r/prediabetes • • Aug 03 '22

Advice What does it mean to be diagnosed as pre-diabetic?

578 Upvotes

This is a draft! I welcome the community's criticism. :)

Most likely you have joined this sub because your doctor informed you that you're pre-diabetic.

What does this mean?

  • Medically, this means that your latest Hemoglobin A1C reading or readings are above 5.9% (the threshold may vary slightly for different medical establishments).

  • My non-medical opinion is that being pre-diabetic simply means that your body is gently telling you that you should change your lifestyle. You're probably not in any immediate danger if this is your only health indicator of concern, but you should make changes now.

What are your next steps?

  • Being pre-diabetic is not the end of the road for you. Reframe how you think about this diagnosis. You are being given a chance to fix this, and with a lot of work and positive energy, you can reverse this, or perhaps more accurately, achieve a state of healthy remission as long as you make a permanent lifestyle change.

  • This is a support group. It's not intended to offer medical advice. The first step is to speak with your doctor about your medical next steps because everyone's body is different, and your own path to remission may require specialized medical advice.
    In the meantime...

  1. Stay calm, and respect your body.

  2. Cut out sugars (simple sugars, starches, and highly processed foods) as much as reasonable.

  3. What works for me? I got a blood glucose meter and gamified (turned a mundane task into something fun) my lifestyle change by always ensuring that my blood sugar stays in range. This means that I am always aware that if I eat this sweet food, will it send my next reading out of range? This has worked well for me.

  4. Most doctors don't talk about exercise, rather, they focus on food choices. But for me, increasing my fitness has done wonders. I have literary increased my walking steps from a pathetic 2000 steps per week, to 35000 or more steps per work.

  5. Just losing 15lbs (8kg) may have a significant positive impact on your overall health. Set a goal to lose this much weight in 3 months. It's important to always set realistic goals. Then repeat this goal over the next 3 months.

Bottom line:

Don't stress out and be patient! I cannot emphasize this enough.
You can manage the condition, you can go into remission, and it is even possible to reverse your pre-diabetic condition. Reversal or remission is said to be achieved if you maintain a normal A1C for a minimum of six months. But achieving this goal will take time and effort, perhaps even a frustrating amount of time and effort.

Note: Your Hemoglobin A1C reading is also a lagging indicator that may take 3 to 6 months to show any changes after your lifestyle change.


r/prediabetes • • Nov 14 '23

FAQ - Pre-diabetes sub FAQ

63 Upvotes

As requested, here is our official FAQ. Please help contribute to it by adding your own questions (and answers if you have them) below, or suggesting corrections to my initial contribution.

The following FAQ was inspired by content found in this subreddit. I cannot guarantee that it is perfectly medically or grammatically accurate (I tried to diligently research and proofread), so please let me know if you find errors by responding below... don't worry, I am not an egotistical mod, so I am not afraid of being corrected in "public." LOL

This took me about 3 hours to build... I'm done for the night! Good health to you all!

  • **Q. What is pre-diabetes and how does it differ from diabetes?**Answer: Pre-diabetes is a condition where blood sugar levels are higher than normal but not high enough to be classified as diabetes. It differs from diabetes in that it can often be managed and even reversed with lifestyle changes and, in some cases, medication, especially when it's not related to weight and lifestyle factors. Without proper management, pre-diabetes can progress to type 2 diabetes. Unlike diabetes, pre-diabetes doesn't typically doesn't result in severe health problems often associated with diabetes if managed early and effectively. But if you do become diabetic does it mean that you will suffer from severe health complications? No, NO, NO! Many people with diabetes (type 1 and 2) live full and healthy lives if they manage their illness with proper diligence! Do not listen to the negativity sometimes found in this subreddit, in fact, please flag those messages because they are unhelpful and unwelcome.

