Prediabetes (Nursing)

00:01 So, we're talking about what do we do with patients? How do we help them bridge the gap? If they're normal glucose, what happens how do they end up in type 2? What we've introduced this and other video series, but it's worth discussing again.

00:12 Because prediabetes is the time that we can best make results and impact if we can help the patient intervene and change their behaviors.

00:21 Now, you know, the difference between pre-diabetes and diabetes is all about the lab work, right? So we've defined hemoglobin A1C, we've got it listed.

00:30 Lesson 5.7 is considered normal, 5.7 to 6.4 hemoglobin A1C is pre-diabetes but greater than 6.5 greater than or equal to 6.5 % on a hemoglobin A1C is a definite diagnosis of type 2 diabetes.

00:49 But it's that free diabetes where the blood sugar is a little bit high, right, might be a little bit high might be really more than a little bit high where we can intervene and help make a difference with that patient.

01:02 Because you can still have damage in that pre-diabetes time frame.

01:07 So, let's continue our review.

01:09 Remember the onset of type 2 diabetes is usually gradual.

01:14 Remember that statistic, average person has had type 2 diabetes for six and a half years before it's diagnosed.

01:22 Now, the patient can experience elevated glucose without additional symptoms.

01:25 So that's why they're unaware, fact that pancreas may not have taken a hit of like up to 50 to 80% of those beta cells are not functioning before it's recognized in the patient is diagnosed.

01:40 So these pre-diabetes labs You need a really start focusing in on these labs.

01:48 So these blood glucose levels are elevated above normal, but they're not high enough to get there.

01:54 These are lab values you need to commit to memory.

01:57 You know, I'm always telling you.

01:58 You don't have to memorize this, just look at this concept.

02:01 These you need to commit to memory.

02:03 Okay, so make sure you're solid on what these lab values are.

02:07 Hemoglobin A1C, a fasting plasma glucose and 2-hour plasma glucose level.