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Could It Be Diabetes? Early Signs and When to Get a Blood Sugar Test
18 Sep 2025 By Danielle M. Shilling, M.D.

Could It Be Diabetes? Early Signs and When to Get a Blood Sugar Test

Diabetes is a chronic health condition that affects how your body turns food into energy. The majority of the food you eat is broken down into sugar (glucose) and released into your bloodstream. When your blood sugar goes up, it signals your pancreas to release insulin. Insulin acts like a key to let the blood sugar into your body’s cells for use as energy. If you don't make enough insulin or if your cells stop responding to insulin, too much blood sugar stays in your bloodstream, eventually causing health problems. Recognizing the early signs of diabetes is crucial for timely diagnosis and management.

Understanding the Types of Diabetes

There are several types of diabetes, including:

  • Type 1 Diabetes: An autoimmune reaction destroys the insulin-producing cells in the pancreas.
  • Type 2 Diabetes: The body either resists the effects of insulin or doesn't produce enough insulin to maintain normal glucose levels.
  • Prediabetes: Blood sugar levels are higher than normal, but not high enough to be classified as type 2 diabetes.
  • Gestational Diabetes: Develops during pregnancy and usually resolves after the baby is born.

Knowing the different types can help you understand your risk factors and the potential implications for your health.

Early Signs and Symptoms of Diabetes

The early signs of diabetes can often be subtle and easy to overlook, but recognizing them can lead to an earlier diagnosis and better management of the condition. Here are some key symptoms to watch for:

1. Frequent Urination (Polyuria)

One of the hallmark signs of diabetes is the need to urinate more often than usual, especially at night. This happens because when there's excess sugar in the blood, the kidneys try to flush it out through urine.

Example: You find yourself waking up multiple times during the night to use the bathroom, despite not drinking more fluids than usual.

2. Excessive Thirst (Polydipsia)

Frequent urination leads to dehydration, which triggers intense thirst. No matter how much water you drink, you may still feel dehydrated.

Example: You constantly feel thirsty and drink large amounts of water or other beverages, but never feel fully hydrated.

3. Unexplained Weight Loss

Although it may seem positive, unexplained weight loss, especially when you haven't changed your diet or exercise routine, can be a sign of diabetes. This is because the body isn't getting energy from glucose, so it starts breaking down muscle and fat for fuel.

Example: You've lost a noticeable amount of weight over a few weeks or months without making any deliberate changes to your lifestyle.

4. Increased Hunger (Polyphagia)

Despite having high blood sugar levels, the body's cells aren't getting the energy they need, leading to constant hunger.

Example: You find yourself feeling hungry more often than usual, even shortly after eating a meal.

5. Blurred Vision

High blood sugar levels can cause fluid to be pulled from the lenses of your eyes, leading to blurred vision. This effect can be temporary, but persistent blurred vision is a cause for concern.

Example: You notice your vision is blurry, and things appear less clear than they used to.

6. Fatigue

The body's inability to use glucose for energy can lead to persistent fatigue and a feeling of being run down.

Example: You feel tired and lacking energy, even after getting enough sleep.

7. Slow-Healing Cuts and Bruises

High blood sugar levels can impair blood circulation and nerve function, which can slow down the healing process.

Example: Cuts and bruises take longer to heal than they used to, and you may notice more frequent infections.

8. Frequent Infections

Diabetes can weaken the immune system, making you more susceptible to infections, such as yeast infections, urinary tract infections, and skin infections.

Example: You experience recurrent infections that are difficult to treat or take longer to resolve. Why Is My Morning Blood Sugar High 5 Common Causes And How To Fix It

9. Numbness or Tingling in Hands or Feet (Neuropathy)

High blood sugar levels can damage nerves, causing numbness, tingling, or pain in the hands and feet.

Example: You feel a persistent tingling or numbness in your hands or feet, especially at night.

Risk Factors for Diabetes

While anyone can develop diabetes, certain factors increase your risk. Awareness of these factors can help you make informed decisions about your health and lifestyle.

1. Family History

Having a parent, sibling, or other close relative with diabetes increases your risk of developing the condition. Genetics play a significant role in both type 1 and type 2 diabetes.

2. Age

The risk of developing type 2 diabetes increases as you get older, especially after age 45.

3. Obesity or Overweight

Excess weight, particularly around the abdomen, increases insulin resistance and your risk of developing type 2 diabetes.

4. Sedentary Lifestyle

A lack of physical activity contributes to insulin resistance and increases your risk of developing type 2 diabetes.

5. Race/Ethnicity

Certain racial and ethnic groups, including African Americans, Hispanic Americans, Native Americans, Asian Americans, and Pacific Islanders, are at higher risk of developing type 2 diabetes.

6. High Blood Pressure

Having high blood pressure increases your risk of developing type 2 diabetes and cardiovascular disease.

7. Abnormal Cholesterol Levels

Low levels of high-density lipoprotein (HDL) cholesterol and high levels of triglycerides increase your risk of developing type 2 diabetes.