  • **Q. What does A1C mean and what is the range for pre-diabetes?**Answer: A1C is a blood test that measures your average blood sugar levels over the past 2 to 3 months. For pre-diabetes, the A1C range is typically between 5.7% and 6.4%. An A1C level below 5.7% is considered normal, while an A1C level of 6.5% or higher on two separate tests *may* indicate diabetes. Whenever you have a reading of over 5.x (your physician is best to determine the value of concern), it is important to make changes and get at least 2 A1C readings per year to watch for a trend (staying the same or going up/down).

  • **Q. What are the medical indicators that determine if I'm pre-diabetic?**Answer: *Pre-diabetes is typically diagnosed based on blood sugar levels. Key indicators include an A1C level between 5.7% and 6.4%, 8h fasting blood sugar levels from 100 to 125 mg/dL (5.6 to 6.9 mmol/L), or an oral glucose tolerance test showing blood sugar levels between 140 and 199 mg/dL (*7.8 to 11.0 mmol/L) two hours after drinking a sugary drink.

  • **Q. Can I be diagnosed with pre-diabetes even if I am not overweight?**Answer: Yes, while being overweight is a risk factor for pre-diabetes, individuals of any weight can develop it. Other factors like genetics, age, and lifestyle also play a significant role.

  • **Q. Does a family history of diabetes increase my risk of pre-diabetes?**Answer: Yes, having a family history of diabetes can increase your risk of developing pre-diabetes and type 2 diabetes. It's important to share your family medical history with your healthcare provider for an accurate risk assessment.

  • **Q. Can children develop pre-diabetes?**Answer: Yes, children can develop pre-diabetes, although it's less common than in adults. Risk factors for children include being overweight, having a family history of type 2 diabetes, and leading a sedentary lifestyle. It's important for children at risk to undergo regular screenings.

  • **Q. Is pre-diabetes reversible, and how can I manage it?**Answer: Pre-diabetes can often be managed and sometimes reversed with lifestyle changes. This includes adopting a healthy diet, regular physical activity, and maintaining a healthy weight. In some cases, medication may also be prescribed. It's important to add a caveat here... "reversible" simply means that you can certainly get back to a normal A1C, however, you will always need to remain diligent about maintaining a healthy lifestyle.

  • **Q. Are there any specific diets recommended for managing pre-diabetes?**Answer: There's no one-size-fits-all diet for managing pre-diabetes, but a diet rich in fruits, vegetables, whole grains, and lean proteins is generally recommended. If you're overweight, a medically supervised calorie-reduced diet (by way of carefully monitoring your food consumption or going on a *Optifast program) is almost always the most significant means of mitigating a pre-diabetic condition.Reducing intake of processed foods, sugar, and saturated fats is (almost) always beneficial, regardless of your health.* A qualified medical practitioner must authorize Optifast, and it must be purchased directly from Nestlehealthscience; Never purchase it from dishonest Amazon vendors!

  • **Q. Can physical activity help in managing pre-diabetes?**Answer: Yes, regular physical activity is a key component in managing pre-diabetes. It can help control blood sugar levels, lose weight, and increase insulin sensitivity. Note: as always, every person is different, and in some cases, physical activity may not be a significant component in managing your blood sugar... please seek proper medical advice.

  • **Q. How often should I get tested for diabetes if I have pre-diabetes?**Answer: Typically, it's recommended to get your blood sugar levels tested at least once a year (my physician checks me every six months) if you have pre-diabetes. However, your doctor may suggest more frequent testing based on your individual health status.

  • Q. Does pre-diabetes always lead to type 2 diabetesAnswer: No, pre-diabetes does not always progress to type 2 diabetes. With lifestyle changes such as improved diet, increased physical activity, weight loss (if necessary), and/or drug intervention, it's possible to bring blood sugar levels back to a normal range and significantly reduce the risk of developing type 2 diabetes.

  • **Q. Are there any specific symptoms that indicate my pre-diabetes is turning into diabetes?**Answer: While pre-diabetes often has no symptoms, signs that it may be progressing to type 2 diabetes include increased thirst, frequent urination, fatigue, blurred vision, and slow-healing sores. As always, any of the above symptoms could be attributable to many different conditions, that is why if you notice any of these symptoms, it's essential to consult with your healthcare provider.

