How long can pre-diabetes last?

The article is professionally consulted by Master, Doctor Vu Thi Duyen - Department of Medical Examination & Internal Medicine - Vinmec Hai Phong International General Hospital

It is currently estimated that 34% of adults have prediabetes. Pre-diabetes can now be restored to normal with good diet and exercise adjustments. But there is also a small percentage that increases the risk of developing true diabetes.

It is estimated that more than 100 million Americans have prediabetes or diabetes. Pre-diabetes is a condition in which a person has blood sugar levels that are higher than normal but not high enough for a diagnosis of diabetes, and this significantly increases the risk of developing true type 2 diabetes. .
Raising awareness and risk stratification among people with prediabetes can help physicians take early interventions that reduce the rate that prediabetes develop diabetes. If left untreated, 37% of people with prediabetes may develop diabetes within 4 years. Lifestyle interventions could reduce the rate of prediabetes developing diabetes by 20%.
A long-term study also found that lifestyle interventions can reduce the risk of prediabetes progressing to diabetes over a 10-year period. To prevent 1 person from developing diabetes over a 3-year period, at least 7 people must participate in a lifestyle intervention program, which is a success rate of 1/7 people. In addition to the cost benefit in treatment, recent data suggest that differences in direct and indirect costs of care for prediabetes versus patients with diabetes may increase. up to $7000 per year. Investing in a pre-diabetes prevention program today can provide a significant return on investment in the future and help prevent a preventable disease.

When well treated, diabetes can prevent some dangerous complications of the disease, but it cannot return to normal blood sugar levels. The diagnosis of diabetes is often delayed even until complications are detected, and current diabetes treatments do not prevent all possible complications. cause. Therefore, preventing diabetes and preventing pre-diabetes from becoming diabetes is the best and most effective method.
According to a 2002 study, a research team hypothesized when lifestyle interventions would prevent or delay the development of diabetes. The researchers randomly assigned pre-diabetes patients to receive a placebo and a lifestyle modification intervention program with the goal of losing at least 7% weight and doing at least 150 minutes of physical activity. every week. The average age of the study participants was 51 years old and the BMI was 34.0kg/m2. The mean follow-up time was 2.8 years. The prevalence of diabetes was 11.0 per 100 person-years in the sham group and 4.8 per 100 person-years in the lifestyle intervention group, respectively.
Further analysis of the study showed that if a group of pre-diabetes patients were not intervened early with lifestyle modifications, exercise, the rate of diabetes would develop to about 37% in 4 years. The lifestyle change program has reduced the proportion of people with prediabetes who develop diabetes in four years to about 20%.

According to the National Institute of Diabetes, digestive and kidney disease unless people with prediabetes change their lifestyle most will develop type 2 diabetes within 10 years. 150 minutes of physical activity a week can reduce the risk of diabetes by up to 58%.
The goal of treatment for prediabetes is to return to normal blood glucose levels. Intervention-targeted strategies for the entire population at risk for prediabetes can lead to more affordable health care, preventable disease, and lifesaving.
At Vinmec International General Hospital, we always deploy a screening package for diabetes and dyslipidemia to help detect pre-diabetes early, accurately classify diabetes type, develop a nutritional regimen, monitoring to minimize the risk and complications caused by diabetes.

References: ncbi.nlm.nih.gov