Watching your waistline is not just about vanity, it’s about health

Written by:

Dr Mark Vanderpump

Endocrinologist

Published: 31/05/2017
Edited by:


Despite the increased concern about our nation’s obesity and the fact that type 2 diabetes has tripled over the last 30 years, the term “prediabetes” has been recognised relatively recently.

Usually diagnosed between the ages of 40 and 70, prediabetes is when your blood sugar level is higher than it should be but not high enough to be considered as being within the diabetes range. However, associated with an increased risk of heart disease, high blood pressure and high cholesterol - it should not be dismissed.

What causes prediabetes?

If you’re overweight, especially if you carry fat centrally around your abdomen, your body is likely to be more insulin-resistant, meaning that it either doesn’t make enough insulin or it doesn’t use it well. For European men, this applies when the waist is greater than 102cm (40 inches) and for women, and Asian men,  when it’s more than 88cm (34.5 inches). And I hate to tell you this, but most people believe their waist to be least 7.5 cm (3 inches) less than it actually is. Sorry!

How is it diagnosed?

A blood test called glycosylated haemoglobin (HbA1c) assesses blood sugar levels over the preceding three months.

Take control if you have been diagnosed with prediabetes

Fortunately around 80% of cases can be delayed or prevented by actively pursuing a healthier lifestyle which entails:

• losing weight

• a low salt, sugar and fat diet which is rich in fruit and vegetables

• being more physically active and taking moderate exercise, such as walking 30 minutes per day for 5 days a week

Book online