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Call for greater awareness and identification of Pre diabetes

Only a small percentage of American adults with pre diabetes are aware that they are at high risk of developing type 2 diabetes. In 2006 almost 30% of the US adult population had pre diabetes but most of these people (more than 90%) were unaware of their pre diabetes status according to a study by Geiss and colleagues published in The American Journal of Preventive Medicine.

Pre diabetes is a condition in which individuals have blood sugar levels higher than normal but not high enough to be diagnosed as diabetic. It is important to identify people with pre diabetes as they have both an increased risk of developing type 2 diabetes and cardio vascular disease compared to people with normal glucose levels. Consider this, up to 65% of people with pre diabetes may go on to develop type 2 diabetes compared to less than 5 % of those with normal blood glucose levels.

The World Health Organization (WHO) estimates that in 2010 20 million people worldwide have diabetes and that the number will reach 330 million by 2025. This growth of nearly 25% is driven by the increasing prevalence of obesity world wide (which experts have described as having reached epidemic proportions.) Unless action is taken by individuals, health care professionals, and by governments worldwide to change predicted estimates of diabetes, the losses due to premature illness and death will be great. Diabetes will become an immense economic burden both from direct health care costs and indirect costs resulting from reduced productivity and increased absenteeism in the workplace.

The evidence is in; lifestyle changes (dietary modification, weight loss, and increased exercise) can prevent diabetes. In fact in their 2002, 2004, 2006, 2008, and 2010 position statements, the American Diabetes Association (ADA) stated that among individuals at high risk for developing type 2 diabetes, structured programs that emphasize lifestyle and dietary changes, modest weight loss (about 5-7% of starting weight) and exercise should be the first choice to prevent or delay diabetes.

Nonetheless, according the recent study by Geiss et. al (2010) only a small percentage of US adults are aware of their pre diabetes and therefore high risk for diabetes status. The authors call for increased awareness and identification of diabetes in order to initiate preventative interventions.

Geiss LS et. al (2010) Diabetes Risk Reduction Behaviours among US adults with Pre diabetes. American Journal of Preventive Medicine, 38(4):403-409.

American Diabetes Association and National Institute of Diabetes, Digestive and Kidney Disease. (2002) The prevention or delay of Type 2 Diabetes (position statement) Diabetes Care, 25:742-749.

American Diabetes Association (2004) Prevention or Delay of Type 2 Diabetes (position statement) Diabetes Care 27 (Suppl. 1):S47–S54.

American Diabetes Association. (2006) Nutrition Recommendations and interventions for diabetes: a position statement of the American Diabetes Association. Diabetes Care, 29:2140-2157.

American Diabetic Association (2008) Nutrition Recommendations and interventions for diabetes: a position statement of the American Diabetes Association. Diabetes Care, 31

American Diabetes Association (2010) Standards of Medical Care in Diabetes – 2010. Diabetes Care, 33:S11-S61


Lisa Fouladi Balance Ur Bod Nutrition Consultancy

Lisa, principle consultant and founder of balance ur bod nutrition consultancy is a qualified nutrition therapist (dip.ION), a Nutrition Therapy Council registered practitioner, and a current member of the British Association of Applied Nutrition and Nutrition Therapy (BANT) and is bound by their codes of ethics and practice. She is fully insured, and dedicated to continuous study of current research and industry developments through Continued Professional Development (CPD).

In keeping with her quest for knowledge, Lisa is currently enrolled in yet another degree program, an MSc at the University of London (London School of Hygiene and Tropical Medicine) which she hopes to complete someday.

Although based in Zürich, Switzerland, she sees clients in the Geneva area, in Germany (Münster area) and in the UK (London and Windsor areas).

Lisa conducts one to one consultations with clients, advising on all aspects of nutrition and the effect food and lifestyle choices have on health and well being. Lisa works closely with her clients, assessing and identifying imbalances and individual needs, and supporting them in making the necessary dietary and lifestyle changes. She is deeply committed to supporting her client’s health through nutrition and stays at their side throughout the process.