Pre-diabetes is a serious medical condition that can be treated. The good news is that the recently completed Diabetes Prevention Program study conclusively showed that people with pre-diabetes can prevent the development of type 2 diabetes by making changes in their diet and increasing their level of physical activity. They may even be able to return their blood glucose levels to the normal range.

While the DPP also showed that some medications may delay the development of diabetes, diet and exercise worked better. Just 30 minutes a day of moderate physical activity, coupled with a 5-10% reduction in body weight, produced a 58% reduction in diabetes.

The American Diabetes Association is developing materials that will help people understand their risks for pre-diabetes and what they can do to halt the progression to diabetes and even to, “turn back the clock” In the meantime, ADA has a wealth of resources for people with diabetes or at risk for diabetes that can be of use to people interested in pre-diabetes.

Nutrition

Knowing what to eat can be confusing. Everywhere you turn, there is news about what is or isn’t good for you. Some basic principles have weathered the fad diets, and have stood the test of time. Here are a few tips on making healthful food choices for you and your entire family.

• Eat lots of vegetables and fruits. Try picking from the rainbow of colors available to maximize variety. Eat non-starchy vegetables such as spinach, carrots, broccoli or green beans with meals.
• Choose whole grain foods over processed grain products. Try brown rice with your stir fry or whole wheat spaghetti with your favorite pasta sauce.
• Include dried beans (like kidney or pinto beans) and lentils into your meals.
• Include fish in your meals 2-3 times a week.
• Choose lean meats like cuts of beef and pork that end in “loin” such as pork loin and sirloin. Remove the skin from chicken and turkey.
• Choose non-fat dairy such as skim milk, non-fat yogurt and non-fat cheese.
• Choose water and calorie-free “diet” drinks instead of regular soda, fruit punch, sweet tea and other sugar-sweetened drinks.
• Choose liquid oils for cooking instead of solid fats that can be high in saturated and trans fats. Remember that fats are high in calories. If you’re trying to lose weight, watch your portion sizes of added fats.
• Cut back on high calorie snack foods and desserts like chips, cookies, cakes, and full-fat ice cream.
• Eating too much of even healthful foods can lead to weight gain. Watch your portion sizes.

Exercise

The journey of a thousand miles begins with a single step. Exercise works the same way. Taking that first step can be hard, especially if you’ve been diagnosed with diabetes. Remember — it’s never too late. You can always improve your level of fitness.