The People's Perspective on Medicine

Will Prediabetes Put Your Heart and Kidneys at Risk?

People with elevated blood sugar that doesn't reach the level of diabetes are nonetheless more likely to develop heart and kidneys complications.
Blood glucose monitor, diabetes,

The high blood sugar of diabetes is associated with damage to the heart and kidneys. Just how much does slightly elevated blood sugar, termed prediabetes, affect health? Doctors define prediabetes as fasting blood sugar between 100 and 125 mg/dl. (Various organizations and experts may have slightly different cut-off points, but they are all reasonably close.) This elevated blood sugar, though not yet considered diabetes, results in glycosylated hemoglobin (HbA1c) of 5.7 to 6.4 percent. This is a way of measuring blood sugar over a period of several weeks.

How Does Elevated Blood Sugar Affect the Heart and Kidneys?

Scientists at the Centers for Disease Control and Prevention in Atlanta wondered whether prediabetes makes sense as a diagnostic term (Ali et al, The Lancet Diabetes & Endocrinology, online Feb. 27, 2018). How risky is this elevated blood sugar? To find out, the researchers tracked the health of roughly 28,000 adults for 25 years.

They used data from the National Health and Nutrition Examination Surveys to examine how prediabetes affects cardiovascular and kidney health. The survey periods included 1988-1994; 1999-2004; 2005-2010; and 2011-2014. Even slight elevations in blood sugar were associated with an increased risk of both heart and kidney disease.

Moreover, the researchers found that as the proportion of people with prediabetes rose, so did the prevalence of high blood pressure and elevated blood fats such as cholesterol. Over time, fewer people smoked but more had high blood presure. People who had been diagnosed with diabetes were far more likely to be taking medication for their high blood pressure and high cholesterol.

Can You Protect Your Heart and Kidneys?

Hopefully, people with prediabetes who control their glucose levels with diet and exercise will prevent complications of the heart and kidneys. They may also need to pay attention to blood pressure and blood fats, and take steps to bring them under control as well. In some instances, this may require medication.

If you would like guidance on natural approaches to blood sugar control, you may wish to read our Guide to Managing Diabetes. Although it was written primarily for people with type 2 diabetes, those with prediabetes can benefit from the suggestions as well. You might also want to listen to our interview with Dr. Matthew Longjohn of the YMCA, Dr. Karen Lawson of the University of Minnesota and Dr. Tieraona Low Dog, a founding member of the American Board of Integrative Medicine. It is Show 1036: How to Prevent Diabetes by Changing Your Life.

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    About the Author
    Terry Graedon, PhD, is a medical anthropologist and co-host of The People’s Pharmacy radio show, co-author of The People’s Pharmacy syndicated newspaper columns and numerous books, and co-founder of The People’s Pharmacy website. Terry taught in the Duke University School of Nursing and was an adjunct assistant professor in the Department of Anthropology. She is a Fellow of the Society of Applied Anthropology. Terry is one of the country's leading authorities on the science behind folk remedies. .
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    In 1995, I had a heart attack. No surgery, but I was given a beta blocker, baby aspirin and told to watch my diet. Statins were new, so I requested some. Took several kinds over the years until I took Crestor. Significantly change the numbers, but gave aches I never had before. I stopped all statins. I was congruently given high dose niacin. As I read, sometime later, these things can raise your sugar enough to get a diabetes diagnosis and ensuing pills.

    That’s exactly what happened. Plus, a slow movement toward wheezing and more pills for asthma symptoms. I have taken atenolol, carvedilol, Losartin and lisinopril (should be taken off the market). I’m currently back to atenolol and still have sugar pills and asthma pills. I didn’t realize how medications can lead to branches of diagnoses maybe one doesn’t need, but it may be too late. I’m bewildered and disgusted. In addition, as one acquires these, they go on your health record as a ‘pre-existing’ precluding you from ever changing your insurance.

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