Based on your HgA1c you are at an increased risk for developing diabetes and should be screened regularly. People at an increased risk for diabetes have an increased risk for heart disease as well. Its important to get back to regular exercise that challenges your fitness level. You'll need to get back to the basics and eat right and manage any weight issues you may have.
Three tests are used to screen for or diagnose diabetes. One test is the Hga1c & levels above 6.5 % are considered diagnostic of diabetes. A fasting glucose level of greater than 126 or a 2 hour glucose of greater than 200 during an oral glucose tolerance test also confirms this diagnosis.
The risk of developing diabetes is continuous, there is no threshold that determines a sudden increased risk from normal. In poeople that have glucose intolerance, the incidence of type 2 diabetes is around 5-10% per year and is higher in hispanics & Native Americans, as well as those people with the highest blood sugar levels.
There are environmental and genetic factors that increase your risk of transitioning into overt diabetes... which carries an even higher risk of cardiovascular disease.
Some things you can't change but others are within your reach. Environmental risks such as exercise and calorie excess are modifiable.
Insulin is not working well in you. Utilized your muscles to activate this hormone and burn the excess calories to reduce your risks of conversion to type 2 diabetes, to gain fitness and reduce your heart disease risks.
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