To treat your body well, you must first understand it. If you insist on annual checkups, that’s great, but do you know how to read all those papers filled with proper nouns after the checkup? Do you know how to find your health “yellow light” in the medical report? Diabetes, where is the yellow light value? >>Diabetics should eat more sea fish! The medical report shows that the “fasting blood sugar” and “2 hours after meal blood sugar” are higher than the normal standard, but the doctor said that this is not considered diabetes. What does this mean? Yang Huazhang, director of the Department of Endocrinology at Guangdong Provincial People’s Hospital, said that this condition is called “impaired glucose regulation” (IGR for short). This is a pre-diabetic stage. ”Diabetes is a slow development process, from normal blood glucose values, to ‘impaired glucose regulation’, and then the development of diabetes, the average pathogenesis of the process takes 10-15 years. During this period, there is a lot of room for active prevention and treatment.” said Associate Professor Cheng Zhongrong. Current academic authorities believe that diabetes is a disease that requires lifelong treatment, but at the stage of “impaired glucose regulation”, it is possible to restore blood sugar to normal levels through active intervention. Therefore, “diabetic reservists” should be confident and actively prepare for the battle. The indicators that identify the various stages of diabetes development are a reference for us to raise the warning yellow light. According to the standards promulgated by the World Health Organization, a normal person should have a fasting blood glucose of less than 6.1 mmol/L and a 2-hour postprandial blood glucose of less than 7.8 mmol/L. If the fasting blood glucose is ≥7.0 mmol/L, the blood glucose should be lower than 7.0 mmol/L. If fasting blood glucose is ≥7.0 mmol/L and 2 hours after meal blood glucose is ≥11.1 mmol/L, the diagnosis of diabetes is reached. In between these two stages, i.e. fasting blood glucose of 6.1-6.9 mmol/L or 2 hours postprandial blood glucose of 7.8-11.0 mmol/L, is “impaired glucose regulation”, also called pre-diabetes. It is worth noting that even if all indicators of blood sugar are within normal limits in the physical examination report, special attention should be paid to fasting blood sugar values. In recent years, studies in the United States have shown that when fasting blood glucose is higher than 5.6 mmol/L, insulin secretion in the body has begun to be affected, so the United States has lowered the fasting blood glucose standard to 5.6 mmol/L for normal people. Although China still uses the old WHO standard, Associate Professor Cheng Zhongrong reminded the public that anyone whose fasting blood sugar is found to be above 5.6 mmol/L in a physical examination should still be listed as a “high-risk group” for diabetes and undergo diabetes screening to prevent and treat diabetes as early as possible. Between safety and risk”, China has ranked 2nd in the world in terms of the number of people with diabetes since 2000. According to a 2003 survey in Shanghai, 11.4% of adults have diabetes, and 11.7% of adults have impaired glucose regulation. But awareness of diabetes is still far from adequate, and this is the current critical situation of diabetes in China.” Associate Professor Cheng Zhongrong said, “Without timely intervention and lifestyle adjustments, people with ‘impaired glucose regulation’ will become type 2 diabetics at a rate of 10% per year and are prone to cardiovascular and cerebrovascular diseases. This is why people with ‘impaired glucose regulation’ are often considered the ‘back up’ to diabetes. And most type 2 diabetes develops first from elevated postprandial blood sugar.” Relevant research shows that among the “reserve army” of diabetes, those with higher than normal blood sugar 2 hours after meals but normal fasting blood sugar (i.e. IGT) account for about 70%, while those with higher than normal fasting blood sugar and normal blood sugar 2 hours after meals (i.e. IFG) account for less than 20%, and those with higher than normal fasting blood sugar and blood sugar 2 hours after meals at the same time (i.e. IFG+IGT) were only about 10%. Although microangiopathy is often seen in diabetic patients, the risk of macroangiopathy such as hyperlipidemia, hypertension, and coronary heart disease increases significantly during the IGT stage of prediabetes. Among them, 32% had confirmed diabetes before the disease, 17% had new diabetes, and only 20% had normal blood glucose. Therefore, active intervention in “impaired glucose regulation” can not only prevent the occurrence of diabetes, but also reduce the occurrence of macrovascular disease. This is an important stage between safety and risk.