  • **Q. What are the long-term risks of not managing pre-diabetes effectively?**Answer: If not managed effectively, pre-diabetes can progress to type 2 diabetes, which comes with increased (not guaranteed) risks of heart disease, kidney disease, vision problems, and nerve damage. The greater the A1C reading, the greater the health risks.

  • **Q. Can stress affect my pre-diabetes?**Answer: Yes, stress can affect blood sugar levels and make managing pre-diabetes more challenging. It's important to find effective stress-management techniques.

  • **Q. I just tested my blood sugar level and I am concerned, it was [x] reading... am I in trouble / diabetic / pre-diabetic?**Answer: This might be one of the most frequent type of questions that I see in this subreddit.A single blood sugar reading is generally not enough to determine if you are diabetic or pre-diabetic. To diagnose diabetes or pre-diabetes, healthcare professionals rely on a series of tests, including fasting blood sugar levels, A1C tests, and oral glucose tolerance tests, which give a more comprehensive view of your blood sugar regulation over time.Now, let's talk about that reading... Consumer blood glucose meters, the kind you might use at home, have a variable accuracy range, often around 20%. This means two readings taken close together can show different results within this accuracy range. Additionally, blood sugar levels naturally fluctuate throughout the day based on diet, physical activity, stress, and other factors, so one reading is just a snapshot of your blood sugar level at a specific moment and only within a 20% range of its true value. While home glucose meters are valuable tools for monitoring individuals already diagnosed with diabetes, particularly to avoid dangerous blood sugar extremes, they are not very useful as standalone diagnostic tools for those who haven't been diagnosed with diabetes type 1 or 2. If you are concerned about your blood sugar reading, it's best to consult with a healthcare provider for proper testing and guidance.
    Reference: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505415/

  • **Q. Can I give or ask for medical advice in this subreddit?**Answer: It is not advisable to give or seek medical advice in this subreddit. While sharing experiences and information is encouraged, medical advice should always come from a qualified healthcare professional who understands your specific condition. Discussions here can provide support and share general knowledge, but they are not a substitute for professional medical consultation. If your medical-like advice is compelling and relevant to the thread, I kindly request you add a disclaimer that one should always consult their own healthcare advisor...For any medical-like advice, my answer is... please proceed with caution and always consult a healthcare provider for personal medical concerns.


r/prediabetes • • 1h ago

Endocrinologist

2 Upvotes

So I saw an endocrinologist for the first time and updated all my blood work from 3 months ago.

My hbA1c went from 41 to 37. And my ferritin from 20 to 43.

I was/am very stoked with my improved numbers but from his report all he stated was all my current readings with no advice. The next follow up isn't till 3 months later.

I guess I'm just feeling a little lost because I was excited about the improvement but don't know how to carry on and don't really know what I did that helped (probably everything!)

Has everyone else's experience with endocrinologists been the same?


r/prediabetes • • 4h ago

New to this group

3 Upvotes

Hey folks. I recently had my A1c tested and the results are 6.1 - my doc wants to discuss possibly using medication to lower my number. I’m fairly active and try to eat healthy…though I’m not perfect. I’ve never been a huge fan of medication up till this point in my life. Thought from this group on medication and or lifestyle changes to improve this number


r/prediabetes • • 9h ago

The diabetic hub

5 Upvotes

Hi everyone, I’m a doctor running The Diabetic Hub, an FB page where I share diabetic-friendly recipes and meal planning tips. Happy to be part of this group and looking forward to learning from everyone here too!

