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Diabetes is a disease in which the body cannot control their elevated blood glucose. The condition occurs when the pancreas does not produce enough insulin or the body cells refuse to respond to the insulin that is produced. If left untreated, diabetes affect almost any organ in the body, including the kidneys, eyes, heart, and also the nervous system. In today's day and age, but it is a completely manageable condition.
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Table Of Content
How to cure type 2 diabetes ................................................................................. 3
Part 1: Improve your diet ................................................................................... 3
Part 2: Staying Active ......................................................................................... 4
Part 3: Use of insulin therapy for type 1 diabetes............................................... 6
Part 4: Exploring Further medical treatment ...................................................... 8
Part 5: Visit your doctor ..................................................................................... 9
How To Testing Diabetes..................................................................................... 11
Type 1 diabetes................................................................................................ 11
Part 2: Testing .................................................................................................. 13
Tips .................................................................................................................. 15
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How to cure type 2 diabetes
Diabetes is a disease in which the body cannot control their elevated blood glucose. The
condition occurs when the pancreas does not produce enough insulin or the body cells refuse to
respond to the insulin that is produced. If left untreated, diabetes affect almost any organ in the
body, including the kidneys, eyes, heart, and also the nervous system. In today's day and age,
but it is a completely manageable condition. While technically not "cure" with insulin therapy
and a healthy lifestyle, has diabetes not to affect the quality of your life. Start with step 1 below
to keep favorable, easy to manage and trouble.
Part 1: Improve your diet
1. Eat more vegetables and beans. In general, high fiber foods cannot be digested or absorbed by
the body easily, and thus help reduce blood sugar levels. Beans, in particular high
concentrations of fibers, potassium, magnesium, and natural vegetable proteins. It meets their
protein needs without red meat with harmful fats.
• Green leafy vegetables such as spinach, lettuce and cabbage, give you a lot of vitamins, low
calories; Non-starchy vegetables are healthy, such as asparagus, broccoli, cabbage, carrots and
tomatoes. All are good source of fiber and vitamin E.
2. Add the fish as a regular part of your diet. The fish must be a mainstay in your diet now
because of the high levels of omega-3 fatty acids. Salmon and tuna, in particular, are very rich in
them and are very light, healthy choices, too. However, most fish are safe to eat and good.
Mackerel, herring, lake trout and sardines are also good.
• Nuts are also a good source of omega acids, especially walnuts and flaxseed. Add them to
your diet (try your salad) is a great way to increase your omega intake. Moreover, their intake
of fish would increase less intake of red meat, reduce the consumption of fat and calories.
3. Choose dairy products without fat. Milk, yogurt and cheese are all good options if they are
fat-free - you can still get all their nutrition, calcium, magnesium and vitamins without the
harmful fats by opting for these varieties.
• This does not mean that all fats are bad. Your body has a number of good fats in the form of
natural fats, unsaturated, such as those found in olive oil, sunflower oil, and sesame oil.
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4. Cut the white carbohydrates. Replace your intake of carbohydrates white flour, bread, pasta
or rice with whole grains. They contain much larger amounts of magnesium, chromium, and
fibers. Even white potatoes can be changed to sweet potatoes.
• It also means that you need to stay away from fried foods, such as battered coating is often
mostly white flour. Instead, learn recipes for grilled or baked foods. You will be surprised to
find them the most delicious food and juicier, too.
5. Limit your sugar intake as much as possible. You can sugar in many sources: fruits,
sweetened drinks, ice cream, desserts and pastries. Instead, use products with artificial
sweeteners such as saccharin or sucralose, because the sweet taste you want without increasing
the breaking of glucose in your body and your sugar.
• Sweeteners like Splenda can easily be added to their food or drink. Moreover, many products
now announce that they are "sweetened with Splenda '(or equivalent sugar substitute). Read the
labels while at the store to see what options you have.
• You can eat some fruit such as apples, pears, berries and peaches, from time to time. Avoid
other fruits that contain large amounts of sugars such as watermelon and mango.
6. The appropriate amount of calories. It is important that you not only get the right amount of
calories, but you get the right kind of calories too. Every person is different - your doctor should
recommend a diet that will be determined depending on your insulin dose, your overall health
and the progression of their diabetes.
