What to do if you have prediabetes? Study: 5% weight loss + 6 hours of exercise can delay the onset of diabetes

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What to do if you have prediabetes? Study: 5% weight loss + 6 hours of exercise can delay the onset of diabetes

If prediabetes is not treated, 1 in 7 people will develop diabetes within a year.

Diabetes is one of the most prevalent chronic diseases in the world and is also the main cause of large and small blood vessel disease and even kidney dialysis. Only by adjusting your daily routine can you reduce the progression of prediabetes to diabetes. Recently published scientific research points out that in high-risk groups with prediabetes, higher-intensity exercise, weight loss, and dietary adjustments can help improve blood sugar stability and even delay and prevent the progression to type 2 diabetes.

A fasting blood glucose value greater than 126 mg/dl is one of the diagnostic criteria for diabetes. Fasting blood sugar between 100-125 mg/dl falls into the “pre-diabetes” range. If glycated hemoglobin is used as the standard, a normal person’s glycated hemoglobin should be lower than 5.6, between 5.7 and 6.4 is prediabetes, and above 6.5 is diabetes.

Prediabetes is a high-risk group for developing diabetes. If early attention is not paid to diet, exercise, weight control, blood sugar monitoring, etc., about 1 in 7 people will develop diabetes in one year. According to the National Health Administration, the prevalence rate of prediabetes (fasting blood sugar level between 100-125mg/dL) among Taiwanese adults aged 18 and above is about 25%, and 1 in 4 people is in a high-risk group for diabetes.

Actively lose weight and exercise 6 hours a week to improve blood sugar and fatty liver disease

The German Diabetes Research Center (DZD) recently published a study in the journal Diabetes. It focused on 1,105 prediabetic patients and divided them into high-risk and low-risk groups based on their insulin secretion, insulin sensitivity, and fatty liver content. 82% of participants completed the 12-month lifestyle intervention and tracked their body values ​​for two years.

Research shows that high-risk groups are found to require more exercise and lifestyle adjustments, including weight loss by 5%, reducing fat intake to less than 30% of the total diet, and exercising for 6 hours a week. , can help them improve blood sugar, cardiovascular metabolism, and reduce liver fat to within the normal range. In contrast, traditional lifestyle adjustments have less effect on blood sugar in high-risk groups.

Research shows that high-intensity lifestyle intervention can help delay the progression to diabetes

Professor Andreas Birkenfeld, Director of Diabetes at Tübingen University Hospital, said that this study shows that in order to better prevent prediabetes from progressing to true diabetes in the future, it is necessary to identify the risk through correct indicators. The results show that giving high-risk groups more intensive work and rest adjustments, weight control, and exercise can help delay the development of diabetes.

The research team claimed that the study used a “risk classification” method to test the impact of different intensity of lifestyle intervention on the health of different ethnic groups. However, the trials in this study were shorter, and 18% of subjects did not complete the procedure.

In addition, 78% of the subjects were classified as high-risk groups, and only 22% were classified as low-risk groups. Whether low-risk prediabetic patients can prevent diabetes through lifestyle changes requires further research in the future.

source:

〈Different Effects of Lifestyle Intervention in High- and Low-Risk Prediabetes: Results of the Randomized Controlled Prediabetes Lifestyle Intervention Study (PLIS)〉

〈PEOPLE WITH HIGH-RISK PREDIABETES BENEFIT FROM INTENSIVE LIFESTYLE INTERVENTION〉

Ministry of Health and Welfare, National Health Service “1 in 4 adults are at risk of developing diabetes”

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