How long does prediabetes last?

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How long does prediabetes last?


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Old 11-20-2011, 15:01   #1
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Default How long does prediabetes last?

Hi folks,

I had some "diabetes-like" symptoms about 10 years before certain diabetes symptoms: peripheral neuropathy (glove and stocking numbness in the hands) which i thought must have been carpal tunnel, stroke or seizure which may have been due to a medication withdrawal, bathroom problems, thirst and frequent voiding which is also a side effect of lithium, and gradually weight gain, fatigue, and abrupt sleepiness which i thought was narcolepsy or something. Near the end (3 months approx.) the thirst was incredible, and the naps were 3-4 hours of lack of consciousness, very high ketones for a month, infections, and fatigue.

Once diagnosed and treated with anti-diabetic meds, a lot of those symptoms, new and old disappeared.. phew! The diabetic nurse did think that diabetes progresse slowly. But I guess we do not have a way of predicting the eventual outcome.

So, now that I am much better after treatment from the Diabetic Team, I wonder if those symptoms were diabetes, and if so were reversed with insulin drugs. I ask because i have read in so many places that long-lasting high sugars can cause many complications, yet i cannot say for sure that those symptoms were related or will cause damange eventually. All I know is that i have a little bit of proteinuria from the tests.

Maybe I should have posted this on complications, but it also has to do with pre-diagnosis symptoms?

Thank you for reading -- it's the old which came first - the chicken or the egg question. I think medicine is full of such puzzles.

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Old 11-21-2011, 06:24   #2
 
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Your thingy says you are type 2, diagnosed in 2010, but you are asking about pre-diabetes. You probably know a person can't go from being type 2 to being pre-diabetic, and although some diabetics are able to get their bgs down into the range of a pre-diabetic and keep them there, they are still type 2. So to respond to your post, I will assume you were diagnosed pre-diabetic.

Your questions can't be answered in a few words, so here is a link where you can read about pre-diabetes.

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Old 11-21-2011, 12:08   #3
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Originally Posted by Gizmo View Post
Your thingy says you are type 2, diagnosed in 2010, but you are asking about pre-diabetes. You probably know a person can't go from being type 2 to being pre-diabetic, and although some diabetics are able to get their bgs down into the range of a pre-diabetic and keep them there, they are still type 2. So to respond to your post, I will assume you were diagnosed pre-diabetic.

Your questions can't be answered in a few words, so here is a link where you can read about pre-diabetes.
I think you misunderstood me Gizmo. I may have misled you in the way i described the sequence of events. For the first 10 years, maybe 7, prior to being diagnosed as Diabetes 2, i had symptoms which may have been those of a prediabetic. On the other hand, they may have been symptoms related to other problems. Near the diagnosis though, (3 months prior to) there is no question it was diabetes 2 as my medical team recognized. I guess the question is, can you have prediabetes for a long time before it reached Diabetes 2.

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Old 11-21-2011, 14:05   #4
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I had symptoms of diabetes for 20 years before being diagnosed last year. When I was diagnosed I looked at some of my old blood labs from high school and yup... I had a high fasting blood sugar.

So based on my experience, you can go a LONG time undiagnosed.... *grumble* stupid ignorant doctors *mutter*

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Old 11-21-2011, 14:31   #5
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I had symptoms of diabetes for 20 years before being diagnosed last year. When I was diagnosed I looked at some of my old blood labs from high school and yup... I had a high fasting blood sugar.

So based on my experience, you can go a LONG time undiagnosed.... *grumble* stupid ignorant doctors *mutter*
Hee hee, yup -- the idea has crossed my mind, that this global epidemic of diabetes (whatever its cause - i'm not going there now), is going to cost many countries a lot of money. And that, perhaps more vigilance could have been paid to yearly checkups. I think in my parents' time there was such a thing. But unfortunately, other big projects, such as military expenditures took priority in many countries. Of course, this is assuming that prediabetes is a progressive disease. Maybe the beta cells deteriorate or the lock and key thingy does, be it due to genetic causes, gradually or acutely, due to environmental, or external, e.g. viruses.

I guess even in a perfect world, with a regular check-up, the question remains -- can you reverse this disorder entirely? If not then delay the complications with a high mortality. I think from my experience had I been left without insulin oral meds I would surely die soon, well maybe soonish, or sooner. :-)

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Old 11-21-2011, 15:29   #6
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I guess to answer your question, most people with diabetes or Pre-D have had it coming on for a long time, (yrs) before being Dxed with the disease.

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Old 11-21-2011, 15:43   #7
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I guess to answer your question, most people with diabetes or Pre-D have had it coming on for a long time, (yrs) before being Dxed with the disease.
"most" is the operative word i guess - esp. for hereditary histories; but there are other causes as well; whatever, frequent tests might show a progression or not;

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Old 11-21-2011, 15:49   #8
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What is it that you want to test, glucose levels. The unsuspecting individual (like myself) relates the ill feeling before Dx to something other than Diabetes. A little more than 2 yrs after being Dxed my BG level have been constantly between 70-90 with the occasional spike over 100 for a short period of time. My FBG is between mid 70's to mid 80's depending on how I slept during the night. Diabetes may progress, but your BG levels can remain at a some what normal level.



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"most" is the operative word i guess - esp. for hereditary histories; but there are other causes as well; whatever, frequent tests might show a progression or not;

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Old 11-21-2011, 15:53   #9
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What is it that you want to test, glucose levels. The unsuspecting individual (like myself) relates the ill feeling before Dx to something other than Diabetes. A little more than 2 yrs after being Dxed my BG level have been constantly between 70-90 with the occasional spike over 100 for a short period of time. My FBG is between mid 70's to mid 80's depending on how I slept during the night. Diabetes may progress, but your BG levels can remain at a some what normal level.
Yes, the glucose levels. I think that is the most indicative test of diabetes mellitus, with urine tests. To have diabetes without high blood sugar, might be diabetes insipidus or just not high enough to be detected.

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Old 11-21-2011, 16:02   #10
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There are no tests for type 2 diabetes to test for the disease itself. It is a diagnosis of symptoms, insulin resistantance from C-peptide, elevated BG levels, etc. Once you get your BG level back to normal and you over come IR, other than an GTT tests which again would be a symptom of the disease. They have isolated several genetic markers which would indicate the possibility of getting the disease.

Myself I have no outwardly signs of the disease any more, no neuropathy, no high BG levels, no urination problems, or any other symptoms of the disease, my A1C is 4.6. By all medical standards I do not have a problem with Diabetes any more, but should I break from my routine, it would certainly rear its ugly head.

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