• General recommendations for diet therapy are 36 calories / kg (79 calories / lb) for men and
34 calories / kg (75 calories / lb) for women. A normal diet should generally consist of about
50-60% carbohydrates, 15% protein, 30% fat and reduce salt intake.
• For patients with type 2 diabetes, the main purpose is weight loss of about 5-10% of the body
weight. Calories must not necessarily limited, but to reduce the intake of carbohydrates and
fats.
Part 2: Staying Active
1. Talk to your doctor about exercise regimen is right for you. Perform each exercise tolerance
test to alert your doctor for specific exercises that you should not take your routine. He will see
that the intensity and duration of exercise is right for you and build a plan that can help you
lose weight and stay on track.
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• Exercise in general can improve the health of patients with diabetes, so it can actually
improve the disease if you have not advanced sufficiently. Perform regular exercise will also
help in reducing your weight, you will have a great effect on reducing their glucose levels,
blood pressure and cholesterol levels. This is to achieve a great goal to slow the progression of
the disease, maintain its stable condition and even improve your overall health.
2. Incorporate cardio into your routine. Aerobic exercise increases insulin sensitivity and control
of body weight of obese patients. Cardio into your day, try brisk walking, skipping, jogging or
playing tennis. In the ideal case, cardio activity a part of your planning is around 30 minutes a
day 5 times a week. If you are a beginner to exercise, starting at a rate of 5 to 10 minutes and
gradually increase it with patience. Anything is better than nothing!
• One of the easiest exercises that require no equipment or go to the gym is to walk. Although it
seems very, walking every day can improve your health, breathing, thinking, mood and
lowering blood sugar, blood pressure and anxiety. Cycling and swimming are also two nice
exercises, don't-look-like-work you might consider incorporating into your routine.
• Cardiovascular assessment is important in patients with a history of cardiovascular disease,
the elderly or patients with diabetes complications. Make sure you start an exercise regime
under the supervision of your doctor.
3. Start strength training, too. Strength is your next step after aerobics. This builds your body - if
your muscles burn more calories, resulting in weight loss and management of sugar in the
blood. Recommendations say that to achieve strength training, aerobics two times a week.
• You do not have to go to the gym - to get bottled water at home is a good idea. Moreover,
household cleaners or hard garden work can get into strength training range, too.
4. Work to lose weight. Most patients are encouraged to lose weight and look for an ideal body
mass index; this is especially true in obese patients usually affected type 2 diabetes BMI is
measured by dividing the weight (mass) of the patient in kilograms divided by height in
meters.
• The ideal BMI is 18.5 to 25; Therefore, a BMI below 18.5 means you are underweight; A BMI
over 25 means you're obese.
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5. Stick to your exercise routine. Make sure you keep to a schedule for yourself, that makes it as
easy as possible. Everyone needs motivation to force yourself to stick with exercise. A partner,
friend or family member to support and encourage you, reminding you of the benefits of your
training, you may have just the motivation you need.
• You can always reward yourself (not with a chocolate!) When your goal is to lose some
weight, for example to achieve. All these things give you extra strength to show that you can hit
your target and improve your quality of life.
Part 3: Use of insulin therapy for type 1 diabetes
1. Start taking insulin. There are two types of insulin: short-term, intermediate-acting and long-
acting. Although insulin most prevalent used in the case of type 1 diabetes, is used to combat
both. Your doctor will decide which type of insulin that is best for you. To register, injection is
the only way currently available for administration of insulin.
• The short-acting insulin is where blood sugar drops at a very fast pace. Insulin preparations
available "Actrapid" or Humulin R, which has a fast-acting effect with a rapid onset of 20
minutes for about 8 hours. It can be administered subcutaneously, intramuscularly or
intravenously through an IV.
• Insulin intermediate-acting where the level of glucose in the blood gradually. It is called
"Monotard" or Humulin N, which has an intermediate effect; Onset of action is two hours and
almost a day. It is also called Neutral Protainne Hagedron (NPH), and will only be given by
subcutaneous injection.
• The long-acting insulin is where the level of glucose in the blood decreases more gradually.
It's called "Insulin Ultra lens" or insulin L; It has a very slow onset of action of about six hours
and 2 days. It is also only administered subcutaneously.
• For example, an insulin dosage Humulin R 20 international units, three times a day. This is
given with food in order to ensure that the necessary level of blood glucose is reached.
