Wednesday, September 13, 2017

Recognizing Diabetes

With so much diabetes around these days, you may think that recognizing it
should be easy. The truth is that it’s not easy, because diabetes is defined by
blood tests. You can’t just look at someone and know the level of glucose —
blood sugar — in his or her blood

The level of glucose that means you have diabetes is as follows:

✓ A casual blood glucose of 200 milligrams per deciliter (mg/dl) or more at
any time of day or night, along with symptoms such as fatigue, frequent
urination and thirst, slow healing of skin, urinary infections, and vaginal
itching in women. A normal casual blood glucose should be between 70
and 139 mg/dl.

✓ A fasting blood glucose of 126 mg/dl or more after no food for at least
eight hours. A normal fasting blood glucose should be less than 100 mg/dl.

✓ A blood glucose of 200 mg/dl or greater two hours after consuming 75
grams of glucose.

A diagnosis of diabetes requires at least two abnormal levels on two different
occasions. Don’t accept a lifelong diagnosis of diabetes on the basis of a
single test.

A fasting blood glucose between 100 and 125 mg/dl or casual blood glucose
between 140 and 199 mg/dl is prediabetes. See Dr. Rubin’s book Prediabetes
For Dummies (Wiley). Most people with prediabetes will develop diabetes
within ten years. Although people with prediabetes don’t usually develop
small blood vessel complications of diabetes like blindness, kidney failure,
and nerve damage, they’re more prone to large vessel disease like heart
attacks and strokes, so you want to get that level of glucose down. Sixty
million people in the United States have prediabetes


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