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Tuesday, January 22, 2019

Pre-diabetes-glucose intolerance

Impaired glucose tolerance (pre-diabetes) is a condition in which blood glucose levels above prefectures, but below a critical level, which is diagnosed is diabetes. In other words, this is one of the stages of violations of carbohydrate metabolism, the next step which is diabetes.

Currently, patients with diagnosed condition prediabeticheskim make up the bulk of the Group at risk to develop diabetes. The pre-diabetes is one of the factors in the development of diseases of the cardiovascular system and can be fatal even in diabetes.

With suspected or established by back should contact the endocrinologistwho will help find out the cause and prescribe treatment. And preferably not to postpone a visit to a specialist in order to avoid the development of disease or complications.

The reasons for violations
Glucose is the energy substrate of all processes in our body. Most of it gets into the blood stream while sucking it from the digestive tract following the breakup of the carbohydrates that come with food. Next in the pancreas produces insulin, which helps the body tissues to absorb glucose from the blood, lowering its level.

Two hours after a meal blood sugar dropping to normal (3.5-5.5 mmol/l).

Among the factors the breach of carbohydrate metabolism allocate:

Arterial hypertension;
Chronic diseases of the cardiovascular system, liver, kidneys;
Receiving diabetogennyh medication (hormonal medications, oral contraceptives, corticosteroids);
Obesity;
Stress;
Pregnancy (gestational diabetes);
Elevated levels of cholesterol;
Autoimmune diseases;
Diseases of the endocrine system;
Random diet (with lots of refined sugars);
Age (over 45 years);
Genetic predisposition (diagnosed diabetes or glucose tolerance violations among close relatives).
Doctors are advised to check your blood sugar at least twice a year, even if there is no suspicion, and people with at least one risk factor is about four.

Diagnosis of prediabetes
Pre-diabetes is diagnosed usually accidentally. Tolerance to glukoze violation in some cases are asymptomatic, and the emergence of complaints often speaks about the already developed diabetes. And all, in some cases, patients were treated with some characteristic symptoms:

Thirst (severe and prolonged, occurs when the slightest bit of psycho-emotional load);
Fatigue, decreased performance, drowsiness;
Reduced immunity and overall well-being.
Confirm the diagnosis by using blood sugar or its modifications (glucose loading, analysis on haemoglobin glikirirovannyj).

When a standard analysis of the blood glucose preddiabetom is called prandial glucose level rise to 6.0 mmol/l For gljukozotolerantnogo test dvujetaptnogo prediabeticheskogo State boundaries is the level of glucose:

The first portion of blood -6.7 5.5 mmol/l;
The second portion of blood — to 11.1 mmol/l.

For gljukozotolerantnogo test there are absolute indications:

Patients at risk of development of carbohydrate metabolism;
Pregnant;
Patients who have frequent cases of hyperglycemia (increased blood glucose) and the glukozurii (increased concentration of sugar in the urine);
Persons who are close relatives whom suffer violations of exchange of glucose or insulin dependent diabetes mellitus.
Treatment tolerance to glukoze violation
It should be remembered that prediabetes is not a disease, and therefore treated as such does not exist. When it detects a violation of tolerance to glukoze, doctor-endocrinologist appoints correction, which is the change in lifestyle (nutrition with reduced carbohydrates and dosed physical loading).

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