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Sebastian White
What types of screenings are available for diagnosing Diabetes?
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Sebastian White, NP answered:

Diabetes mellitus is a diseaseresulting in high levels of glucose (sugar) in the blood stream. These highlevels of glucose are caused by the body’s inability to produce or properly useinsulin. There are three screening tests for diabetes in non-pregnant persons:the fasting blood glucose test, the hemoglobin A1c test and the oral glucosetolerance test.

The fasting blood glucose test isroutinely done as part of annual lab work with your primary care provider. Theblood sample is taken after no calorie intake for minimum of 8 hours. A fastingblood glucose result less than 100mg/dl is normal, 100-125 mg/dl isprediabetes, and 126 mg/dl or higher is diabetes.

The hemoglobin A1c test is anon-fasting blood test that measures the average daily blood sugar over theprevious 3 months. An A1c of 5.7% reflects an estimated average daily bloodsugar of 120, while 6.5% reflects an estimated average daily blood sugar of 140.An A1c test result of less than 5.7% is normal, 5.7-6.4% is prediabetes, and6.5% or greater is diabetes.

The oral glucose tolerance test isdone in the medical office after no calorie intake for minimum of 8 hours. Theoral glucose tolerance test involves drinking an energy-rich beverage with75grams carbohydrate and checking the blood sugar two hours later. An oralglucose tolerance test result of less than 140 mg/dl is normal, 140-199 mg/dlis prediabetes, while 200 or higher is diabetes.

Generally, we like to see resultsfrom at least two tests to make the diagnosis of diabetes. However if someonecomplains of weight loss, increased thirst, increased urination or hunger, ANDtheir blood glucose is greater than 200 mg/dl, we can accurately diagnosediabetes.

The goals of diabetes screeningtests are to identify persons at risk for developing diabetes-relatedcomplications such as blindness, kidney failure, heart disease and stroke.

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DIABETES EDUCATION

Bozeman Deaconess Diabetes Center offers diabetes support groups as well as educational classes which are open to anyone in the community interested in diabetes information and support.

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WHY IS IT IMPORTANT THAT MY FAMILY AND I BE SCREENED FOR DIABETES?
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Michael Vlases, MD
MICHAEL VLASES, MD ANSWERED:
Diabetes is a serious disease that affects nearly 11% of the U.S. adult population, with another 20% at increased risk for developing the disease. Diabetes is a state in which the body loses its ability to control blood sugar, the main source of fuel that travels through the blood to all vital organs. The hormone insulin normally controls blood sugar levels very strictly, but as diabetes develops, the body loses its sensitivity to insulin and its ability to increase insulin production when needed. High blood sugar slowly...
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WHAT IS PREDIABETES?
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Sebastian White, NP
SEBASTIAN WHITE, NP ANSWERED:
Prediabetes is a condition in which individuals have a blood glucose level or a hemoglobin A1c level that is higher than normal but not high enough to be classified as diabetes. However, people with prediabetes have the highest risk of developing diabetes. Fortunately, people with prediabetes can reduce their risk of developing diabetes by 58 percent through weight loss and increased physical activity. If no action is taken, 25 percent of people with prediabetes will develop diabetes within three to five years. The majority of individuals with impaired...
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WHAT TYPES OF SCREENINGS ARE AVAILABLE FOR DIAGNOSING DIABETES?
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Sebastian White, NP
SEBASTIAN WHITE, NP ANSWERED:

Diabetes mellitus is a diseaseresulting in high levels of glucose (sugar) in the blood stream. These highlevels of glucose are caused by the body’s inability to produce or properly useinsulin. There are three screening tests for diabetes in non-pregnant persons:the fasting blood glucose test, the hemoglobin A1c test and the oral glucosetolerance test.

The fasting blood glucose test isroutinely done as part of annual lab work with your primary care provider. Theblood sample is taken after no calorie intake for minimum of

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Sebastian White, NP
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Most foods, in moderation, are healthy for a person with pre-diabetes or diabetes. One tablespoon of corn starch contains 8 grams carbohydrate, this is equivalent to the carbohydrate in 1/2 slice of bread. Since 1-2 tablespoons of corn starch is generally added as a thickener for more than 3-4 servings of a food, it would provide 2-4 grams carbohydrate. Foods providing under 5 grams carbohydrate are generally considered a free food. There are websites where a person can enter all ingredients to...
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