Bor­der­line su­gar alert!

Those with pre­di­a­betes are not only in dan­ger of de­vel­op­ing di­a­betes, but also, at risk of dy­ing early.

The Star Malaysia - Star2 - - LIVING - By Emer­i­tus Pro­fes­sor Datuk Dr MUSTAFFA EMBONG

WE KNOW that peo­ple with di­a­betes are prone to se­ri­ous, and some­times, fatal com­pli­ca­tions. As was said in my pre­vi­ous ar­ti­cle ( Su­gar in the blood, Star2, Dec 5), pre­di­a­betes is just a con­di­tion where blood glu­cose (su­gar) lev­els are higher than nor­mal, but not as high as in peo­ple with un­treated di­a­betes. So, we need not be wor­ried about hav­ing pre­di­a­betes then, true?

Not true, un­for­tu­nately! Even though peo­ple with pre­di­a­betes have lower blood su­gar lev­els than di­a­bet­ics, they are also prone to de­vel­op­ing com­pli­ca­tions that oc­cur in peo­ple with (un­con­trolled) di­a­betes; for ex­am­ple, kid­ney disease (nephropa­thy), eye disease (retinopa­thy) and nerve dam­age (neu­ropa­thy), es­pe­cially to the legs.

But, di­a­betes-re­lated com­pli­ca­tions are not the only con­di­tions pre­di­a­bet­ics need to be con­cerned about.

Pro­gres­sion to frank di­a­betes

This is the most com­mon con­se­quence of pre­di­a­betes.

Peo­ple with pre­di­a­betes are said to be about four to 10 times more likely to de­velop type 2 di­a­betes mel­li­tus, com­pared to those with­out the con­di­tion.

Stud­ies have also sug­gested that ev­ery year, about 10% of those with bor­der­line high blood glu­cose lev­els – that is, one in ev­ery 10 pre­di­a­bet­ics – will progress to be­come di­a­bet­ics.

So, it fol­lows that if you do not take steps to ad­dress your pre­di­a­betes, you could be­come a di­a­betic within 10 years!

The more over­weight you are, and the higher your blood glu­cose lev­els are above

a se­nior cit­i­zen get­ting her eyes checked dur­ing the re­cent World di­a­betes day. retinopa­thy is a com­pli­ca­tion that can oc­cur not only in those with un­con­trolled di­a­betes, but also in those with bor­der­line high blood su­gar lev­els. — Filepic

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