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Community Q&A: Diabetic Patients’ Questions and Answers

I had a healthy HbA1c level of 5.6 three months ago. I maintain a well-controlled weight with a normal BMI, and I engage in regular physical activity, including 30 minutes of walking most days. As a housewife, I am constantly on the move while managing household chores. However, my concern arises from the fact that both of my parents have diabetes, my brother is prediabetic and has heart issues, and recently, on a few different occasions, my self-tested finger prick blood glucose readings ranged between 140 and 170. Although the majority of the time my readings are normal and well below 130 two hours after meals, I fear that I may develop diabetes. What steps should I take to address this concern? I am scared.

Thank you, Bushra, for sharing your concerns regarding your blood glucose levels and the family history of diabetes. We understand that you are worried about the possibility of developing diabetes and would like guidance on what steps to take.

Firstly, it’s important to acknowledge that family history can be a risk factor for diabetes. Having both parents with diabetes and a prediabetic brother does increase your likelihood of developing the condition. However, it’s essential to remember that diabetes is a complex disease influenced by various factors, including genetics, lifestyle choices, and overall health.

It’s encouraging to hear that you have maintained a healthy weight with a normal BMI and engage in regular physical activity. These lifestyle choices play a significant role in reducing the risk of developing diabetes. Additionally, your self-tested finger prick blood glucose readings mostly falling within the normal range and well below 130 two hours after meals are positive indications.

To address your concerns and ensure optimal health, we recommend the following steps:

Regular Check-ups

Schedule an appointment with your healthcare provider to discuss your family history of diabetes, your recent blood glucose readings, and any other health concerns. They can assess your overall health, perform additional tests if necessary, and provide personalized advice and guidance.

Diabetes Screening

Considering your family history and occasional higher blood glucose readings, your healthcare provider may recommend periodic diabetes screenings. These screenings can help detect any early signs of diabetes or prediabetes and enable timely intervention and management.

Balanced Diet

Continue following a healthy, balanced diet. Focus on consuming a variety of nutrient-rich foods, including whole grains, lean proteins, fruits, vegetables, and healthy fats. Limit your intake of processed foods, sugary beverages, and excessive carbohydrates. A registered dietitian can provide personalized dietary recommendations based on your specific needs and goals.

Lifestyle Habits

Maintain your current active lifestyle by incorporating regular physical activity into your daily routine. Engaging in activities like walking, household chores, and other forms of exercise can contribute to overall well-being and help manage weight.

Regular Monitoring

Continue monitoring your blood glucose levels as advised by your healthcare provider. Self-testing can provide valuable insights into how your body responds to different foods and activities. If you notice any significant or persistent changes in your blood glucose levels, inform your healthcare provider for further evaluation.

Remember, while family history can increase your risk, it does not guarantee that you will develop diabetes. By proactively managing your lifestyle, staying vigilant about monitoring, and seeking guidance from healthcare professionals, you are taking important steps to maintain your health and reduce the likelihood of developing diabetes.

If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider. They are best equipped to provide personalized advice based on your specific circumstances.

Wishing you good health and well-being.

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