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Question: From Washington, USA: I am four feet, ten inches tall and 107 pounds. I walk almost everywhere. My symptoms were those of diabetes, on and off, and chronic bladder infections. I had them for eight months. I was also quite tired most of the time. I was diagnosed with "pre-diabetes" when my two hour postprandial blood sugar was 150 mg/dl [8.3 mmol/L]. However, my blood did sit for some time, so it may have been higher. I have been seeing an internal medicine doctor, however, his nurse practitioner was the person who saw me since she is very familiar with this disease. When I went to the doctor, I was more concerned with making sure that they were going to follow-up the diagnosis properly. Unfortunately, I forgot to ask what the diagnosis really means. I know that I will be doing minimal daily self-testing and that in three months my A1c will be taken. I know that I need to alter my diet to work with the glycemic index. I know I need to avoid both weight loss and weight gain at this point. But, I don't know what it means for the future of my health. Therefore, can you tell me what this diagnosis means when it is given to someone in my position? Will I develop diabetes, which the doctor I saw seems to think will happen? If I do, what type? Answer: Pre-diabetes is generally made with either an oral glucose tolerance test or a fasting glucose level on more than one occasion, as determined through a clinical laboratory and not a fingerstick glucose. When you meet the criteria of pre-diabetes, the risk of developing type 2 diabetes is very high over a 10-year period. However, do you really have it? Symptoms are not really a part of the pre-diabetes picture. The other issue is that pre-diabetes is associated with a high cardiovascular risk. I think you need to optimize your lifestyle choices and have a regular medical follow-up. The bladder infections may not be part of this at all. JTL DTQ-20041003113742 Original posting 27 Oct 2004 Posted to Diagnosis and Symptoms and Other

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search CWD --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Sun Jan 15 12:10:12 2006
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