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How to Prevent Prediabetes from Turning into Diabetes


in just one decade the number of people with diabetes has more than doubled according to the Centers for Disease Control and Prevention by 2050 one out of every three of us may have diabetes what’s the big deal well the consequences of diabetes are legion number one cause of adil onset blindness the number one cause of kidney failure the number one cause of surgical amputations what can we do to prevent it well the onset of type 2 diabetes is gradual with most individuals progressing through a state of pre-diabetes a condition now striking approximately one in three Americans but only about one in ten even knows it since current methods of treating diabetes remain inadequate prevention is preferable but what works better lifestyle changes or drugs we didn’t know until this landmark study was published in the New England Journal of Medicine thousands were randomized to get a good double dose of the leading anti diabetes drug or diet and exercise the drug metformin is probably the safest diabetes drug there is does cause diarrhea and about half of those who take it makes one for nauseous about one in ten suffer from asthenia from the greek meaning lack of strength causing physical weakness and fatigue but the risk of being killed by the drug it’s only about one in 66,000 every year and the drug worked compared to placebo in terms of the percentage of people developing diabetes within the four-year study period fewer people in the drug group developed diabetes but diet and exercise alone worked better the lifestyle intervention reduce diabetes incidence by fifty eight percent compared to only 31 percent with the drug the lifestyle intervention was significantly more effective than the drug and had fewer side effects more than three-quarters of those on the reported gastrointestinal symptoms though there was more muscle soreness reported in the lifestyle group on account they were actually exercising other studies subsequently found the same result non drug approaches superior to drug based approaches for diabetes prevention and the 50% are so drop in risk was not for people that actually improved their diet and lifestyle but just those instructed to improve their diet lifestyle whether or not they actually did it check this out this is one of the most famous diabetes prevention studies five hundred people with pre-diabetes randomized into a lifestyle intervention or control group and during the trial the risk of diabetes was reduced by that same fifty to sixty percent but only a fraction of the patients met the modest goals even in the lifestyle intervention group only about a quarter were able to eat enough Fineberg meaning whole plant foods and cut down on enough saturated fat which in this country is mostly dairy desert chicken and pork but they did better than the control group and fewer of them developed diabetes because of it but what if you looked just at the folks that actually made the lifestyle changes met at least four out of five of those wimpy goals they had zero diabetes none of them got diabetes a hundred percent drop in risk bottom line type-2 diabetes can be prevented by changes in lifestyle even in high-risk pre-diabetic subjects the fact then that type-2 diabetes a largely preventable disorder has reached such epidemic proportion is a public health humiliation you you

Randall Smitham

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62 COMMENTS

  1. Joal Harding Posted on September 1, 2014 at 12:12 pm

    Can we put this on every nightly news show, 60 minutes, 20/20, morning shows and the like???  Oh how I wish!!!  Thank you Dr. Greger! 🙂

    Reply
  2. Li-San Loves Posted on September 1, 2014 at 1:27 pm

    Great video! Lifestyle and diet is so underrated compared to drugs. More need to know the difference that a whole foods plant based diet can make in reversing the leading causes of death in the western world.

    Reply
  3. Jacob Gray Posted on September 1, 2014 at 1:28 pm

    I plan on becoming an RD and just started my first nutrition class as a sophomore in college.  My teacher is 62 and kept rambling on how "you wear fat" and that there are no bad foods with moderation. I wanted to stand up and throw a tomato at her. I seriously hope when I transfer to a university that the teachers are more educated.

    Reply
  4. theneedledrop Posted on September 1, 2014 at 1:57 pm

    Thanks, Doc!!!!

    Reply
  5. Human Optimization Posted on September 1, 2014 at 3:13 pm

    Incredible!  Good stuff!!!

    Reply
  6. Imaperson Posted on September 1, 2014 at 4:04 pm

    how do they know that 1/3 of Americans have pre-diabetes? sure, clearly they can easily know that the 1/10 of those having pre-diabetes really have it since they've been tested, but given the other 9/10 weren't tested (otherwise surely they'd know it?) how is it known they have it too?

    Reply
  7. Tiago Vasconcelos Posted on September 1, 2014 at 5:19 pm

    In each study you speak about, you should have a little text number close to it indicating the citation source. This way it's easier for the viewer to get access to the study they want.

    Reply
  8. Rj Aquaponics Posted on September 1, 2014 at 6:11 pm

    My A1C was 5.5, yet my doctor's visits continue to center around "Your Diabetes".  My numbers were all excellent.  In 2 years being a Vegan, I went from a diabetic to non-diabetic.

