Known as "pre-diabetes", the sugar reduction and tolerance stage is the inevitable development of diabetes. The group of people in this degree of high-risk, are as in the fork: If leave it alone, it will inevitably develop into the genuine diabetes; And if intervene in the aspect of diet, exercise and drug, will reduce 50% of the incidence of diabetes, and there may be the chance back to normal. Go left or right? It is determined by whether they have taken scientifically unremittingly diabetes early intervention therapy
Prediabetes: it is common in the physical examination of the elders
　　Aunt Huang, aged 45, has the glucose of 5.9 cents mole / liter in the morning a year ago in the medical examination, and 10.2 cents mole / liter 2 hours after meal. Doctors said she had prediabetes, need prevention and control so as to avoid further development.  A year later, Aunt Huang aunt took the examination again, and the results of the morning fasting glucose Moore already upgraded to 7.2 cents / liter, and 15.7 cents mole / liter 2 hours after meal, has been diagnosed with diabetes. "Over the past year I have had diet control, why had diabetes?" Aunt Huang was very puzzled.
　　"First of all we have to understand the concept of the pre-diabetes and then could let the patients know how to do the intervention therapy." The pre-diabetes includes two indicators, diabetes early postprandial IGT (IGI), and impaired fasting glucose regulation (IFG). IGI refers to the normal levels of glucose is between 7.8~11.1 cents mole / liter, IFG refers to the abnormal condition that the fasting glucose is between 5.6~7.0 cents mole / liter. This situation is that above the normal person, demonstrated that there are problems with metabolism, it has not yet reached the diagnostic criteria for diabetes, and it is common in the medical examination of the elders.
　　The intervention and treatment of pre-diabetes are also secondary prevention of diabetes. The intervention should be behavioral intervention (including dietary therapy and exercise therapy) and drug intervention both at the same time. Aunt Huang just work hard in the diet therapy, but neglect the effects of exercise therapy and drug intervention, thus did not achieve good control effects, failed to prevent the disease progressing.
Dietary therapy: quantitative and regularly eat rice
　　The main effects of dietary therapy is to have control of the absorbing of the energy, lower the content of unsaturated fatty acids and carbohydrates rate and the content of vitamin. The principle is: control the daily intake total calories; with goal of achieving and control the "standard weight". The height centimeters minus 100, then multiplied by 0.9, the result is the standard weight. For example, if a person with the height of 180cm, the standard weight is （180-100）×0.9=72 kg, lower or higher than 10% of the standard weight are all normal phenomena. Some people are worried about the high sugar contented in food, and are dare to eat it, and even have less rice, this kind of "hunger therapy" could make the body in a state of malnutrition, physical thin, lower resistance capability, could not reached the effective of control. Could not open up lavish, or have plans of diet.
　　The ideal ration of the daily the three major nutrients are: carbohydrates, 60 ~ 70%, fat accounts for 15 ~ 20%, protein accounted for 10 ~ 15%. It is, in other words, low-fat, regular high-quality protein and carbohydrate. The specification should be in accordance with the daily activities, take carbohydrate for example, low activity levels person such as offices people, 1 ~ 1.5 liang rice or noodles in each meal; medium activity levels person 1.5 to 2 liang per meal; people of heavy manual labor, would eat more than 3 liang staple foods. “Some people are worried that carbohydrates such as rice and noodles themselves are a kind of polysaccharide, and dare not to eat them, this is a misunderstanding. As long as mastering the volume, adhere to regular quantitative meal, there will be no problem.”
　　Patients with pre-diabetes are recommended choose lean meat for daily diet, skinless poultry and without fat, skim or low-fat milk, and avoid frying food, Western-style fast food.
　　Exercise therapy: Three times a week, at least 30 minutes a time
　　Exercise can lower the blood glucose, general median exercise could reduce the hypoglycemic and the effect can sustain for 12 hours or so. Studies show that exercise can improve insulin resistance and other metabolic indicators, it can also improve the insulin receptor affinity and increase the sensitivity, lower the blood lipids, and will be good to prevent sudden diabetic vascular disease.
　　Exercise therapy is fit for majority of patients with pre-diabetes, it is best to guarantee exercise for at least three times a week, at least 20 to 30 minutes of moderate intensity a time, such as jogging, stair climbing, hiking, swimming, biking, and so on. But should avoid violent and confrontational activities, should adopt the mild and moderate physical exercise and physical activity. How to grasp the degree? Sustain for a while and maintain certain intensity with the tolerance of the brain and heart, specifically speaking, it is to exercise until sweating slightly, and gradually increase. Pre-diabetes patients are generally weak physique, before the exercise therapy should precede a short period of light physical activity, then gradually increase the time for physical activity and exercise with the increase of physical strength,. In the good morning, with good air, can do morning exercises, but we must pay attention to avoid catching cold, and prevent the occurrence of low blood sugar. Inappropriate exercise or too tense or exciting sport could not only fails to reach the appropriate effect, but also sometimes make blood sugar rise.
　　But bearing in mind, patients with serious heart, liver, brain, kidney disease, are not appropriate to take exercises. That can be done only after the conditions be stable , and could only take relaxed activities, such as walking, and so on.
How to do drug intervention
　　In recent years, many domestic and foreign researches confirmed that on the basis of the diet therapy and exercise therapy, the drug intervention can more effectively deal with pre-diabetes. Especially for some of IGT, by changing their lifestyles, can not effectively reduce their blood glucose, or difficult to change their many years’ lifestyles, can not adhere to long term healthy lifestyle, it is necessary to consider the drug intervention. The suitable drugs are, such as alpha-glucosidase inhibitor and Baidoa sugar-ping. Take 50 mg once, three times a day. The Baidoa sugar-ping could release the digestion and absorption of the carbohydrate in the intestinal, reduced the postprandial blood glucose and fasting plasma glucose, has little side effects, and only a few will have abdominal distension diarrhea after taking, and will not affect on the treatment. Some other Chinese medicine, can not only delay the diabetes transform to pre-diabetes, but can also enhace the conversion rate for the patients with pre-diabetes to be normal.
　　The above three kinds of drugs can improve the patient's insulin resistance and reduce or ease the load insulin beta cells, thus, the disease can be reversed or improved.  Although the patients with pre-diabetes has been temporarily lifted the "warning", but if not adhere to the original treatment, there is also the possibility of recurrence, IGT must "keep the alarm bell ringing", insist on the intervention treatment, not slacking off, could the patients say “no” to diabetes.