Hidden SUGAR is the name given to the situation when a person's blood sugar is above normal, but not high enough to diagnose diabetes. In other words, the person's blood sugar is above normal. So it was high, but it is below the limit we use to diagnose diabetes mellitus. Hidden SUGAR is also called prediabetes. In other words, latent diabetes is a preliminary stage - a trampoline to get into diabetes.
Hidden diabetes can progress in 3 ways.
Fasting blood sugar is high, blood sugar 2 hours after eating is normal. It is called ISOLATED DEGRADED FASTING GLUCOSE. 2) Fasting blood sugar is normal, blood sugar rises 2 hours after eating. This is called IMPAIRED GLUCOSE AND IMPAIRED GLUCOSE TOLERANCE. And 3) these two conditions occur at the same time, and blood sugar levels are high both during fasting and 2 hours after eating. This is also called COMBINED GLUCOSE INTOLERANCE. All 3 conditions are important risk factors for Diabetes Mellitus and Cardiovascular Diseases. However, in the third combined case, this risk is higher.
Hidden sugar is a very important issue for health. As we said above, Latent Diabetes is an important risk factor for diabetes mellitus and blood vessel diseases. The person does not remain in a state of latent diabetes until the end. If he does not take the necessary precautions, that is, he cannot give up his habits, he continues his unhealthy diet, and if he keeps his activity low, then the hidden sugar turns into overt diabetes after a certain period of time and the person becomes one of the diabetic patients. We know that diabetes is a very important issue in terms of health.
As its name suggests, Hidden Sugar usually progresses secretly without showing any symptoms. However, sometimes symptoms specific to diabetes mellitus such as dry mouth, thirst, increased urination, and burning in the feet can be observed. People with high blood sugar and insulin resistance experience extreme fatigue, drowsiness after meals, cravings for sweets, darkening of the skin in different parts of the body, and skin tags on the back of the neck. gender, women with a history of gestational diabetes People who have close relatives (mother, father, siblings) with diabetes, high blood pressure and BMI over 30 (new overweight and obesity) are likely to have Hidden Diabetes.
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The diagnosis of latent diabetes is made based on the results of the blood sugar measured during fasting and 2 hours after eating.
First, the person's fasting blood sugar is checked and then the meal is eaten. And blood is taken again 2 hours after the meal. If the fasting blood sugar is between 100-125 mg/dl and the blood sugar 2 hours after the meal is below 140 mg/dl, ISOLATED FASTING GLUCOSE is diagnosed. If the fasting blood sugar is below 100 mg/dl and the blood sugar 2 hours after the meal is between 140-199 mg/dl, IMPAIRED GLUCOSE TOLERANCE is diagnosed.
If the fasting blood sugar is between 100-125 mg/dl and the blood sugar 2 hours after the meal is between 140-199 mg/dl, and both new results are high, this indicates that the person has COMBINED GLUCOSE INTOLERANCE.
Recently, another sugar metabolism indicator, HbA1c, which we call 3 months old, is also used for the diagnosis of Latent Diabetes. Hba1c reflects the status of long-term sugar metabolism. The average height of our blood sugar in the last 3 months provides information. Normal values of Hba1c vary slightly in different laboratories, but are generally accepted as 4.8 - 5.7%. When the result is above 6.4%, diabetes mellitus is diagnosed. . Numerous studies have reported that people with Hba1C values between 5.7 and 6.4% are also in the risk group for diabetes.
It is very important to start the treatment of Latent Diabetes on time. If any of the results I mentioned above (Fasting Blood Sugar, Blood Sugar 2 hours after the meal, or Hba1c) are high, the person should definitely see an endocrine or internal medicine doctor. If the doctor deems it necessary based on the results, the patient's family history and physical examination data, he may request new tests or the person's cardiologist or may send a neurologist. And the analysis results actually give the necessary nutrition style and physical activity program to the person with Hidden Diabetes. If you are overweight, ways to get rid of it are explained. It is not necessary for everyone to take medication to get rid of hidden sugar. But of course, if the doctor deems it necessary, he can add medication to all of these. .
As we said, the person does not stay in the Hidden Sugar stage for a long time. If the necessary precautions are not taken, the person develops overt diabetes after a while. This period varies in different individuals.
To protect ourselves from hidden sugar, we should eat healthy and keep our activity high, give up harmful habits such as smoking and alcohol, and if we have the risk factors mentioned above, we should consult a doctor without delay and have the necessary examinations.
Finally, I would like to emphasize once again that hidden diabetes is an important health issue. There are two roads leading in opposite directions from the hidden sugar. First way - The person chooses a healthy lifestyle. While following this path, blood sugars gradually decrease to normal levels, weight becomes normal and the patient regains full health. The second way - the patient cannot give up his habits. He continues his unhealthy diet. He keeps his activity low. If this happens, blood sugar levels increase over time and the person falls into the ranks of Diabetic patients.
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