8. History of Gestational Diabetes

Women who have had gestational diabetes during pregnancy are at a higher risk of developing type 2 diabetes later in life. Understanding Your Insulin A Comprehensive Guide For People With Diabetes

9. Polycystic Ovary Syndrome (PCOS)

Women with PCOS have a higher risk of developing insulin resistance and type 2 diabetes.

10. Prediabetes

Having prediabetes means your blood sugar levels are higher than normal, but not high enough to be diagnosed with type 2 diabetes. Prediabetes significantly increases your risk of developing type 2 diabetes.

When to Get a Blood Sugar Test

If you experience any of the early signs of diabetes or have any of the risk factors, it's essential to get a blood sugar test. Here's when you should consider getting tested:

1. Experiencing Symptoms

If you notice any of the symptoms of diabetes, such as frequent urination, excessive thirst, unexplained weight loss, or blurred vision, consult a healthcare provider for a blood sugar test.

2. Having Risk Factors

If you have one or more risk factors for diabetes, such as a family history of diabetes, obesity, or a sedentary lifestyle, talk to your doctor about getting screened.

3. Age 45 or Older

The American Diabetes Association recommends that everyone age 45 and older be screened for diabetes, regardless of risk factors.

4. History of Gestational Diabetes

Women who have had gestational diabetes should be tested for diabetes every one to three years.

5. Prediabetes Diagnosis

If you have been diagnosed with prediabetes, you should be tested for diabetes at least once a year.

6. During Pregnancy

Pregnant women should be screened for gestational diabetes between 24 and 28 weeks of gestation.

Types of Blood Sugar Tests

There are several types of blood sugar tests that can be used to diagnose diabetes and prediabetes:

1. Fasting Plasma Glucose (FPG) Test

This test measures your blood sugar level after an overnight fast (at least 8 hours).

| Category | Fasting Plasma Glucose (mg/dL) | |------------------------|------------------------------------| | Normal | Less than 100 | | Prediabetes | 100 to 125 | | Diabetes | 126 or higher |

2. Oral Glucose Tolerance Test (OGTT)

This test measures your blood sugar levels before and two hours after you drink a sugary liquid.

| Category | 2-Hour Plasma Glucose (mg/dL) | |------------------------|------------------------------------| | Normal | Less than 140 | | Prediabetes | 140 to 199 | | Diabetes | 200 or higher |

3. A1C Test

This test measures your average blood sugar level over the past two to three months. It reflects your long-term blood sugar control.

| Category | A1C Level (%) | |------------------------|-------------------| | Normal | Less than 5.7 | | Prediabetes | 5.7 to 6.4 | | Diabetes | 6.5 or higher |

4. Random Plasma Glucose Test

This test measures your blood sugar level at any time of day, regardless of when you last ate. It's often used when symptoms of diabetes are present. A random plasma glucose level of 200 mg/dL or higher, along with symptoms of diabetes, suggests diabetes.

What to Do If You Suspect You Have Diabetes

If you suspect you have diabetes based on the symptoms you're experiencing or your risk factors, take the following steps:

1. Consult a Healthcare Provider

Schedule an appointment with your doctor or a healthcare professional to discuss your symptoms and get a blood sugar test.

2. Follow Medical Advice

Follow your doctor's recommendations regarding testing, diagnosis, and treatment.

3. Make Lifestyle Changes

If you're diagnosed with prediabetes or diabetes, your doctor may recommend lifestyle changes, such as adopting a healthy diet, increasing physical activity, and losing weight.

4. Monitor Your Blood Sugar

If you're diagnosed with diabetes, your doctor may recommend monitoring your blood sugar levels regularly using a blood glucose meter.

5. Take Medications as Prescribed

If lifestyle changes aren't enough to manage your blood sugar levels, your doctor may prescribe medications, such as insulin or oral diabetes medications.

Preventative Measures

Whether you are at risk for diabetes or not, preventative measures are crucial for maintaining overall health.

1. Adopt a Healthy Diet

Focus on eating a balanced diet that is rich in fruits, vegetables, whole grains, and lean protein. Limit your intake of sugary drinks, processed foods, and saturated fats.

2. Increase Physical Activity

Aim for at least 150 minutes of moderate-intensity exercise per week, such as brisk walking, cycling, or swimming.

3. Maintain a Healthy Weight

Losing even a small amount of weight (5-10% of your body weight) can significantly reduce your risk of developing type 2 diabetes. Do Blood Sugar Support Supplements Actually Work A Review

4. Quit Smoking

Smoking increases your risk of developing type 2 diabetes and cardiovascular disease.

5. Manage Stress

Chronic stress can contribute to insulin resistance and increase your risk of developing type 2 diabetes. Practice stress-reducing techniques, such as meditation, yoga, or deep breathing exercises.

Recognizing the early signs of diabetes and taking prompt action can lead to earlier diagnosis, better management, and improved health outcomes. Be proactive about your health and talk to your healthcare provider if you have any concerns.

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