    Reply
  9. Flagday Posted on September 1, 2014 at 6:43 pm

    I am so grateful for the videos you publish. I don't mention it every time but I think it for each and every video. So thank you again !

    Reply
  10. wyvern132 Posted on September 2, 2014 at 1:31 am

    Any information on what the lifestyle changes were in these studies? I am interested to see what types of recommendations they had in terms of diet

    Reply
  11. Lilian Posted on September 2, 2014 at 5:45 am

    Loved the video, thanks Dr. Greger! 🙂
    Could you please do a video about the connection polycystic ovary syndrome and prediabetes? Shouldn't it also disappear with lifestyle changes?
    Please, help!!

    Reply
  12. Spirited Gal Posted on September 2, 2014 at 4:36 pm

    Thank you for what you do. My 74 yr old dad is on day 11 of changing his diet. He went from 237 to 218 pounds already.  He is off his bag full of drugs (with glucose monitoring daily) and he has better skin color and energy than I have seen in a long time!  His constant runny nose has stopped and his eyes are clear and bright.  I can't wait to be able to say he is cured!!!

    Reply
  13. liam314 Posted on September 2, 2014 at 5:24 pm

    It is a mockery of a sham of a travesty . But there is a lot of money to be made in causing and then "treating" degenerative diseases, i.e. the food and drug industry. It would cost the industry tens of billions annually if people switched to a WFPBD which is at odds with big business capitalist ethos.Furthermore, the food and drug industry is the biggest investor in clinical research, so you see ladies and gentlemen capitalism has us all by the short and curlies cos you gotta eat!

    Reply
  14. Edith Spencer Posted on September 3, 2014 at 9:21 pm

    People believe in a magic pill and are more willing to believe in a magic pill than steamed broccoli with a little olive oil and dancing for 30 minutes everyday.

    Reply
  15. historian186 Posted on September 3, 2014 at 9:30 pm

    It is a public health disaster, and it is spreading world wide…

    Reply
  16. Joseph1NJ Posted on September 4, 2014 at 6:24 pm

    I think its important that care providers educate patients not only on exactly what prediabetes is, but what "optimum" FG levels should be. Of course a simple FG test, not even an HBA1C can diagnose diabetes, but a FG test is part of most standard blood panel tests, and a fairly good indicator if further attention is warranted. Most MDs will not even mention your number to you unless you begin to near 100. I think it should be 90. I'm not saying prediabetes should diagnosed at 90, but if someone has a FG of >90, they should be advised to try & adjust diet, exercise, and lifestyle changes to get it down, to around 80 if possible. In other words, why wait until 100?

    Like the good doc said, type II diabetes is one of the most preventable diseases.

    An ounce of prevention… 

    Reply
  17. NutritionFacts.org Posted on September 6, 2014 at 5:39 pm

    Did you hear how we can prevent prediabetes from turning into diabetes?

    Watch this week’s video below or click the link to watch on NutritionFacts.org: http://nutritionfacts.org/video/how-to-prevent-prediabetes-from-turning-into-diabetes

    Reply
  18. Julie MacAndrews Posted on September 7, 2014 at 10:01 am

    We are ALL pre diabetes!! the level differs, thats all. according to our daily diet. most of us eat the wrong types of food. The trouble is , WE EAT WAY TOOOOO MUCH of it.  STOP!!!!!! alter yr eating habits, to HEALTHIER intake, you WILL see the benefits!! QUITE SIMPLE, take the first step to a healthier way of eating n drinking..stop all drugs!! They r only making 'them" richer.. "..eat to live, not living to eat" do this, talk to me in a month….

    Reply
  19. colonyofcells iamamachine2 Posted on September 20, 2014 at 7:57 pm

    After prediabetes, I initially got better with unrefined foods and I was still eating 1 salmon burger every day for the first year. Unrefined vegan diet + vitamin b12 supplement + exercise is probably better for both diabetes prevention and longevity. I try to exercise before and or after each meal and I eat as many meals as I like. Better to avoid the long list of refined foods : oil, butter, sweeteners, juice, coconut water, white flour, protein powders, vegan milks, tofu, salt, supplements (except vitamin b12), drugs, etc. Among processed foods, nixtamalized corn like corn tortilla is healthy bec. it still has most of the fiber of natural corn and the traditional processing increases the b vitamins. All animal products have zero fiber. I also like fermented foods like natto and tempeh.

