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The Healthy Advocate

A medical blog designed to provide readers with pertinent health, medical and rehabilitation information.

By Andrew R. Einhorn MA, Physical Therapist

For the past 59-years I have lived a healthy lifestyle; taken a healthy and disciplined approach to the food I consume. I have always limited my sugar intake and I engage in daily exercise. My close friends think I am too particular about my eating and exercise habits as I avoid excessive sugar products, emphasize eating complex carbohydrates and exercise at every possible opportunity.

I do not think it's excessive to go on a 100-mile bike ride periodically while riding 80-100 miles each week. I have completed a 200-mile (Seattle to Portland) bike ride in 13 hours of ride time. I will admit that sitting on a bike seat for that length of time is a bit much! This level of exercise is not for everyone but this is the type of exercise commitment I have made my entire life.

Over the past three years my diet has been good; I eat low fat home cooked meals at least 5 nights a week (thanks to Wendy my great wife) and continue to watch my sugar intake and exercise. Even with this lifestyle, my blood fasting sugar tests and A1C continued to rise. Last year I was advised that I am now a pre-diabetic!

I have a major genetic link to diabetes that supersedes good life style habits. My mothers' side of the family has many insulin dependent diabetics, which places me into the highest-risk category for diabetes. Genetics trumps everything.

This blog contains information about my new diagnosis and is intended to inform you about what I have learned about diabetes, prevention and management. I will remain disciplined in the battle against diabetes!

Here is the plan: Each edition of "The Health Advocate" will contain informational material that will help you prevent, manage or seek out professional assistance in confronting medical problems. I have chosen my own personal issue as a starting point of this discussion. If this medical condition can happen to me, it can happen to you! I will follow up in the next edition of "The Health Advocate" section with information on blood fasting test results, and the importance of the A1C test.

Here are some FAQ's about pre-diabetes that I obtained from the ADA website.
For further information, click here to visit the American Diabetes Association website as a starting point.

Q: What is pre-diabetes?
A: Pre-diabetes is when a person's blood glucose levels are higher than normal but not high enough to be type 2 diabetic. People with pre-diabetes are more likely to develop type 2 diabetes and may have some problems from diabetes already.

Q: If I have pre-diabetes, will I definitely develop type 2 diabetes?
A: No. Research shows that you can lower your risk for type 2 diabetes by 58% by: Losing 7% of your body weight (or 15 pounds if you weigh 200 pounds).

Exercising moderately (such as brisk walking) 30 minutes a day, five days a week. Don't worry if you can't get to your ideal body weight. Losing just 10 to 15 pounds can make a huge difference. For some people with pre-diabetes, early treatment can actually return blood glucose levels to the normal range.

My Parting Shot

Andrew Einhorn is a frequent user on His professional profile is located at:

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