Post Falls Family Medicine, PA
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(208) 773-8585
1220 E. Polston Ave., Post Falls, ID 83854
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Before being diagnosed with Type 2 diabetes, most people develop “pre-diabetes,” a serious medical condition in which blood glucose levels are higher than normal. 
People with pre-diabetes often have no signs or symptoms, or don’t recognize them because they develop slowly over a period of time.
Risk Factors
If you are overweight and age 45 or older – You should be checked for pre-diabetes during your next routine medical office visit.
If your weight is normal and you are over age 45 – You should ask your doctor during a routine office visit if testing is appropriate.
If you are under age 45 and overweight – Your doctor should recommend testing if you have any other risk factors for diabetes, including:
* High blood pressure
* Low HDL cholesterol and high triglycerides
* History of gestational diabetes or delivering a baby weighing 9 pounds or more
* Family history of diabetes
* Belonging to an ethnic or minority group at high risk for diabetes, including African-Americans, Latinos, Native Americans, or Asian Americans/Pacific Islanders
Screening and Diagnosis
Screening guidelines for pre- and Type 2 diabetes are as follows:
* Fasting blood glucose of 100 mg/dl or lower is considered normal.
* Fasting blood glucose elevated to 100 - 125 mg/dl indicates pre-diabetes.
* Fasting blood glucose elevated to 126 mg/dl or higher indicates diabetes.
If your blood glucose levels are in the normal range, follow-up tests should occur every three years. If your results indicate pre-diabetes, you should be re-tested every one to two years after your diagnosis.
Prevention and Treatment
If diagnosed with pre-diabetes, you can and should do something about it. Studies show that people with this condition can prevent or delay the development of Type 2 diabetes through lifestyle changes, including:
* Moderate weight loss (reducing total body weight by 7 percent)
* Regular exercise (30 minutes a day, 5 days a week)
For some people with pre-diabetes, early enough intervention can return elevated blood glucose levels to the normal range.
Source: The Murrry Group

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