World Diabetes Day - Don’t underestimate pre-diabetes

Pre-diabetes is a medical condition when blood glucose levels are higher than normal but have not reached the threshold for diagnosing true diabetes.

You are diagnosed with prediabetes when you have one of the following disorders:

• Fasting plasma glucose OF 100 – 125 mg/dL

• Plasma glucose after 2 hours of NPDNG: 140 – 199mg/dL

• HbA1c: 5.7 – 6.4% *

(*Source: Ministry of Health)

According to Dr. Nguyen Van Mui, who had more than 20 years of experience in treating endocrine diseases/diabetes: "If there is no intervention and reasonable adjustment in lifestyle and nutrition, Active prediabetes will progress to type 2 diabetes. High blood sugar damages target organs such as the kidneys, heart, eyes and nerves, leading to dangerous complications such as myocardial infarction and stroke. stroke and other cardiovascular issues.”

According to recommendations from the Ministry of Health and the American Diabetes Association, the following people are at high risk of developing prediabetes and should be periodically screened even if they have no symptoms or clinical manifestations:

1. Adults who are overweight or obese (BMI ≥ 23 kg/m2) and have one of the following risk factors:

• An immediate relative with diabetes
• History of cardiovascular disease due to atherosclerosis
• Hypertension (BP ≥ 140/90 mmHg, or under treatment for hypertension)
• Dyslipidemia: HDL cholesterol < 35 mg/dL (0.9mmol/l) and/or triglyceride > 250mg/dL (2.8mmol/l)
• Women with polycystic ovary syndrome
• Limited physical activity
• Clinical conditions associated with insulin resistance such as severe obesity

2. Women with a history of gestational diabetes and everyone 45 years of age and older are advised to be screened for pre-diabetes.

Dr. Mui said: “Pre-diabetes often has no symptoms or signs, detection is mainly based on the patient's risk factors and conducting tests. If results are normal, the test will also need to be repeated annually or may be shorter depending on initial results and risk factors.”

Assessment, diagnosis, and treatment of prediabetes is a very important part of the Vascular disease prevention center at Hanoi French Hospital. Because diabetes can cause atherosclerosis with serious consequences such as cerebral hemorrhage, cerebral embolism, cerebral anemia, myocardial ischemia, angina, myocardial infarction and more.

The sooner people find out they have prediabetes and take action, the better their chances of preventing type 2 diabetes.

For more specific advice on diabetes screening, please call our hotline at 024 3577 1100, message our Fanpage "Hanoi French Hospital" or contact our Zalo official account at zalo.me/2008009049335817955