    Reply
  20. Margaret Mcneil Posted on December 31, 2014 at 10:58 am

    Traditional treatment solution will keep you trapped in the diabetes then, bit by bit make your condition worse.

    Reply
  21. LunaCherry2 Posted on January 21, 2015 at 4:36 pm

    Where can I find WHAT diet and lifestyle changes to make? How much exercise? Eat what? Plant-based I understand but any specific needs for carbs/protein/fiber?

    Reply
  22. MongooseFreeRider Posted on February 22, 2015 at 4:11 pm

    A doctor never told me i was pre diabetic and two years later the symptoms arised then became a t2 diabetic I was put on Metformin 12 months ago and now been taken off them and my doctor told me all her diabeties patients were having problems controlling there glucose levels and wanted to know my  secret so all i said was all this was from a big lifestyle change thanks to my dietician advice and putting 100% commitment to it 

    Reply
  23. Marc MoreThan Posted on March 6, 2015 at 8:29 pm

    But you did not include what changes should be made??? Of course you need to make money!
    One of my goals in my life was to be so good that I'd always work myself out of a job. I.E. changing things such that the job would go away for some reason.  And management would then promote me and place me somewhere else fun.

    Reply
  24. WOW Posted on April 12, 2015 at 9:39 am

    Cause' they're fat cats.

    Reply
  25. Roy Cano Posted on July 30, 2015 at 8:52 pm

    What if you have type 2 does exercise still work? :/

    Reply
  26. Posted on October 21, 2015 at 4:51 pm

    don't believe fucking vegans, basically they will kill you. if you are diabetes patients, you need to cut out carbs no matter what.

    Reply
  27. Mudit Mathur Posted on November 21, 2015 at 9:58 am

    Thanks a lot Dr. Greger! 🙂

    Reply
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    Reply
  29. Milos Nikic Posted on February 18, 2016 at 12:13 am

    If you are wants to know more about curing diabetes the best results that ive ever had was by following the Diabetes Crusher Tactic (i found it on google) definately the most useful course that I've followed.

    Reply
  30. Biby Com Posted on March 3, 2016 at 8:16 pm

    its rare that Ive been surprized but this video certainly would make anyone say wow I need to ask – did you know there is new cure

    students around this planet are seeing improvement I learned about this from reading website take a look now search google for Diabetes Crusher Tactic

    Reply
  31. Megan Michelle Posted on April 30, 2016 at 2:55 am

    i have pre diabetes but I'm trying to gain weight D: i need carbs but i can't eat carbs D':

    Reply
  32. kim fernandez Posted on May 27, 2016 at 4:43 pm

    interesting points ,if anyone else is searching for what to eat to avoid diabetes try Zamartar Diabetes Home Remedy (do a search on google ) ? Ive heard some extraordinary things about it and my partner got excellent results with it.

    Reply
  33. Moses Sofer Posted on June 14, 2016 at 6:17 am

    okay, so changing one's diet is the best way to prevent diabetes, but what are those dietary changes? the above video never tells us

    Reply
  34. YouTube Hero Posted on June 22, 2016 at 9:02 pm

    I'm 13 and have prediabetes, I'm starting to exercise for 1 hour a day and have tried to stop eating foods with sugar and start eating more veggies, if I do this can the prediabetes be reversed?!

    Reply
  35. Masterpokes Posted on August 5, 2016 at 2:48 am

    I'm not sure but ,if anyone else wants to discover what to do to prevent diabetes try Zamartar Diabetes Home Remedy (Have a quick look on google cant remember the place now ) ? Ive heard some super things about it and my work buddy got excellent results with it.

    Reply
  36. Hannah Gamble Posted on September 8, 2016 at 6:21 am

    I have lots of diabetes symptoms. Tiredness, numbness, increased thirst, dizziness and a few more. been tested so many times, but keeps coming back ok. I don't understand. My mum is diabetic and keeps telling me I must be and to be tested. I really think I could be. is it possible to get these symptoms well before it shows in blood work???

    Reply
  37. lotus Posted on September 26, 2016 at 9:09 pm

    muscle soreness is weakness (diabetes) leaving the body

    Reply
  38. lotus Posted on September 26, 2016 at 9:10 pm

    we need better availability of plants and to regulate crap food with proper labeling like cigarettes

    Reply
  39. Elvis Olude Posted on October 19, 2016 at 4:35 pm

    I have spent months researching into treating diabetes and discovered a fantastic website at Ralfs Remedy Method (google it if you are interested)

    Reply
  40. Mila balei Posted on October 26, 2016 at 3:25 pm

    There are a few things to try
    have 1 meal daily containing bitter melon
    fresh mango leaves tea
    consume bitter gourd regularly this has an insulin type chemical
    (I learned these and the reasons they work from Ralfs Remedy Method site )

    Reply
  41. Ransom Locke Posted on November 19, 2016 at 11:57 pm

    what is prediabetes?and how can u tell

    Reply
  42. Abbigail Caesaer Posted on March 14, 2017 at 4:22 pm

    eat healthy food.

