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SUMMER 2015

7

SOMETIMES,

if we’re lucky, we hear

about an accident or some construc-

tion that is blocking our usual drive to a

familiar place. With enough warning, we

can often change our route and avoid

the problem. Learning that you have

prediabetes is a little like that.

The condition means your blood sugar

levels are higher than normal, though not

high enough to be considered type 2 di-

abetes. However, you are at much greater

risk for developing full-blown diabetes—a

potentially life-threatening disease.

Having prediabetes doesn’t mean

you’ll definitely get diabetes. In fact,

you can view this as an opportunity—a

second chance to keep that from ever

happening. How? By making some

changes in your eating and exercise hab-

its—changes that are very doable. With

PREDIABETES

On the road

to prevention

WilliamCooper, MD

Internal Medicine

McIntosh Clinic

any luck, you may be able to reverse the

course you’re on. This can start in child-

hood, and it’s never too late.

What’s up? Blood sugar.

“Before peo-

ple are diagnosed with type 2 diabetes,

they almost always have prediabetes,”

says internist William Cooper, MD. “Risk

factors include being older than 45 and

overweight and not exercising much.”

As people begin to inch closer to diabe-

tes, their bodies might start to have trouble

using insulin—a hormone that helps the

body turn glucose (a sugar we get from

foods) into energy to power cells.

“As diabetes develops, glucose starts

to build up in the bloodstream. Over

time, high glucose levels can begin to

damage the body,” says Dr. Cooper.

Turn it around.

Again, diabetes

doesn’t have to be in your future.

Research shows that healthy eating and

exercise habits can significantly help you

prevent or at least delay the progression

to type 2 diabetes. If you’re overweight,

losing just 5 to 10 percent of your weight

can make a difference. That’s as little as

10 pounds for a 200-pound person.

Losing weight comes down to using

up more calories than you take in. But

don’t do the diet thing. Instead, remind

yourself that you will be making healthy

eating and exercise habits a regular part

of your life from now on. You can start to

make those changes in small but mean-

ingful ways, like these:

Eat right.

Try eating a little less of

foods that are high in fat. Bite for bite,

they pack more calories than low-fat

foods—and any calories your body

doesn’t burn are stored as fat.

Move it to lose it.

If you normally watch

TV after dinner, why not enjoy a short walk

with a friend or loved one instead?

Exercising regularly helps you burn

calories, so it goes hand-in-hand with

healthful eating. But activity also helps

your body use insulin. Often, a good

goal to work up to is at least 150 minutes

of moderately intense exercise, such as

brisk walking, each week. Start slowly,

and see where your footsteps lead.

Be sure to talk with your doctor about

what steps you should take to help lower

your blood sugar and stay off the road to

diabetes.