How is prediabetes treated?

This is an automatically translated article.

1. Why is it necessary to treat pre-diabetes?

Pre-diabetes is a risk factor for diabetes and also a cause of atherosclerotic cardiovascular diseases. New treatment for prediabetes aims to return blood glucose to normal in order to prevent or slow the progression to diabetes. In addition, treatment of prediabetes reduces the risk of cardiovascular disease through detection and treatment of associated cardiovascular risk factors.

2. What are the goals of treatment for prediabetes?

Maintain fasting blood glucose, postprandial blood glucose is almost equal to physiological level, achieve ideal HbA1c level, HbA1c < 5.7% Weight loss at least 3-7% weight in overweight/obese people and stay at that level

Achieve at least 30 minutes/day of moderate-intensity physical activity at least 5 days/week with good control of cardiovascular risk factors (if any) including hypertension, dyslipidemia, smoking cessation leaves

3. What is the main treatment for prediabetes?

Lifestyle changes and increased physical activity are treatments for patients with prediabetes.
Some recommendations on diet and exercise for people with pre-diabetes are as follows:
3.1 Nutritional recommendations Recommendations for the application of a reduced-calorie, reduced-fat diet Choose foods with a glycemic index Low blood sugar, whole grains, rich in fiber, vegetables, fruits, not processed industrially, unsaturated fats (vegetable oils, fish) Some foods have been shown to reduce the risk of pre-diabetes , diabetes such as: Nuts, berries, yogurt, coffee, tea are recommended Limit foods such as red meat, sweets, foods containing saturated fat (animal fat) People who are not overweight , obesity : no need to lose weight, just change food choices

3.2 Physical activity recommendations Stay active and physically active to burn about 700 calories/week Moderate intensity exercise 150 minutes/week or at least 30 minutes/day, at least 5 days/week Reduce sedentary time Note that people with cardiovascular disease need to be evaluated by a doctor for cardiovascular disease before exercise

4. When do pre-diabetes patients need drug treatment?

Metformin is the main group of drugs indicated for the treatment of prediabetes. Metformin is indicated when:
After 3 months of applying diet and exercise, the HbA1c is not controlled < 5.7% Blood glucose gradually increases in the next follow-up visits In addition, Metformin is indicated right from the time the money is detected. Diabetes if accompanied by 1 of the following criteria:
BMI ≥ 25 kg/m2 People < 60 years Women with a history of gestational diabetes, impaired fasting blood glucose and impaired glucose tolerance and some risk Other: (HbA1c > 6%, hypertension, HDL c < 0.9 mmol/l, triglycerides > 2.52 mmol/l, first-generation family history of diabetes)

People with prediabetes are often less likely to find the disease based on the signs and symptoms of the disease. Therefore, it is necessary to regularly monitor and periodically examine the disease in order to detect the disease early for timely treatment to avoid the risk of progression to diabetes and the risk of serious complications.
Currently, Vinmec International General Hospital has been and continues to deploy a screening package for diabetes and dyslipidemia to help detect pre-diabetes early, accurately classify diabetes type, and at the same time develop a nutritional regimen, monitor and minimize the risks and complications caused by diabetes.
At Vinmec, it is not only outstanding by its comprehensive and professional medical examination, consulting and treatment services; civilized, polite, safe and sterile medical examination and treatment space. Here also converges a team of leading doctors and specialists, such as: Dr. BS Le Ba Ngoc has nearly 20 years of experience working in the field of Endocrinology - Diabetes. He is a treating doctor at the Department of Endocrinology - Diabetes, Bach Mai Hospital. At the same time, he is a part-time lecturer of General Internal Medicine at Hanoi Medical University. In addition, Dr. Ngoc also participated in many training courses specializing in Endocrinology - Diabetes in countries with leading medical backgrounds in the world.
For detailed information, please contact the hospitals and clinics of Vinmec health system nationwide.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

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