    Reply
  43. Bla Posted on April 19, 2017 at 6:42 pm

    Hello there human that is scrolling down the comments

    I have diabetes and this does NOT WORK. Diabetes can not be prevented. U cant eat healthy'er to prevent IT. So dont bellive

    Reply
  44. zadose Posted on April 29, 2017 at 1:58 am

    This video pisses me off cause they don't really tell you what strict diet or exercise they followed.

    Reply
  45. Maria Azar Posted on May 2, 2017 at 2:51 am

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  46. Sandra Slastan Posted on May 3, 2017 at 9:32 am

    Amazing! Love Dr. Greger 🙂

    Reply
  47. LandofLions Abyssinia Posted on July 26, 2017 at 1:16 pm

    Thank you for the video

    Reply
  48. Donnie_Trump2020 Posted on August 30, 2017 at 10:34 am

    is it okay to make a lifestyle change and use metformin at the same time?

    Reply
  49. Judy FIELDS DAVIS Posted on September 19, 2017 at 11:57 am

    Thank you so much!

    Reply
  50. KelliPopcorn Posted on November 1, 2017 at 3:36 am

    https://youtu.be/PZA3pYaVOvA

    Reply
  51. Pfsif Posted on January 21, 2018 at 7:29 pm

    Keep lower the standards for what a diabetes is and you'll have more.

    Reply
  52. Billy Jones Posted on January 24, 2018 at 11:04 am

    Check out a holistic doctor – Dr Eric Berg. I followed him, changed to a keto diet, energy like crazy. No sugar, no snacking, increase my healthy fats, easy. https://www.youtube.com/watch?v=ZQNRIeH101U

    Reply
  53. mercy mallari Posted on February 26, 2018 at 11:29 am

    Tnks doc 😊

    Reply
  54. Willian Smithonson Posted on April 16, 2018 at 12:01 pm

    hey ,if anyone else wants to uncover can you stop having diabetes try Natural remedy tactic (just google it ) ? Ive heard some great things about it and my partner got amazing results with it.

    Reply
  55. youtube buzz Posted on May 2, 2018 at 8:46 pm

    Appreciate video content! Forgive me for chiming in, I am interested in your thoughts. Have you heard the talk about – Patlarny Diabetes Ruins Principle (just google it)? It is a great one off product for destroying diabetes minus the headache. Ive heard some great things about it and my friend got amazing success with it.

    Reply
  56. Heyloo TV Posted on May 4, 2018 at 8:29 pm

    hi everyone ,if anyone else wants to discover can diabetes be cured try Natural remedy tactic (just google it ) ? Ive heard some interesting things about it and my neighbor got amazing results with it.

    Reply
  57. Fact Hunter Posted on May 14, 2018 at 6:12 pm

    interesting points ,if anyone else wants to uncover preventing diabetes try Panlarko Amazing Diabetes Planner (Have a quick look on google cant remember the place now ) ? Ive heard some great things about it and my m8 got great success with it.

    Reply
  58. Nektarios Tsintzilonis Posted on May 24, 2018 at 10:15 am

    I've been spending time with the help of my son researching into diabetes then we discovered an awesome resource at Natural Remedy Tactic (check it out on google)

    Reply
  59. Paiiin In The Butt Posted on August 7, 2018 at 5:56 am

    👍🏻

    Reply
  60. April Gilliam Posted on October 1, 2018 at 3:01 am

    Diabetes is no fun 😥

    Reply
  61. Cooper Lee Posted on October 15, 2018 at 5:43 pm

    I discovered “Vαnοjο Fivu” (Google it) from my friend and read it to shed weight and also treat my diabetic issues. This informative guide the best exercise and diet regime to follow. After one day on the diet program my own blood glucose levels was down about Thirty five points, and by day Four it was lower about 60 points. It has been efficient for me personally. I am delighted that my blood sugar is much better now…

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  62. Health Revival Partners Posted on October 18, 2018 at 1:16 pm

    I reverse T2D. Please eat go vegetarian or vegan so I can have more customers

    Reply
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