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Answers from the BJC Experts

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I am pre-diabetic per my doctor. I eat healthier and have been exercising after dinner for the past three weeks. Still my blood glucose is in 160-170 4 hours after dinner. I don’t want to be on meds. Any advice?

Lifestyle changes can help you stay in the pre-diabetic range for many years. Diabetes is a progressive disease, so most people require medication eventually.
Counting carbohydrates and exercise are key to keeping glucose in a safe range. Good management means glucose levels of under 180 mg/dl. So, you are in a healthy range. Ideally, fasting levels and pre-meal levels should be less than 130 mg/dl. Post meal levels of 160-170 mg/dl can be lowered by exercise, so that is a good plan. Your A1c reading will give you and your doctor another clue on diabetes management. A1c goals should be 6.5 percent or less for most people. It is smart to have that test done every 3 to 4 months.

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