Lg Cwd
Need Help

Submit your question to our team of health care professionals.

Current Question

See what's on the mind of the community right now.

Meet the Team

Learn more about our world-renowned team.

DTeam Archives

Review the entire archive according to the date it was posted.

October 27, 2004

Diagnosis and Symptoms, Other

Question from Washington, USA:

I am four feet, ten inches tall and 107 pounds. I walk almost everywhere. My symptoms were those of diabetes, on and off, and chronic bladder infections. I had them for eight months. I was also quite tired most of the time. I was diagnosed with "pre-diabetes" when my two hour postprandial blood sugar was 150 mg/dl [8.3 mmol/L]. However, my blood did sit for some time, so it may have been higher. I have been seeing an internal medicine doctor, however, his nurse practitioner was the person who saw me since she is very familiar with this disease. When I went to the doctor, I was more concerned with making sure that they were going to follow-up the diagnosis properly. Unfortunately, I forgot to ask what the diagnosis really means. I know that I will be doing minimal daily self-testing and that in three months my A1c will be taken. I know that I need to alter my diet to work with the glycemic index. I know I need to avoid both weight loss and weight gain at this point. But, I don't know what it means for the future of my health. Therefore, can you tell me what this diagnosis means when it is given to someone in my position? Will I develop diabetes, which the doctor I saw seems to think will happen? If I do, what type?


Pre-diabetes is generally made with either an oral glucose tolerance test or a fasting glucose level on more than one occasion, as determined through a clinical laboratory and not a fingerstick glucose. When you meet the criteria of pre-diabetes, the risk of developing type 2 diabetes is very high over a 10-year period. However, do you really have it? Symptoms are not really a part of the pre-diabetes picture. The other issue is that pre-diabetes is associated with a high cardiovascular risk. I think you need to optimize your lifestyle choices and have a regular medical follow-up. The bladder infections may not be part of this at all.