Prediabetes

‘Pre’ diabetes?  What is this?

Also known as impaired glucose tolerance, if someone is diagnosed with prediabetes it means they have an increase of sugars in the blood (hyperglycaemia) and their body doesn’t have the ability to deal with the excess blood sugar (insulin resistance). This can be after fasting or after eating. Impaired Glucose tolerance is considered to be a stage in the development of type 2 diabetes mellitus and increases your risk for cardiovascular disease.

Shocking Statistic: 1 in every 2 people have prediabetes in the UK.  

Risk factors

• Obesity.
• A first-degree relative with diabetes.
• Ethnicity: South Asian, Chinese, African-Caribbean and black African.
• Increasing age.
• The area where someone lives – lower-income groups.

Presentation

• Patients with impaired glucose tolerance usually have no symptoms.
• Risk for cardiovascular disease may be present, even with a small rise in blood sugars. They include hypertension (high blood pressure), obesity, dyslipidaemia (high cholesterol etc), and macrovascular disease, such as stroke, coronary disease or peripheral vascular disease.

Testing for prediabetes

Either a fasting plasma glucose test or an HbA1c test may be used to diagnose type 2 diabetes or prediabetes.

The following results indicate the presence of prediabetes:

• Fasting plasma glucose: 6.0 mmol/L to 6.9 mmol/L
• HbA1c: 42 to 47 mmol/mol (6.0 to 6.4%)

If your results are above the upper limits for prediabetes, your GP may either diagnose you with type 2 diabetes or take another test to confirm whether you have diabetes. If you have symptoms of diabetes but have an HbA1c of below 42 mmol/mol (6.0%), you may be given an oral glucose tolerance test (OGTT).

If you are diagnosed with prediabetes, your doctor should clearly set out the steps you need to take to lower your risk of developing type 2 diabetes.

Can I stop prediabetes from developing into type 2 diabetes?

YES!!!  The good news is that cases of prediabetes that are identified early on can be reversed, preventing them from progressing into full-blown type 2 diabetes. Each year in the UK, 5% to 10% of people diagnosed with prediabetes go on to develop type 2 diabetes.

The two principal factors for consideration are:

• Making changes to your diet and
• Appropriate physical exercise to your lifestyle

By making these changes, blood sugar levels can be returned to normal.

At 121 Dietitian we help people daily by improving their health and well-being. If you have been diagnosed by your GP with prediabetes then please do not hesitate to email: info@121dietitian.com or call: 07717392306 to reverse your chances of going on to developing type 2 diabetes.

The taster plus programme is the best option recommended for you please click on the link below to book NOW.

Emma Lavery

2022-12-29

I could not recommend Gillian enough over the last 3 months - she has turned my life around! I was referred to Gillian by my gastro consultant due to suffering from ibs, gastritis and hormonal issues for nearly 10 years. Gillian was very understanding and approachable throughout my time spent with her. Gillian discussed my health, lifestyle and eating habits thoroughly. She advised an individualised blood check for underlying issues, educated me on supplements and provided numerous information to help aid my recovery. The low foodmap programme I have been following is achievable and can be adapted to anyones lifestyle. As I am a vegetarian I thought this process may be difficult however Gillian reassured me that this would be no issue. She supplied personalised shopping lists, recipes and alternative foods to help heal my gut and overall health. Continual support from Gillian was on hand via email when required.I seen improvements in my symptoms within only weeks of starting the programme and was overwhelmed by the success due to suffering for years! I have been spreading the word about Gillian's brilliant work and will continue to do so! Thank you again for all your help!

mick lorkins

2022-12-18

Strongly recommended. There are not many professionals that can totally change you life for the better but this one one if you follow the advice given.

Bobby D

2022-09-07

For 30 years I have suffered with IBS D and have been unable to find the right specific help. I was introduced to 121 Dietician about 6 weeks ago and like all other services out there I was sceptical. First up was a consultation online which was great considering the many issues I was having going to places. Gillian listened very attentively and understood the many problems I was having.Gillian decided to introduce me to the Low FODMAP diet. Starting out she provided everything (information, shopping lists, recipes etc) to get started. Through the course of the first 6 weeks Gillian was available to answer any questions or concerns.Following the first 6 weeks I'm very happy to say that all the many problems associated with IBS have gone and I'm starting to live a normal life without any stage fright when out and about.The next 8 weeks will be the reintroduction stage but based on the knowledge from Gillian in the initial stage I'm very confident that at the end I will have full understanding of all my triggers.I can't recommend this service enough as most importantly after 30 years of severe symptoms I once again feel healthy and happy. This is a must if you suffer continually from this horrendous condition. I would be confident that this will help anyone who has IBS.For me this was the best money ever spent and I can't thank Gillian enough for the difference she has made.Roy Dornan

Jack Kennedy

2022-09-04

Helped solve stomach issues, had previous been to several people but this was the first dietary intervention that worked

Laura Campbell

2022-04-29

After over 10 years of eating quite poorly, Gillian has completely changed my approach to food. After a consultation and review of my diet, she provided me with a list of easy and quick recipes that are packed full of nutrition. She takes into consideration your lifestyle as well which I really appreciated too. I now have much more energy and actually enjoy preparing meals now, something I never did before. I honestly cannot recommend her enough. Thankyou! 🙂

Chris Arnold

2022-04-24

The overall experience was a very positive one. Gillian certainly had the expertise and people skills to help evaluate and treat my daughters gut issues. The progress was quite instantaneous and over time has made a huge difference to her everyday life. Thanks to Gillian for her work which came at the end of many doctor consultations. In hindsight Gillian should have been the first port of call.

Amelia Tyler

2022-03-30

Gillian is great and her program was just perfect. All the meals were delicious and I always felt satisfied which made it very easy to follow. I would highly recommend, especially the 121 sports program.

ruth Niven

2022-03-17

I was having severe stomach pain and general debility with a sudden onset. Over the previous year I’d had various tests which were all clear. When my symptoms worsened quite quickly I consulted Gillian who asked various searching questions and had me complete a food diary. She realised that I was suffering from a histamine intolerance and suggested a diet to follow. I’m still getting used to the diet and, with her help, fine tuning it, but I feel so much better in general and most important of all my peace of mind has been restored. Thank you Gillian. I would recommend that anyone who has any issues which may be diet related should consult Gillian, she is always able to help!

Anne Somerville

2022-03-08

Consulting a dietitian was not something I would have done of my own bat even though I was having digestive issues. I thought my diet was fairly good. But after blood tests and thorough analysis of my health Gillian’s recommendations have turned things around. I’m very grateful

Laura Maxwell

2022-03-04

My weight has been an issue for me from teenage years and I lost and gained it easy as I have gotten older this has increased noticeably with lockdowns and working from home. My daughter booked me in to see Gillian as she was recommended and its been a true revelation. I am eating more than I ever did and have lost 3st in weight. I feel I can move and sleep - and she addressed several my health problems. I can't thank her enough.

Google rating score: 4.9 of 5, based on 43 reviews