Perhaps you have read articles on how in to reverse borderline diabetes. Borderline diabetes is also known as pre-diabetes. Borderline diabetes is diagnosed when the blood sugars are out of the normal healthy blood sugar range but not as high as the range used to diagnose diabetes.
Normal blood glucose levels are between 70-99 mg/dl. Essentially less than 100 mg/dl
When the blood glucose level is between 100-125 mg/dl, this is pre-diabetes or borderline diabetes.
Borderline diabetes can lead to type 2 diabetes. The common thread linking borderline diabetes and type 2 diabetes is a condition called Insulin resistance. I explain this in detail in my award-winning book ‘Dr. Eno’s A-to-Z Guide to THRIVING with Type 2 Diabetes’. I compare the effects of insulin resistance to when a landlord changes the locks on a tenant that he no longer wants in his building. When the body’s cells become resistant to insulin, it is not able to pass into the cell to carry out its functions. So insulin gets stuck in the bloodstream where it is of no use. The cells need sugar for energy. Persistently high blood sugars in the bloodstream eventually lead to borderline or type 2 diabetes.
Strategies to reversing borderline diabetes
Diet and exercise
Research has shown that by losing just 5-7% of your current body weight can help to reverse the effects of insulin resistance and diabetes up to 60%.
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In the first three chapters of my book, I write about having the right mindset. I call this the ABCs of living with type 2 diabetes.
The ABCs stand for- the Acceptance that they have diabetes (or in this case pre-diabetes); the Belief that they can make the changes that they need to make in their lives; and finally the Commitment to creating a permanent shift in their way of being.
What happens if diet and exercise do not work in reversing type 2 diabetes?
There is a medication that can help. This medication is called Metformin. Metformin is the only drug approved by the FDA for diabetes prevention.
Metformin acts in two ways to help with blood sugar control:
- It acts to reduce the output of stored sugar from the liver
- It helps to improve the sensitivity of the cells to insulin. In other words it helps to reduce insulin resistance.
Metformin can also help with weight loss.
Metformin is not without it’s side effects. One serious side effect is called lactic acidosis. This is a condition where there is a build up of a poisonous acid in the blood stream. This condition is potentially fatal.
If you are placed on metformin, it is important to have your liver and kidney function checked with blood tests at least every three months. So check with your healthcare practitioner about this. If you have any form of kidney disease then you should not be on metformin.
I am not enthusiastic about placing people with borderline diabetes on medications. I sincerely believe it is possible to reverse and even prevent borderline diabetes from progressing to type 2 diabetes.
This can be accomplished by making intensive lifestyle changes, which includes not only diet and exercise but also a change in mindset.
It starts with the ABCs of diabetes (Acceptance-Belief-Commitment).
To download a free e-book that includes the first three chapters of my book, click here.
Until next week, here’s to your health and wellbeing