blood sugars are between 100-125mg/dl, and the HgBA1c is 5.7 percent to 6.5 percent.
- Type 2 diabetes: Is diagnosed when blood sugars are greater than 126 mg/dl and the HgBA1c is greater than 6.5 percent (Per the American Diabetes Association)
Please note there is a mere point between pre-diabetes and diabetes (125 vs. 126mg/dl).
Pre-Diabetes Is A Call to Action
Pre-diabetes demands vigilance, not a sit back and see what happens approach. We know what happens: diabetes.
You can make a difference in your health!
- Clean up your diet
- Move your body
- Lose weight
- See your primary care provider regularly
- Follow your glucose and HgbA1c results to watch for changes