- In type 2 diabetes, proper nutrition and proper exercise may be sufficient to manage their
condition. If not, oral antidiabetic agents are prescribed.
2. Know that you can take a combination of insulin types, too. Other insulin formulations
mixtures such as insulin "Humulin Mixtard" or Initard 50/50 is a mixture of the types of
intermediate and rapid action insulin action. This very clearly by design, have immediate and
lasting effects.
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• This, though looking like the best of both worlds, it is only recommended in certain situations.
Your doctor will know what kind of insulin (and how much) is the best for you and your
health.
3. Use a "pen" of insulin. A multiple-dose insulin injection device, such as a pen "Novolgin" or
insulin pen can save time and frustration. It can be customized to suit the treatment plan and
therapy is less painful than ordinary needles. It is easy to transport, even if you are on your way
to work or leave.
• Whether you are using pins or needles, human insulin is much better than the sources come
from animals and are less antigenic and will not be activated by increasing the body as a foreign
substance, insulin normal glucose uptake by the cells in able to use to stimulate glycogen
storage and decrease gluconeogenesis (glucose production).
4. Keep your insulin at the right temperature. All insulin preparations should be stored in the
refrigerator and not in the freezer; Although pharmaceutical companies have produced insulin
pens have shown stable at room temperature insulin pens should remain in the refrigerator for
the first time.
• After the first dose, you should keep the refrigerator and room temperature to prevent
crystallization of insulin.
• That said refrigerated insulin absorbs the cold temperature of the refrigerator can be more
painful than when injected kept at room temperature.
5. Check your blood sugar at home. All people with diabetes should make sure to check their
blood sugar at home. This is important because it helps to regulate drug administered to
regulate the amount of glucose in the blood. If you do not, you may develop hypoglycaemia,
where glucose lowering blood in the blood, which leads to many complications, such as blurred
vision and dryness.
• Pay attention to your half-hour levels before and after eating, because be changed after food
intake, blood sugar levels. This will also help in reducing the risk of micro and / or macro-
vascular complications and neuropathy.
• It is generally recommended to take samples from the side of the finger, not the tip to reduce
pain because it is less excited than the fingertip. You need to take your measurements in a
dedicated personal computer to be easily re-evaluated by your physician as a medical calendar
for sugar levels.
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6. Be aware of the problems associated with insulin therapy. There are a number of problems
during insulin therapy, patients should be aware of. The following are the most common
problems are:
• hypoglycemia - especially if the patient has a good meal prior to dosing or by insulin
overdose.
• may cause an allergy to insulin and the insulin dose is derived from animal sources. Your
doctor should be replaced with human insulin, adding some topical steroids or antihistamines
to reduce allergic reactions, itching, swelling or pain.
• acting insulin resistance, which is likely to be accompanied by other complications of
diabetes. If this happens, you should seek medical help if you need to increase your insulin
dose accordingly or adjust your treatment plan.
• Weight gain and feelings of hunger, especially in patients with type 2 diabetes who are taking
oral hypoglycemic agents and then started taking insulin addition.
• Insulin lipodystrophy, which hypertrophy of the subcutaneous fat layer of skin insulin
injection sites is a common problem.
Part 4: Exploring Further medical treatment
1. Consider sulfonylurea. These drugs reduce blood sugar pancreatic incitement need more
insulin to regulate blood sugar free. sugar levels in the blood fall on such a fast pace that should
be taken while you eat in order to maintain the balance of insulin. This prevents you from
having a very low level of blood glucose that could lead to hypoglycaemia.
• One example of a hypoglycemic medicament or tolbutamide Diamol in a dose of between 500
and 3000 mg per day. It is available in tablet form and can be used safely in people with kidney
disease and in the elderly.
• Another way is chlorpropamide or Pamidina. The daily dose of the drug in the form of
tablets, is up to 500 mg. Pamidina can lead to hyponatremia (low sodium concentration in
plasma), however.
• The second generation of this drug as glyburide (Daonil, one 5 mg tablet per day), gliclazide
(Diamicron, one 80 mg tablet per day); Safe with kidney disease), glipizide (Mindiab, a 5 mg
tablet daily) and glimepiride (Amaryl, available in tablets 1, 2 and 3 mg).
