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.
Because prediabetes is
the time that we can best
make results and impact if we
can help the patient intervene
and change their behaviors.
Now, you know, the difference
between pre-diabetes and diabetes
is all about the lab
So we've defined hemoglobin
A1C, we've got it listed.
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.
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.
Because you can still have damage
in that pre-diabetes time frame.
So, let's continue our review.
Remember the onset of type 2
diabetes is usually gradual.
Remember that statistic,
average person has had type 2 diabetes
for six and a half years
before it's diagnosed.
Now, the patient can experience elevated
glucose without additional symptoms.
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.
So these pre-diabetes labs
You need a really start
focusing in on these labs.
So these blood glucose levels
are elevated above normal,
but they're not high
enough to get there.
These are lab values you
need to commit to memory.
I'm always telling you.
You don't have to memorize
this, just look at this concept.
These you need to
commit to memory.
Okay, so make sure you're solid
on what these lab values are.
Hemoglobin A1C, a fasting plasma
glucose and 2-hour plasma glucose level.