Ask an expert
To ask:
On my last two blood tests I had a blood sugar of 104. I know it is just above the upper limits to be safe and was wondering if that is a problem at this point? What can I do to lower my blood sugar levels? I don't want diabetes.
Answer:
A fasting blood sugar level of less than 100 is normal. 100-120 is called "impaired fasting glucose" or pre-diabetes. A person with a fasting blood sugar level of more than 120 or a non-fasting blood sugar level of more than 200 is diabetic.
A reduced fasting glucose (IFG) should be seen as a wake-up call. It is not a given that you will develop diabetes with IFG, but since diabetes is a progressive disease, you are likely to develop diabetes over time if lifestyle changes are not made.
Primary risk factors for developing diabetes include family history, which cannot be controlled, and obesity. Although not everyone with IFG is obese, most Americans could eat better and lose weight. With or without weight loss, exercise is the key to lowering blood sugar levels. Ideally, we would all exercise for an hour every day. While this is impractical for most of us, we all need to exercise more than we do. A person with IFG should become familiar with a diabetes diet. Even if you don't have diabetes, it's still important to know which foods raise blood sugar, such as carbohydrates, and limit those foods.
None of this is news. Everyone knows that we should eat right and exercise, but implementing them requires a lot of discipline, especially in our culture of excessive and sedentary lifestyles. Dietary changes must be sustainable, that is, not extreme, if they are to last a lifetime.
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