How can I prevent prediabetes or diabetes?

Eat healthy and keep moving, urges Todd Shaffer, a family
physician in Kansas City, Missouri: “Being overweight is a common precursor to diabetes.” He advises a Mediterranean diet rich in whole grains, protein, and fiber. Limit carbs and processed foods. Exercise helps boost your metabolism — the rate at which you turn food into energy instead of storing it as fat.

Is prediabetes reversible?

In many people who make long-lasting changes, the elevated levels of blood sugar known as prediabetes may be reversible, says Dr. Shaffer. Diet and exercise can prevent or delay the onset of diabetes for years. “Diabetes is hereditary — if it runs in your family, tell your physician so they can monitor you closely.” 

Could diabetes cause me to lose my feet?

What patients with diabetes fear most: losing a limb. Poor circulation and severe nerve damage can lead to severe foot ulcers and potential invasion to the bone. Fortunately, amputation rates have dropped by more than half in the last 20 years, thanks to better diabetes management. “It’s important to have a family physician who will help you make lifestyle changes,” says Dr. Shaffer.

If I get diabetes, will I need to be on insulin?

Your body makes insulin to help break down food for energy. But if you have Type 2 diabetes, the insulin you make doesn’t work as it should. Your doctor can prescribe oral medications, but a third of people with diabetes eventually take insulin. Managing your weight and exercising regularly can help you avoid that outcome.