- These medicines contain sulfa. If you are allergic, you might consider other oral antidiabetic
agents. It should be used with caution in patients with kidney disease and the elderly.
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2. Try meglitinides. This drug works by increasing the release of insulin by the pancreas. This
kind of working within one hour after they are created. Usually administered half an hour
before meals in order to reduce the risk of hypoglycemia.
• This drug is used to lower the blood sugar level as the metabolism occurs. The dose is
administered as a 500 mg 1 g once or twice daily, depending on the level of glucose in the blood
of the patient.
3. Consider taking biguanides. This lower glucose absorption from the gastro-intestinal tract
and the production of glucose by the liver, and they also work to increase insulin resistance,
and the anaerobic metabolism of glucose. They are often used as adjunctive therapy with
sulfonylurea in patients with obesity. However, they have some side effects such as stomach
pain and diarrhea, and patients with renal or hepatic impairment developing lactic acidosis.
• Examples of biguanides is metformin (Glucophage, available in tablets of 500 and 850 mg)
with a daily dose of up to 2000 mg, repaglinide (NovoNorm, 0.5, or 1 mg for every meal) and
pioglitazone (Glustin 15/30 mg once daily ).
4. In severe cases, consider a pancreas transplant. The pancreas transplant can be done if the
patient has serious complications of diabetes. This involves the deployment of a pancreas that is
healthy - that is to say, one that is able to produce insulin regularly. This is advisable only when
all other routes have been exhausted.
• This may be taken from a patient who has undergone a partial or net pancreas that is another
person who is still alive.
• Your doctor will know if this is a treatment that applies may apply to your situation. For
most, insulin and diet and exercise therapy will suffice for the disease is under control.
Part 5: Visit your doctor
1. Make a blood sugar test. For this test, you must fast from all food or drink, except water for
about 6-8 hours in advance to get accurate results. Fasting normal values are 75-115 mg / dl;
Borderline results, such as 115 or 120 mg / dl, other tests must be carried out, such as the oral
glucose tolerance test or OGTT.
• The postprandial blood sugar tests ( "PP") are generally administered two hours after the
beginning of the ingestion and after two hours after ingestion of 75 mg of glucose. Normal
values known as <140 mg / dL; PP readings more than 200 mg / dL is a confirmed diagnosis of
diabetes.
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2. As an alternative, make an oral glucose tolerance test. This usually happens in cases with
borderline readings, suspect individuals, or in case of gestational diabetes. With this test, the
patient has to consume a normal diet for at least three days, then it is taken a venous sample
and the fasting glucose level is identified. The patient is then asked to empty your bladder
before the sample.
• Then the adult patient eats 75 mg oral glucose; for pregnant women, one tablet of 100 mg of
glucose is given to them. Thereafter, blood and urine samples collected at half-time interval,
one, two and three hours.
• It is said that it is normal when fasting obtains results of <126 mg / dl, p <140 mg / dl and a
peak for the results not more than 200 mg / dl.
- However; Some abnormalities are seen with OGTT as impaired glucosuria, or a flat response.
That is to say, when the difference between the fast and the peak is about 20-25 mg / dL. This
can happen as a result of the absorption or production of insulin abnormalities.
3. Make sure you fully understand using your medications and how. The most important thing
in the case of diabetes, the patient education. You need to fully understand how to use their
medications, their mechanisms of action, why are you taking this drug and why choosing your
doctor for you, along with the risks, interactions and side effects.
• This step carries with control diet and exercise will lead to more success in the management of
the disease and to suppress the progress of the process of complications, thereby improving
your lifestyle and keep you healthy.
4. Talk to your doctor if you notice any changes. During a visit to report signs your doctor of
any complication or new symptoms you experience. Your doctor will physically examine to
assess their neurological condition, examine your feet and legs for a diabetic foot sign, ulcers or
infections, and do all the regular tests to be performed, such as blood, urine, lipid profile,
kidney and liver function tests and serum creatinine.
• Your doctor will talk to you about the risk of having a diabetic foot and how to fight it with
the beginning of antibiotic treatment. Taking care of yourself with personal hygiene to prevent
the progression of gangrene is also effective.