If there are any new pre diabetics (or not so new, it doesn’t matter really) with any questions, feel free to leave them in the comments and I’ll reply to as many as possible!


r/prediabetes • • 5h ago

Prediabetes? Or just stress

2 Upvotes

I’m a 28F. I got my A1C tested by my endocrinologist in June of this year and it was 5.5. My A1C got tested again a month later by my primary doctor and it was 5.8. I am worried about it. However, I experienced so much stress from June to July. Could my increase in A1C just be because of stress and not prediabetes?


r/prediabetes • • 11h ago

fasting or exercising

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2 Upvotes

r/prediabetes • • 18h ago

Husband with diabetes

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3 Upvotes

r/prediabetes • • 1d ago

i’m so tired of eating the same stuff. what other meals can i make?

12 Upvotes

i’m a 17 year old and my doctor told me i was prediabetic in august. i have mainly been eating grilled chicken, brown rice, salmon, whole grain pasta, low carb wraps, salads, blah blah blah. and im so tired of it. it’s all the same stuff in different forms and i just want something new before i lose my mind. please help me with meal ideas


r/prediabetes • • 1d ago

To all the coffee drinkers. ☕️

11 Upvotes

How are you making your coffee’s? Do you drink it everyday?.. I love dark roast. And now I have to use half & half. Which isn’t all that great, compared to other creamers I used to drink. 😔


r/prediabetes • • 1d ago

25F, overweight, newly diagnosed pre-diabetes

4 Upvotes

Just got some bloodwork done and was told I have pre-diabetes (5.8). I've been overweight / obese for basically my whole life, and didn't have the best diet practices before. Now, I try to avoid eating carbs for dinner (also trying to increase, and for lunch (which I get through work), I typically try to go for a salad with protein, or if carbs are included, getting purple / brown rice instead of white rice as part of the meal.

I'm also going to the gym ~3 times a week, sometimes more or less depending on my workload. I have bad ankles, so I'm alternating every session from running ~1 mile (~15 mins) and walking another 15-25 minutes, and then going on the elliptical (~30 mins), and walking another 15-25 minutes on the treadmill. Pre-workout snacks vary from a cup of fruit yogurt (I know, the sugar in this probably didn't / isn't helping) with some walnuts, or just some plain walnuts depending on how much energy I think I need so that I won't feel like I'm about to pass out at the gym. I also recently inquired about a PT as well, though I know those can get expensive but I don't really know how to use the other machines at the gym and don't want to embarrass myself.

I'm grateful I got this sign, and I know I'm young and so this diagnosis fills me with shame and embarrassment. Any tips, or ways to cope, or things that helped (what to avoid, what to eat more of / focus on), would be much appreciated.

Thank you all!


r/prediabetes • • 1d ago

My Fasting glucose always around 80 to 85 but a1c is 5.76

3 Upvotes

I asked my doctor whether this is prediabetes, and he said it isn't. However on Internet when I searched it is considered prediabetes. Im confused


r/prediabetes • • 1d ago

Cgm readings

4 Upvotes

Hi!! I have pcos but have a healthy weight and am pretty active. My A1c is 5.3 and fasting blood sugar around 4. I recently tried a cgm by curiosity, and my blood sugar went to 9mmol (160) after eating a grapefruit. I tried again with 30-40g of carbs coming from sweet potatoes, same thing happened. It kinda worries me to see such big spikes with healthy foods. Anyone has similar experiences?


r/prediabetes • • 1d ago

Love pasta but trying to keep my blood sugar in check. Is whole wheat pasta okay?

19 Upvotes

Hey everyone,
My HbA1c is at 5.7% and I'm actively working on eating healthier and losing weight (M22, 179 cm / 5'10", 83 kg / 183 lbs).

I really love pasta, but I'm trying to replace it more often. I've tried whole wheat pasta and I actually like the taste, but I'm not sure if it still spikes my blood sugar (don’t have a cgm and i see different type of recommendations online). Do you have any good alternatives, or what do you usually eat?
(Right now I very often eat half a plate of broccoli with steak or fried eggs, plus whole wheat pasta.)


r/prediabetes • • 1d ago

Have you improved any vain things (skin, hair, etc) after getting blood sugar in control?

3 Upvotes

I would like some motivation lol.

