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Could You Have Prediabetes? Key Symptoms and What to Do Next
18 Sep 2025 By H. Keels S. Jorn, M.D.

Could You Have Prediabetes? Key Symptoms and What to Do Next

Are you concerned about your blood sugar levels? Many people are unaware they have prediabetes, a condition where blood sugar levels are higher than normal, but not high enough to be diagnosed as type 2 diabetes. Understanding the key symptoms of prediabetes and knowing what steps to take next is crucial for preventing the progression to full-blown diabetes. Let's explore the potential signs and what you should do if you suspect you're at risk. Postprandial Blood Sugar 7 Reasons Your Levels Spike After Eating

Understanding Prediabetes

Prediabetes acts as a warning sign, indicating that your body is struggling to process glucose effectively. Glucose is a sugar that comes from the food you eat, and insulin is a hormone that helps glucose enter your cells to be used for energy. When you have prediabetes, your cells don’t respond well to insulin (insulin resistance), and your pancreas can’t make enough insulin to keep your blood sugar levels in a normal range.

The Centers for Disease Control and Prevention (CDC) estimates that over 88 million American adults have prediabetes, and most don’t even know it. This makes awareness and proactive management essential. Identifying and addressing prediabetes can often reverse the condition and prevent the onset of type 2 diabetes.

Key Symptoms and Risk Factors

Prediabetes often presents with subtle or no noticeable symptoms, which is why regular check-ups and awareness of risk factors are so important. However, some people may experience the following:

  • Increased Thirst: Feeling excessively thirsty, even after drinking plenty of fluids.
  • Frequent Urination: Needing to urinate more often than usual, especially at night.
  • Fatigue: Feeling unusually tired or lacking energy.
  • Blurred Vision: Experiencing occasional blurry vision.
  • Darkened Skin (Acanthosis Nigricans): Developing dark, velvety patches of skin, typically on the neck, armpits, groin, or around joints.

Risk Factors for Prediabetes

Certain factors increase your risk of developing prediabetes. Knowing these can help you assess your risk level:

  • Overweight or Obesity: Having a body mass index (BMI) of 25 or higher.
  • Family History: Having a parent, sibling, or close relative with type 2 diabetes.
  • Physical Inactivity: Engaging in less than 150 minutes of moderate-intensity exercise per week.
  • Age: Being 45 years or older.
  • Gestational Diabetes: Having had diabetes during pregnancy (gestational diabetes).
  • Polycystic Ovary Syndrome (PCOS): A hormonal disorder common among women.
  • Race/Ethnicity: Being African American, Hispanic/Latino American, American Indian, Alaska Native, Pacific Islander, or Asian American.
  • Poor Diet: Regularly consuming processed foods, sugary drinks, and high amounts of saturated and trans fats.

Diagnostic Tests for Prediabetes

If you suspect you might have prediabetes, it’s important to get tested by a healthcare professional. Several blood tests can help determine your blood sugar levels: The 15 Minute Habit That Can Help Stabilize Blood Sugar All Day

  • Fasting Plasma Glucose (FPG) Test: Measures your blood sugar after an overnight fast (at least 8 hours). A result between 100 and 125 mg/dL indicates prediabetes.
  • Oral Glucose Tolerance Test (OGTT): Measures your blood sugar after fasting, and then again two hours after drinking a sugary liquid. A result between 140 and 199 mg/dL after two hours indicates prediabetes.
  • A1C Test: Measures your average blood sugar levels over the past 2-3 months. An A1C between 5.7% and 6.4% indicates prediabetes.
Test Prediabetes Range
Fasting Plasma Glucose (FPG) 100-125 mg/dL
Oral Glucose Tolerance Test (OGTT) 140-199 mg/dL (2 hours)
A1C 5.7%-6.4%

What to Do Next: Steps to Prevent Diabetes

If you’ve been diagnosed with prediabetes, don't panic. There are several effective strategies to prevent or delay the onset of type 2 diabetes.

  • Lifestyle Changes: This is the cornerstone of managing prediabetes. Simple lifestyle changes can significantly reduce your risk.
  • Dietary Adjustments: Focusing on a healthy diet is critical. Choose whole grains, lean proteins, and plenty of fruits and vegetables. Limit processed foods, sugary drinks, and saturated fats.
  • Regular Exercise: Aim for at least 150 minutes of moderate-intensity aerobic exercise each week, such as brisk walking, cycling, or swimming. Strength training exercises are also beneficial.
  • Weight Management: Losing even a small amount of weight (5-7% of your body weight) can make a big difference.
  • Medical Interventions: In some cases, your doctor may recommend medication, such as metformin, to help lower your blood sugar levels.
  • Regular Monitoring: Regular check-ups with your healthcare provider are crucial for monitoring your blood sugar levels and adjusting your treatment plan as needed.

Specific Dietary Tips

  • Increase Fiber Intake: Fiber helps regulate blood sugar levels. Good sources include whole grains, legumes, fruits, and vegetables.
  • Choose Healthy Fats: Opt for unsaturated fats found in avocados, nuts, seeds, and olive oil.
  • Limit Sugary Drinks: Avoid sodas, fruit juices, and sweetened beverages. Choose water, unsweetened tea, or sparkling water instead.
  • Portion Control: Be mindful of your portion sizes to help manage your calorie intake.

The Importance of Regular Check-Ups

Even if you’re actively managing your prediabetes with lifestyle changes, it’s essential to have regular check-ups with your doctor. These visits can help track your progress and make any necessary adjustments to your treatment plan. Regular monitoring ensures that you're staying on track and reduces the risk of developing type 2 diabetes.

Long-Term Outlook and Prevention

The long-term outlook for individuals with prediabetes is generally positive, especially with early detection and proactive management. By making lifestyle changes, following dietary recommendations, and maintaining regular check-ups, you can significantly reduce your risk of progressing to type 2 diabetes. Remember that preventing diabetes is a long-term commitment that requires ongoing effort and dedication. By taking control of your health now, you can pave the way for a healthier future. How To Regulate Blood Sugar Naturally For Better Energy And Health

In conclusion, being aware of the symptoms and risk factors of prediabetes is the first step towards prevention. If you suspect you might be at risk, consult with your healthcare provider to get tested and discuss the best course of action. With the right approach, you can effectively manage prediabetes and significantly reduce your chances of developing type 2 diabetes.

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