1/17/2013

The most common way for prediabetes to be diagnosed is via a normal blood test during a routine doctors visit. It's recommended that everyone of the age of 45 be tested for prediabetes during an annual physical.



A normal "fasting" blood glucose is less than 100 mg/dl.



Prediabetes is diagnosed whenever the fasting blood glucose level falls in between 100 and 125 mg/dl on more than one occasion.



Diabetes, on the other hand, is diagnosed when the fasting blood sugar level is 126 mg/dl or higher on more than one occasion.



* fasting refers to a period of 8 hours or more without eating.



A normal blood glucose level two hours after eating is 75 grams of sugar is less than 140 mg/dl



Prediabetes is diagnosed when the glucose level two hours after eating 75 grams of sugar is between 140 and 199 mg/dl on more than one occasion.



Diabetes is diagnosed when the blood glucose level two hours after eating 75 grams of sugar is over 199 mg/dl on more than one occasion.



Yep - it's true. If your blood glucose is 99 mg/dl after fasting, you don't have prediabetes. But if it is one lousy milligram of glucose more, you do have it. It's really that simple. The line has to be drawn somewhere.



Of course, these definitions are in fact quite arbitrary. They have been changed in the past and could very well change in the future. If it is determined that large numbers people who have lower blood sugar levels are experiencing complications from diabetes, you can be sure the thresholds will be lowered. Unfortunately, there are indeed people with blood sugar levels below 126 who show signs of complications from diabetes. But this is not the norm at this point.



In past times, it wasn't all that uncommon to hear people say that they had a "touch of sugar" or that they had "borderline diabetes." Neither of these terms are accurate today because there is no such thing as a touch of diabetes. Either you have diabetes, prediabetes or you don't. There is no in between.
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