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How To Testing Diabetes
Doctors diagnose diabetes - a condition in which your body can not properly process insulin or
- at higher rates than ever. In 2012, more than 29 million Americans (or slightly more than nine
percent of the population) suffer from diabetes. People at risk of developing this disease, or
those who already have symptoms need to be tested in order to receive a firm diagnosis and to
start the treatment. Early diagnosis and diabetes are essential to reduce the risk of developing
serious complications, including heart disease, nerve damage, blindness, kidney damage and
even reduce the death.
1. Understand the major types of diabetes. Type 1 diabetes is characterized by the inability of
the body to insulin, a hormone that the amount of sugar (glucose) in the blood and regulates
glucose helps transfer their energy cells. If your body does not produce insulin, it means that
the glucose stays in your blood and your blood sugar levels are too high. On the other hand
type 2 diabetes is characterized by the inability to use and store glucose properly by insulin
resistance, which is usually linked to obesity. In cases where excess weight, muscle, liver and fat
cells do not properly process insulin and the pancreas cannot produce enough, causing blood
sugar to rise.
Type 1 diabetes (formerly known as juvenile diabetes) is usually diagnosed in children
or adolescents and may develop in a few weeks. Meanwhile, Type 2 over a period of time and
with age, although it is increasingly common for children experience early onset of type 2
diabetes by obesity.
• About 10 percent of all diabetics and type 1 insulin required in order to survive, while the
majority of type 2 diabetics diabetes attributable to a disturbed glucose metabolism leading to
insulin deficiency.
• Also gestational diabetes only during pregnancy. Due to the increased production of
hormones during pregnancy, the amount of insulin is increased to regulate glucose in blood;
However, as the body cannot meet this demand for insulin, diabetes than the results.
Gestational diabetes usually disappears after birth, but the mother can put an increased risk of
type 2 diabetes later in life.
2. Be aware of the symptoms. Be tested when you give the classic triad of symptoms of diabetes
weather: increased thirst (polydipsia), frequent urination (polyuria) and increased hunger. You
can judge whether you are experiencing an increase in these symptoms based on what is
usually "normal" for you. For example, if you usually urinate seven times a day, but now
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urinate a lot more and have to get up in the night, something is not right and you should
consult your doctor. Other symptoms include:
• A compromised immune system (eg., Wounds that do not heal quickly, persistent and
recurrent infections such as athlete's foot or athlete's foot, fungal infections in the genitals or
mouth, etc.)
• Tingling or pain in the hands or the bottom of the feet (peripheral neuropathy)
• Lethargy and tiredness
• Blurred vision
• Increased appetite
• Unexplained weight loss
3. Know the risk factors. Most of the symptoms and risk factors for diabetes which are for
people 45 years or older; However, they are also more frequently at smaller obese people 40
years, and especially in obese adolescents. The most important risk factors for the development
of diabetes include:
• family history of diabetes
• High blood pressure (140/90 or higher)
• High triglycerides (250 mg / dl or higher)
• Low high-density lipoprotein, or HDL (good) cholesterol (35 mg / dL or less)
• Ethnicity (African American, Hispanic, Native • American or Pacific Islander)
• obesity (body mass index (BMI) above 25)
• A history of gestational diabetes
• Delivering a baby weighing more than 9 pounds
• Diagnosis of Polycystic Ovarian Syndrome
• existing cardiovascular disease
• The diagnosis of prediabetes
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4. Know the screening guidelines. healthy individuals without risk factors should be screened
for diabetes at age 45 and then every three years thereafter. For those in high-risk groups, there
is no clear consensus about when screening should begin, but the American Academy of
Endocrinology has proposed that a basic screening should be sought for those groups
mentioned above in a high risk.
• Note that those who belong to ethnic groups at higher risk (African Americans, Hispanic
Americans and Native Pacific Islanders) should be screened for diabetes at the age of 30,
according to the American Academy of Endocrinology.
• If you are diagnosed with prediabetes, you should be checked for type 2 diabetes every one to
two years.
• If you are younger than 45 but overweight or obese, consider selected for prediabetes or
diabetes.
• More than one-third of the people with diabetes to go for years without diagnosis, so it is best
to follow these screening guidelines, as an early diagnosis and treatment improves the
performance and reduces the risk of developing health problems and conditions.
