What is the difference between prediabetes and type 2 diabetes?
In type 2 diabetes, the body does not use insulin well, so sugar builds up in the blood. Over time, high blood sugar can damage the heart, kidneys, eyes, nerves and feet.
Prediabetes means your blood sugar is higher than normal but not yet high enough to be diabetes. It often has no symptoms. The good news is that healthy changes, like losing a small amount of weight and moving more, can lower your chance of it turning into type 2 diabetes.
What is an A1C test?
The A1C is a simple blood test that shows your average blood sugar over the past two to three months. It is used to check for prediabetes and diabetes, and to see how well your treatment plan is working. Dr. Le will explain your number and what goal makes sense for you.
What does diabetic education cover?
Living with diabetes means making many small choices every day. Diabetic education gives you the knowledge and confidence to make them. At Westwood Family Medicine in Bluefield, we cover topics such as:
- How food affects blood sugar, and simple ways to plan meals you enjoy
- Staying active in ways that fit your body and schedule
- Checking your blood sugar at home and what the numbers mean
- How your medicines work and how to take them safely
- Spotting and treating low blood sugar
- Daily foot care and when to get eye exams
How can I prevent diabetes complications?
Regular care makes a real difference. Along with A1C tests, Dr. Le checks your blood pressure, cholesterol and kidney function, examines your feet, and reminds you when to get a dilated eye exam. Finding problems early makes them easier to treat. Keeping blood sugar, blood pressure and cholesterol in a healthy range also protects your heart.
Who should be tested for diabetes?
Type 2 diabetes and prediabetes often cause no symptoms at first, so testing is the only way to know. Ask Dr. Le about testing if you are an adult with extra weight, have a parent or sibling with diabetes, had diabetes during pregnancy, have high blood pressure, or are not very active. Signs such as feeling very thirsty, urinating often, blurry vision or slow-healing sores are also reasons to get checked soon.
Common questions about diabetes care
Can prediabetes be reversed?
Often, yes. Many people bring their blood sugar back to a normal range by losing a modest amount of weight, eating fewer sugary foods and drinks, and getting regular physical activity. Your doctor can check your A1C over time to see how your changes are working.
How often should people with diabetes see their doctor?
Many people with diabetes see their doctor every three to six months, depending on how well their blood sugar is controlled and whether their medicines are changing. Visits usually include an A1C test, a blood pressure check and a foot exam. Dr. Le will suggest a schedule that fits you.
Do I need to see an endocrinologist for type 2 diabetes?
Most people with type 2 diabetes can be cared for by their family doctor. Dr. Le manages diabetes medicines, testing and education in the office. He refers you to an endocrinologist or other specialist if your diabetes is hard to control or you need specialized care.
Learn more from trusted sources
- MedlinePlus: Type 2 diabetes
- MedlinePlus: A1C test
- American Diabetes Association: Understanding type 2 diabetes
This page is general health information, not medical advice for your situation. Talk with Dr. Le about your own care.