What you need to know about. Pre-diabetes

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1 What you need to know about Pre-diabetes

2 Pre-diabetes What is pre-diabetes? When you have pre-diabetes, your blood sugar levels are high but not high enough to have diabetes. Pre-diabetes can lead to other serious problems, such as type 2 diabetes and heart disease. Now is the time to take action to manage your pre-diabetes. This may help to prevent other problems. Pre-diabetes is a warning sign of increased risk for: Type 2 diabetes Heart disease Stroke Blindness 86 million American adults more than 1 out of 3 have pre-diabetes 86 MILLION If you have pre-diabetes, taking action today for a healthier lifestyle may help prevent or delay type 2 diabetes. 2

3 Are you at risk for pre-diabetes? Check the Yes or No box by each question to learn about your risks of getting pre-diabetes. Yes No Are you overweight or obese? Yes No Do you spend most of your time sitting? Yes No Are you 45 years or older? Yes No Does one of your parents or a brother or sister have type 2 diabetes? Yes No Are you African American, Hispanic, Native American, Asian American, or Pacific Islander? Yes No Have you been diagnosed with hypertension? Yes No Have you been diagnosed with cardiovascular disease? Yes No Is your HDL (good cholesterol) lower than 35 mg/dl or triglycerides more than 250 mg/dl? Yes No If you are female, have you had diabetes during a pregnancy? Yes No If you are female, have you ever had a baby weighing 9 or more pounds? Yes No If you are female, have you been diagnosed with polycystic ovary syndrome, also known as PCOS? If you answer Yes to one of the questions, talk to your healthcare provider about your pre-diabetes risks. Pre-diabetes usually does not have any symptoms, so it is important to know your risks. 3

4 How is pre-diabetes diagnosed? These blood tests are used for diagnosing pre-diabetes: Fasting Plasma Glucose (FPG): This test checks your blood sugar levels after an 8-hour fast. This means that you should not eat or drink anything but water for at least 8 hours before the test. It is usually done in the morning before breakfast. Oral Glucose Tolerance Test (OGTT): For this test, you ll get a sugary drink. Two hours later, you ll have blood drawn. This test is also done after an 8-hour fast. This means that you should not eat or drink anything but water for at least 8 hours before the test. A1C: This test checks your blood sugar level over the past 2-3 months. Tests for diabetes This chart shows the test results that can tell if you have pre-diabetes or diabetes. For example, if your A1C test is 6%, your doctor may suspect pre-diabetes. Your healthcare team may also refer to pre-diabetes as impaired glucose tolerance or impaired fasting glucose. Blood Test Pre-diabetes Diagnosis Diabetes Diagnosis Your Blood Test Results Fasting Plasma Glucose (FPG) mg/dl 126 mg/dl or higher Oral Glucose Tolerance Test (OGTT) mg/dl 200 mg/dl or higher A1C 5.7%-6.4% 6.5% or higher Ask your doctor for your blood test results. Write the numbers in the spaces above. How often should I have my blood sugar tested? If you are diagnosed with pre-diabetes, you should have these blood tests yearly or as recommended by your healthcare team. 4

5 What can you do if you have pre-diabetes? You can take the steps below to help prevent or delay type 2 diabetes: cutting back on calories and saturated fat losing weight increasing your daily physical activity If you have pre-diabetes, losing weight by: Healthy food choices Being more active May lower your risk for type 2 diabetes Make an action plan Taking small steps can help you make healthy lifestyle changes. Use the questions below to talk to your healthcare team. Your team can help you create an action plan to meet your goals. Questions to ask your healthcare team How can I be more active every day? What types of physical activities are best for me? How can I manage my weight? What are some healthy food choices I can make? What healthy foods should I choose when I eat out? What are some healthy snacks I can eat? What carbohydrates are better for me to eat? Your Action Plan Your Goal If you re overweight, losing 7% of your total weight may help to make a big difference in your health. For example, if you weigh 200 pounds, your goal would be to lose 14 pounds. Talk to your healthcare provider about starting moderate physical activity such as brisk walking for 30 minutes a day, 5 days a week or a total of 150 minutes each week. This, plus healthy food choices, may help your overall health. 5

6 Where can you get more information on pre-diabetes? The American Diabetes Association prediabetes/ DIABETES ( ) Center For Disease Control: National Diabetes Prevention Program prevention/prediabetes.htm CDC-INFO ( ) HE PRINTED IN USA. 2016, Lilly USA, LLC. ALL RIGHTS RESERVED.

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