Important Facts for Prediabetes
DefinitionPrediabetes is a condition where blood sugar levels are elevated but not high enough to reach a threshold for diabetes.
NumeratorNumber of adults who have been told by a doctor they have prediabetes.
DenominatorAll Utah adults.
Data Interpretation IssuesData for this indicator come from the Utah Behavioral Risk Factor Surveillance System (BRFSS), a telephone survey that asks adults to self-report whether or not they have certain conditions. Respondents were asked to report if they had ever been told by a health care professional if they had prediabetes. The term "prediabetes" is often called impaired fasting glucose or insulin resistance. It is also sometimes referred to as "borderline diabetes." An individual may actually have "prediabetes" but respond with "No," as he or she may be interpreting the question literally. Respondents who answer "Yes" to the question, "Have you ever been told by a doctor or other health professional that you have prediabetes or borderline diabetes?" are considered to have prediabetes. In addition, individuals who volunteer that they have prediabetes or borderline diabetes but answered "No" in response to the question, "Has a doctor, nurse, or other health professional EVER told you that you had diabetes?" are also counted as having prediabetes.
Why Is This Important?The threshold for a clinical diagnosis of diabetes is 126 mg/dL (note that a diagnosis for diabetes generally requires at least two blood sugar tests for confirmation of the diagnosis). The American Diabetes Association defines "prediabetes" as a fasting plasma glucose level between 100 mg/dL and 125 mg/dL. A1C tests are commonly used for diagnosing prediabetes (greater than or equal to 5.7% and less than 6.5%). Another test used is the Oral Glucose Tolerance Test. Values between 140 mg/dL and 199 mg/dL indicate prediabetes. Diabetes can be a serious, deadly, and costly disease. Although blood sugar levels for prediabetes do not meet the clinical threshold for a diagnosis of diabetes, individuals with prediabetes still have an increased risk for type 2 diabetes, heart disease, and stroke. These individuals are at a greatly elevated risk for developing diabetes; however, many of them are unaware of their condition. Approximately half of individuals diagnosed with prediabetes progress to overt diabetes within ten years. Steps can be taken to prevent progression. Simple lifestyle changes, such as losing weight, eating more fruits and vegetables, and increasing physical activity, can reduce the risk of conversion to type 2 diabetes. In simple terms, prediabetes is what precedes diabetes. And, if you don't change some behaviors, you may get diabetes. More information about the clinical thresholds for prediabetes can be found at [http://www.diabetes.org/diabetes-basics/diagnosis].
Healthy People Objective D-1:Reduce the annual number of new cases of diagnosed diabetes in the population
U.S. Target: 7.2 new cases per 1,000 population aged 18 to 84 years
State Target: 7.2 new cases per 1,000 population aged 18 to 84 years