Prediabetes & Prevention Oskaloosa IA

The problem of prediabetes, defined as overly high blood sugar (a fasting glucose level of 100 to 125 milligrams per deciliter or a two-hour glucose reading of 140 to 99), isn't just that it's the stepping'stone to the full-blown disease.

Gregory C Doelle
(319) 353-7826
200 Hawkins Dr
Iowa City, IA
Specialty
Internal Medicine, Endocrinology, Diabetes & Metabolism

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Udaya Manchar Kabadi, MD
(319) 338-0851
601 Highway 6 W University Of Iowa Hospital & Clin
Iowa City, IA
Specialties
Endocrinology, Diabetes, & Metabolism
Gender
Male
Education
Medical School: Seth G S Med Coll, Univ Of Bombay, Bombay, Maharashtra, India
Graduation Year: 1966

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Alan Kent Munson
(515) 239-4414
1015 Duff Ave
Ames, IA
Specialty
Reproductive Endocrinology

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Pierre Theuma, MD
(515) 643-5100
718 55th St
Des Moines, IA
Specialties
Internal Medicine, Endocrinology, Diabetes & Metabolism
Gender
Male
Education
Medical School: Univ Of Malta, Med Sch, Guardamangia, Ma
Graduation Year: 1992

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Christina L Orr, MD
200 Hawkins Dr
Iowa City, IA
Specialties
Endocrinology, Diabetes, & Metabolism
Gender
Female
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd, 57069
Graduation Year: 1996

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Bradley J VanVoorhis
(319) 356-4536
200 Hawkins Dr
Iowa City, IA
Specialty
Obstetrics & Gynecology, Reproductive Endocrinology

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Sanford M Markham
(319) 356-2638
200 Hawkins Dr
Iowa City, IA
Specialty
Obstetrics & Gynecology, Reproductive Endocrinology

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Jaspreet K Chahal, MD
(319) 384-7116
200 Hawkins Dr # E401-5GH
Iowa City, IA
Specialties
Endocrinology, Diabetes, & Metabolism
Gender
Male
Education
Graduation Year: 2007

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Sanford Max Markham, MD
(319) 356-2638
200 Hawkins Dr
Iowa City, IA
Specialties
Obstetrics & Gynecology, Reproductive Endocrinology
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1960

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Richard Paul Carano, MD
(515) 292-1418
5521 Hickory Hills Dr
Ames, IA
Specialties
Endocrinology, Diabetes, & Metabolism
Gender
Male
Education
Medical School: University of Iowa: MD: 1981
Graduation Year: 1981

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Heal Thyself - Spotlight on Prediabetes

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By Christie Aschwanden

When Karen Bouse was in her late forties, a series of puzzling dizzy spells sent her to the doctor’s office. It turned out the dizziness was linked to stress, but the blood tests her doctor ordered yielded an unpleasant surprise—Bouse was prediabetic.

Like most of us, Bouse was well aware of the epidemic of diabetes that’s been wreaking havoc with the health of some 18 million Americans. But she was taken aback to learn that another 41 million of us suffer from prediabetes—a condition that’s risky in its own right—and that she was one of them.

The problem of prediabetes, defined as overly high blood sugar (a fasting glucose level of 100 to 125 milligrams per deciliter or a two-hour glucose reading of 140 to 99), isn’t just that it’s the stepping-stone to the full-blown disease. A study of more than a million people published last January found that just being prediabetic was linked to developing, and dying from, several types of cancer. “And simply having blood sugar levels in the prediabetic range puts people at 50 percent greater risk of heart disease or stroke,” says Massachusetts General Hospital dietitian Linda Delahanty, author of Beating Diabetes.

For Bouse, now 62, these statistics hit close to home. Her diabetic mother had her first heart attack at age 56 and died at 62. Among her five siblings, Bouse is the only one who hasn’t either developed diabetes or suffered a heart attack.

That’s largely because she was lucky enough to have gotten tested early—something more of us should be doing, says endocrinologist Robert Rizza, president-elect of the American Diabetes Association. Since prediabetes lurks silently, most people who have it don’t have a clue they’re in danger. If you’ve been steadily gaining weight that you can’t seem to shed, don’t exercise regularly, have a family history of diabetes, or are over 45, you should have your blood sugar checked, then rechecked every three to five years.

And if it’s high, what then? At least there’s one bright spot in this dreary picture: Prediabetes can be reversed, without resorting to medication. Here’s what you need to do.

Get moving
One of the simplest ways to move yourself out of the prediabetic category is to, well, move.

A landmark study published in the New England Journal of Medicine in 2002 showed that building even a little exercise into your day (along with dietary changes, more about which later) can substantially cut blood sugar levels.

The trial, known as the Diabetes Prevention Program (DPP), enrolled 3,234 prediabetic people to examine whether diabetes could be prevented. The participants were assigned to one of three groups. One took the diabetes drug metformin, another group got a placebo, and the third started exercising and tweaked their diets.

The results were so dramatic that researchers stopped the trial early so that everyone in the study could take up the lifestyle program. People in the diet and exercise group reduced their...

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