Q&A #61: How Can You Lower A1C—and When Should You Start Hormone Replacement Therapy?
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How can prediabetes and type 2 diabetes be detected and managed with lifestyle changes?
Prediabetes is defined by blood glucose levels that are above normal but not yet high enough to meet the threshold for diabetes. It often results from underlying insulin resistance or reduced insulin production from pancreatic beta cells, substantially increasing the risk of progression to type 2 diabetes and serious complications linked to metabolic dysfunction. These include macrovascular complications, such as coronary artery disease, stroke, and peripheral artery disease, and microvascular complications, including retinopathy, neuropathy, and kidney dysfunction. Alarmingly, it is estimated that about one-third of adults in the United States have prediabetes, yet more than 80% remain unaware due to the absence of noticeable symptoms.[1] [2]
- ^ Zhang, Xuanping; Gregg, Edward W.; Williamson, David F.; Barker, Lawrence E.; Thomas, William; Bullard, Kai McKeever, et al. (2010). A1C Level And Future Risk Of Diabetes: A Systematic Review Diabetes Care 33, 7.
- ^ Albright, Ann L.; Gregg, Edward W. (2013). Preventing Type 2 Diabetes In Communities Across The U.S. American Journal Of Preventive Medicine 44, 4.
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Beginning of Q&A
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Q: Is insomnia a sign of prediabetes or diabetes? 1
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Q: Can older adults still benefit from taking statins or PCSK9 inhibitors? 1
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Q: What is a single nucleotide polymorphism (SNP)? 1
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Q: Do over-the-counter anti-inflammatory drugs interfere with sleep quality? 1
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Q: How do I prepare for menopause? 1
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Q: What is the Genetic Report status?
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Q: Do high levels of microplastics and PFAS in fish pose a risk? 1
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Q: Does the risk of atrial fibrillation with omega-3 supplements outweigh the long-term damage of eating fish with these contaminants? 1
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Q: Why have you stopped eating salmon roe recently? 1
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Q: Which protein powder do you give your son?
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Q: Can other genetic data, like that from Nebula, be run through your service?
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Q: Which protein powder do you use?
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Q: What is the difference between whey concentrate and isolate? 1
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Q: Which form of alpha lipoic acid do you use? 1
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Q: Are there good alternatives to acetaminophen or Tylenol? 1
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Q: What dosage and brand of benfotiamine do you use?
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