In September 2015 the Journal of the American Medical Association’s published online the results of a nation-wide study of the prevalence and trends of diabetes over the past quarter century. Not surprisingly, the prevalence of diabetes has skyrocketed in the last two decades. What was surprising, to me anyway, was the finding that about one-third of individuals who have diabetes are undiagnosed. They are walking around with blood sugar levels well within the diabetic range, but they have no idea! Equally startling, in 2012, the last year evaluated in the survey, 38% of the population had blood sugars that qualified for the “prediabetes” diagnosis. About 70% of individuals with prediabetes go on to develop full blown type II diabetes, but dietary and other lifestyle interventions are very effective at averting this development. Unfortunately, according to the CDC, nearly 90% of prediabetics don’t know they have it.
A hemoglobin A1c level of 6.5% or greater, a fasting plasma glucose level of 126 mg/dL or higher, or a 2-hour plasma glucose of 200 mg/dL indicates diabetes. Prediabetes is defined as a hemoglobin A1c level between 5.7-6.4%, a fasting plasma glucose level between 100-125mg/dL, or a 2-hour plasma glucose between 140-199mg/dL. Ask your doctor to help you interpret your blood glucose lab results, and get a blood glucose lab test every one to two years to “catch” early blood sugar issues.
One of my favorite parts about working at Healthy Steps is how cutting edge our nutritional approach to weight loss and health is. I sincerely believe there is no better place in Sonoma County to learn how to eat to protect and manage your blood sugars! We’d love the opportunity to work with you one-on-one to develop a personalized eating and exercise plan to get your on the path to your best health.
-Registered Dietitian Nutritionist Lindsay