In every issue of WebMD the Magazine, we ask our experts to answer readers' questions about a wide range of topics. In our January-February 2011 issue, we asked WebMD's diabetes expert, Michael Dansinger, MD, to answer a question about the link between prediabetes and diabetes.
Q: At my last checkup, my doctor told me I have prediabetes. Does that mean I'll ultimately develop diabetes?
A: Almost everyone who develops type 2 diabetes develops prediabetes first. But not everyone who has prediabetes...
In comparison, only 6% to 8% of people who took medicine, but didn’t have surgery, showed similar results.
Surgery may not be right for you. It's a big commitment that lasts long after the operation is over.
Find out about the different operations, who they're for, and the pros and cons.
Are You a Candidate?
Before you get serious about having surgery, your doctor will consider two things:
Is your BMI 35 or higher?
Have you tried to lose weight and keep it off without success?
If so, he will give you a thorough checkup and ask you questions to see if you are physically and mentally ready for the operation and the major changes you'll need to make.
For example, you'll need to eat a lot less and make a healthy diet and exercise part of your life forever.
Depending on your particular case, other doctors may also need to get involved. For instance, if you have heart disease, your cardiologist would also need to approve you getting bariatric surgery.
Types of Weight Loss Surgery
There are different kinds of operations. Some help you lose weight by shrinking the size of your stomach so you feel full after small meals. Others help with weight loss by changing the way your body absorbs calories, nutrients, and vitamins. Still other surgeries do both.
The surgeon makes a small stomach pouch by dividing the top of the stomach from the rest of it. When you eat, food goes to the small pouch and bypasses the top of the small intestine. The result: You get full faster and absorb fewer calories and nutrients.
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Your level is currently
If the level is below 70 or you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.
People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.
Congratulations on taking steps to manage your health.
However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.
Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.
Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.
One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.
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