If you need a diabetes control guide, here is the one we did
This is an excellent question. In my research, I discovered that many of every 9 people with prediabetes do not even know they have it. But does that mean that everyone should be tested or screened for the disease?
I spoke with a member of the Kentucky Public Health Authority about this issue. There is some controversy about who should and should not be evaluated, but here are their recommendations.
1. Screening should be considered "in all adults who are overweight or obese (BMI greater than 25 kg / m2 *)" (Diabetes Care, Vol. 34, Suppl. 1, January 11, page S13) and have one or more more of the following risk factors (see PHPR's Physical Assessment / Vital Signs section for the BMI table):
Have a first-degree relative with diabetes
They are members of a high-risk ethnic population (ie, African-Americans, Hispanics / Latinos, Native Americans, Asian-Americans, Pacific Islanders)
A baby who weighs more than 9 pounds or has been diagnosed with GDM has been born
They are hypertensive (more than 140/90 mmHg or in treatment for hypertension)
Have an HDL cholesterol level less than 35 mg / dl (0.90 mmol / l) and / or a triglyceride level greater than 250 mg / dl (2.82 mmol / l)
In previous tests, I had glucose intolerance (IGT-2-h values of 75 g of OGTT from 140 mg / dl to 199 mg / dl) or impaired fasting glucose (IFG-FPG levels of 100 mg / dl to 125 mg / dl) or A1C of 5.7-6.4%. IGT and IFG are now called Pre-diabetes.
They are usually physically inactive
Have polycystic ovary syndrome (PCOS) or other clinical symptoms associated with insulin resistance (eg, Acanthosis nigricans – a skin disorder characterized by dark, thick, velvety skin that is found especially in the skin folds of the skin. armpit, groin and in the back neck, severe obesity)
Have a history of cardiovascular disease
2. In the absence of the above criteria, pre-diabetes and diabetes testing should start at age 45.
3. If the results are normal (FPG less than 100, PG postprandial 2 hours less than 140, A1C less than 5.7%), the test should be repeated at least every 3 years, taking into account the most frequent tests depending on the results initials and risk status
4. Either A1C, FPG or 2 h 75 g OGTT are appropriate to assess diabetes or to assess the risk of future diabetes.
5. Monitoring the development of diabetes in people with prediabetes should be done every year.
6. For those identified as having an increased risk of diabetes in the future, identify and, if appropriate, treat other CVD risk factors.
Video credits to The Diabetes Council YouTube channel