Part 2: Testing
1. Know that there are several methods to diagnose diabetes. These tests involve the whole test
of your blood, although they do not all measure the same thing. Tests should be performed at a
certified health and sanitary facility, such as a physician's office or medical laboratory. Each test
usually needs to be repeated on a different day so there are then two tests that can be used to
safely diagnose diabetes.
• There are three main tests to diagnose if someone has prediabetes (ie you are at a higher risk
of developing diabetes) or diabetes: a glycated hemoglobin test, a fasting glucose test, and an
oral glucose tolerance test.
• Note that if your blood glucose level is considered to be higher than normal according to one
of the tests below and if you are having classic symptoms of high blood glucose your doctor
may not need a second repeat test to do Diagnosis.
2. Obtain a glycated hemoglobin (A1C) test. This blood test provides information on blood
sugar levels in the last two to three months by measuring the percentage of blood sugar bound
to hemoglobin in the blood. Hemoglobin is a protein that carries oxygen in red blood cells. The
higher the blood sugar levels, the more sugar will be bound to hemoglobin. A level of less than
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5.7% is considered normal, while a level of 5.7% to 6.4% is considered prediabetes and 6.5% or
higher is indicative of diabetes. This test is the standard test for diabetes assessment,
management, and research.
• You will not need to make a special appointment in a blood laboratory, but rather show up
with your requisition form and get a standard blood sample taken that is sent to the laboratory
for testing. In addition, this test is advantageous in that you do not have to fast or drink
anything before the test. It can also be performed at any time of the day.
• Usually, you will be tested twice with each test occurring on a different day to evaluate the
average percentage of blood attached to your hemoglobin.
• A1C testing is not recommended if type 1 or gestational diabetes is suspected.
3. Enter your plasma fasting glucose test (FPG). This test assesses their glucose levels fasting
blood. "Fasting" means that you refrain from eating or anything other than water, black coffee
or unsweetened tea drinking for eight hours before the blood test. Your doctor a number of
factors that blood tests, including investigating the glucose, cholesterol and levels of enzymes in
the liver and kidneys as these organs are affected by diabetes. This test is the most common
diagnostic tool for diabetes because it is easier and more economical than the oral glucose
tolerance test.
• A normal reading is considered to be a less than 100 mg / dl, while a reading indicating 100-
125 prediabetes. An FPG level 126 is indicative of diabetes.
• Note that you need to plan ahead for this test because you need fast. For your convenience
and comfort, this usually test is done first thing in the morning for breakfast.
• Your doctor may want to repeat the same test on another day to confirm that the results are
reliable.
• If your level of FPG is very high, if you have or if you have previously been diagnosed as pre-
diabetic, you may want to move your doctor symptoms of diabetes to the next test in its arsenal,
the oral test glucose tolerance get a quick and firm diagnosis.
4. Test of the oral glucose tolerance (OGTT). This is a two-hour test that measures glucose levels
in the blood before and after taking a particularly sweet drink so that your doctor can see how
your body processes sugar. In preparation for this test, you need to make an appointment in
advance for these test-eight hours.
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• At the beginning of the consultation, the doctor or nurse will test your glucose in the blood
(probably with a simple finger test where your finger is pricked and the blood sugar level is
calculated using a digital monitor). Then you drink a glucose drink and sit for about two hours
before someone test your blood again.
• A level of 139 mg / dl or less is considered normal, while a reading indicates prediabetes 140-
199 and 200 or higher indicates diabetes.
• Pregnant women subjected to OGTT to determine gestational diabetes; However, their
glucose levels four times tested with high (diabetes) which fasted for 95 or more after 180 hours
or more, 155 or more after two hours, and 140 or higher after three hours.
5. Provide a sample of glucose in plasma. Also called Casual Plasma Glucose Test, this test is a
control of the blood that occurs at any time of the day (which does not mean that on the basis of
the previous day of fasting). This is usually reserved for people with severe symptoms of
diabetes.
• In this test, diabetes is diagnosed when your blood glucose 200 mg / dl or more.
Tips
• If diagnosed as prediabetes, your doctor will suggest you some changes in your daily life,
such as increasing your level of exercise, watching your diet and lose a modest amount of
weight; these steps can help you prevent diabetes.
• Note that the "prediabetes" You mean blood glucose levels higher than normal, but these
levels are not high enough to be considered indicative of diabetes.