Prediabetes

Prediabetes is an intermediate condition between the normal physiology and diabetes. The normal metabolism of the body changes and goes towards diabetes. The blood glucose level increases beyond the normal range but does not reach the level needed to diagnose diabetes.

In prediabetes, before finding the changes in blood glucose level, insulin resistance, fatty liver, and beta cell dysfunction were started.
Generally, prediabetes is an asymptomatic condition that manifests as IFG and IGT. Fasting hyperglycaemia is known as “impaired fasting glucose” (IFG) because of impaired insulin secretion and diminished suppression of nocturnal hepatic glucose production. Postprandial hyperglycaemia, which represents “impaired glucose tolerance,” is caused by insufficient insulin secretion due to insulin resistance. According to International Diabetes Federation (IDF) data, approximately in 2021, 541 million people had prediabetes (impaired glucose tolerance), which means they were at risk of developing diabetes.

Annually, 5–10% of people with prediabetes convert to diabetes, and at the same time, the same percentage of people return to normal through exercise and lifestyle changes, which reduces the conversion rate by 40–70%. Based on the American Diabetes Association, prediabetes is defined as fasting plasma glucose of 100 mg/dL–125 mg/dL, a glycated haemoglobin (HbA) value of 5.7%–6.4%, or an elevated plasma glucose level after an oral glucose tolerance test (140–199 mg/dL).

The Diagnostic Criteria for Prediabetes

For Asian Indians, a yearly screening is recommended for people over the age of 30. Agasthi Siddha tries to normalise the prediabetic person through their herbal products. It can help improve metabolic conditions.