Health
For your health, prediabetes can be dealt with first with diet, exercise advice |
Dr. Roach: I have some questions about the results of the lab. My clinic said all the results were good and everything was normal. However, when I received the printout from the lab, some readings that surprised me, including 5.9% hemoglobin A1C (flagged as high) and glucose 114 (flagged as high again). I read. Should my doctor give me suggestions for managing these results, such as through diet changes? What kind of suggestions do you have? 0151 Anon.
Answer: These results indicate that you have prediabetes. This means that you are at risk of developing diabetes in the future. Prediabetes itself increases the risk of developing heart disease in the future. Current standard treatment is to treat prediabetes, both to reduce cardiovascular risk and to prevent the progression to overt diabetes. Unfortunately, I think your doctor has missed the opportunity to make an intervention that can help your overall health.
As you suggest, diet is a major element of treatment. Visiting a dietitian nutritionist and a diabetic health educator is an ideal way to provide personalized dietary recommendations. You can only scratch the surface by wanting to consume very small amounts of monosaccharides, such as fruit juices, sugar-sweetened soft drinks, sweet baked goods, and candies. It is also necessary to consume moderate amounts of modified starch such as bread, pasta and white rice. When you consume them, it should be part of a mixed diet of protein and fat, which slows the absorption of starch, which would otherwise be rapidly converted to sugar by the body.
Exercise is as important as diet. Regular, moderate-intensity exercise helps the body use dietary carbohydrates better and reduces the risk of developing diabetes. Your exercise goal is to eventually reach 20-30 minutes a day with moderate exercise. Some have already gone far beyond that, while others take weeks to safely reach that level of intensity. Neither exercise nor proper diet guarantees the onset of diabetes, but the combination of the two is powerful.
Dr. Roach: This is a general question about vaccine reactions. My husband and I recently received a second flu vaccine and a second vaccine for shingles. Neither of us had any reaction other than the red spots on which the injection was made. Does this mean they weren’t effective? We are both over 75 years old and wondering how strong the immune system is. Should there have been any reaction? — JD
Answer: Neither the flu vaccine nor the shingles vaccine is perfect, but they are effective in reducing the risk of developing each disease. Last year, the flu vaccine was about 45% effective overall, while Shingrix (the new two-shot vaccine) is more than 90% effective in protecting against shingles, even in people in their 70s.
Vaccine responses within the first 24 hours are often related to the body’s response to preservatives and stabilizers in the vaccine. Lack of response to the vaccine does not mean that your body is not responding to an important part of the vaccine, the part that immunizes against the virus. You should still be protected.
Dr. Roach regrets not being able to answer the individual letters, but incorporate them into the column as much as possible.Readers can email questions [email protected] Alternatively, send an email to 628 Virginia Dr., Orlando, FL32803.
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