What should I do if I have an abnormal glucose tolerance?

  Abnormal glucose tolerance means that there is a risk of conversion to diabetes, but the diagnostic criteria for diabetes are not met. People with abnormal glucose tolerance are at high risk for type 2 diabetes, and these people need to actively prevent diabetes. So, what can be done about abnormal glucose tolerance? Take a look at the following countermeasures.  What causes impaired glucose tolerance?  The causes of impaired glucose tolerance are similar to those of type 2 diabetes and are related to genetic susceptibility and environmental factors: genetic factors include the presence of genes that cause insulin resistance and impaired insulin secretion. Environmental factors, on the other hand, are caused by the industrialization of society, the fast-food diet, the Coca-Cola beverage, the car and elevator going out, the excessive caloric intake and the low physical activity, which leads to overweight and obesity, especially the fat accumulation in the abdominal cavity and the increase in waist circumference, i.e., abdominal obesity. These people often have features of insulin resistance and defective secretion, and the next step is to develop type 2 diabetes.  What is abnormal glucose tolerance?  Glucose tolerance is the body’s ability to tolerate glucose. A 2-hour postprandial glucose that exceeds the normal 7.8 mmol/L but still does not meet the diagnostic criteria for diabetes of 11.1 mmol/L (or an elevated fasting glucose that does not meet the diagnostic criteria for diabetes, which is a fasting glucose between 6.2 and 7.0) is called abnormal glucose tolerance (or impaired fasting glucose). This condition can be said to be an excessive state of normal people to diabetes. Although these people are not diabetic now, they have a very high risk of developing type 2 diabetes in the future, and can be said to be the reserve army of diabetes. According to relevant studies, 5-8% of such patients will develop type 2 diabetes each year. In addition, the risk of cardiovascular disease, such as myocardial infarction and angina pectoris, is also much higher.  What should I do if I have abnormal glucose tolerance?  1. Regularly test blood sugar. Check blood glucose frequently, so that blood glucose can be known early. In physical examination, hospitalization and at ordinary times, pay attention to testing blood sugar. Not only fasting blood sugar but also postprandial blood sugar should be tested. Some people only pay attention to check fasting blood sugar and ignore postprandial blood sugar testing, which is dangerous. Because whether fasting blood glucose fails or postprandial blood glucose fails, it can be judged as diabetes.  2.Limit the intake of sucrose-containing food. It is necessary to control sucrose-containing foods. If sucrose-containing foods are not controlled or rejected when glucose tolerance is abnormal, it will make postprandial blood glucose rise sharply for a short time, which will aggravate the pancreatic islet burden and induce diabetes. Once the abnormal sugar tolerance occurs, you should immediately limit or refuse to eat sucrose-containing foods and develop the good habit of not craving or craving for sucrose-containing foods.  3. Moderate control of diet. Although the abnormal glucose tolerance people do not need to overly restrict the diet, but to master the diabetic recipes, according to the diabetic diet standard meals. People with abnormal glucose tolerance should choose sugar-free food and eat fruits in moderation.  4, supply sufficient protein (renal dysfunction is another story). Abnormal glucose tolerance of the supply of protein in the diet of people should be sufficient. Milk, eggs, lean meat, fish, shrimp, soy products are rich in protein. It should be appropriate to consume high-quality protein, and it is currently advocated that protein should account for 10%-20% of total caloric energy. Cereals contain plant protein, if you eat 300g of cereals a day, you can consume 20 g-30 g of protein, which is about 1/3-1/2 of the whole day’s protein. the physiological value of plant protein is lower than that of animal protein, so plant protein should also be controlled appropriately in the diet. However, in the case of combined kidney disease, the consumption of plant protein should be controlled.  5. No need to use glucose-lowering drugs. It is not necessary to use drugs to prevent diabetes in people with abnormal glucose tolerance. It is only necessary to pay attention to the diet, carry out the necessary sports and exercise, pay attention to weight loss, reduce the intake of high-fat food, and eat more food containing dietary fiber. Intake of different categories of dietary fiber, and in accordance with the nutritional needs of diabetics to add a variety of vitamins, protein, calcium, zinc and other nutrients needed by the body.  6, adhere to the exercise adhere to the appropriate exercise, is also an effective way to prevent and control diabetes. Its main role is to reduce fat, reduce body weight, increase glucose tolerance and insulin sensitivity, thereby reducing blood sugar. Walking is the safest, easiest, and easiest exercise to stick to, but do not exercise on an empty stomach to avoid causing a drop in insulin and an increase in blood sugar, aggravating the condition. At the same time, the environment of exercise should choose fresh air, quiet environment such as parks and other venues. In addition, healthy dance, muscle training, limb stretching, etc. are also suitable for diabetics and people with reduced glucose tolerance. Exercises such as stretching, including stretching the muscles of major parts of the body, such as the feet, chest, back and shoulders, can be done every day.  7. Learn about diabetes. To learn and master the knowledge of the causes of diabetes, to understand the diabetic diet, treatment of common sense, know what should be done, what should not be done, and even treat yourself as a diabetic, to take the right lifestyle, in order to truly prevent the occurrence of diabetes. Who needs to test their glucose tolerance? People who are at risk for diabetes must be conscious of having their glucose tolerance checked, including those with a family history of diabetes, those over 45 years of age, those who are overweight or obese, those with high blood pressure, high blood cholesterol or high blood uric acid, those with cardiovascular disease, and those with impaired fasting glucose (i.e., fasting glucose higher than normal but not meeting the diagnostic criteria for diabetes). People with normal fasting glucose who have typical diabetic symptoms should also have their glucose tolerance status checked promptly. Checking fasting glucose and glucose tolerance at the same time can detect abnormalities early and effectively reduce missed diagnoses. For patients who have been diagnosed with diabetes, it is generally not necessary to perform a glucose tolerance test again.