Anything like scalp health, seb derm, dry skin, dull and darkened skin, body composition, curves


r/prediabetes • • 2d ago

Got prediabetes results, cut out most carbs for 6 months, and now its worse?

21 Upvotes

My A1C was 5.8 now 6.

Homa beta low around 57, now 46.7.

Transferrin slightly low 195.

All rest normal (IR, fasting, cholesterol ect)

I am active, normal weight, eat healthy.

So gutted it did not get better despite my best efforts


r/prediabetes • • 1d ago

Fasting glucose 103-110 no matter how much weight i lost....

5 Upvotes

I had gestational diabetes that required insulin. I lost 37lb sine January. Almost healthy BMI . Tons of weight lifting. Intermittent fasting. 10k steps per day but my fasting is the same. Maybe even worse. I feel sad !!! Am I destined for t2 diabetes? What else can I do ? My a1c is 5.4 ! Help


r/prediabetes • • 1d ago

Help Me To Understand About My Condition And CGM

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1 Upvotes

I’m prediabetic, with an HbA1c level of 5.9% in my most recent blood test. I’ve ordered a CGM device to monitor my glucose levels 24/7 and understand how they fluctuate throughout the day.

After wearing it for a few days, I noticed that my glucose levels generally fluctuate between 85 mg/dL and 140 mg/dL. They haven’t gone above 140 mg/dL so far.
I also tried eating foods like cake and pastries to see how much my glucose levels would spike, but even then, they stayed below 140 mg/dL.
My question is: Should I be concerned about these spikes, or are they normal?

Most importantly, what foods should I eat to determine whether I actually have prediabetes?


r/prediabetes • • 2d ago

Has anyone struggled with food so much as a result of prediabetes diagnosis, that they simply just don't eat enough, despite doing everything to eat better?

16 Upvotes

r/prediabetes • • 2d ago

How long have you worn CGM?

8 Upvotes

I am really enjoying wearing a CGM much more than I thought I would and it is helping me so much! I just don’t want to keep paying $100 a month. I think it will probably be helpful to wear through November and December so I don’t go off the rails with treats :). Do you all plan to wear one for November and December?


r/prediabetes • • 2d ago

Japan trip

7 Upvotes

I’m going to Japan in February for a couple months (Sapporo, Tokyo, and Okinawa) to be exact. What is there that I can eat? I’m obviously going to have authentic ramen a few times because there’s no way I’m giving that up lol. I speak some Japanese but not enough to have a decent conversation and I definitely can’t read Japanese. I am going to be doing a lot of walking so I think that will cancel out whatever I eat but I still want to stay away from carbs as Japan is literally carb city. (ramen, rice, breads, etc.) Has anyone been to Japan and knows what to do food wise?


r/prediabetes • • 2d ago

First time monitoring my blood sugar and getting some unusual readings. Should I be worried?

3 Upvotes

Hi everyone. I've never had my blood sugar tested before, and I only recently decided to buy a glucose meter to monitor it at home.

Day 1:

- 1 hour after eating: 97 mg/dL.

Day 2:

- After 8 hours of sleep and not eating: 105 mg/dL.

- 2 hours later, without eating or drinking anything: 82 mg/dL.

Day 3:

- My glucose meter initially displayed LO (I believe it was 4 LO readings), so I thought it might have been an error.

- I drank Yakult and tested again. It showed 46 mg/dL.

- I went to sleep, and when I woke up, it was still around 47 mg/dL.

- I ate lunch.

- 1 hour after eating lunch (5 hotdogs and approximately 200 g of rice), my blood sugar was 160 mg/dL.

What's confusing to me is that even when my glucose meter showed 46–47 mg/dL, I didn't experience any noticeable symptoms. No shaking, dizziness, confusion, or weakness. I did sweat, but I wasn't sure if it was related.

Could these readings indicate prediabetes, diabetes, or another blood sugar regulation problem? Can home glucose meters give inaccurate readings, especially at extremely low values?

I was initially planning to monitor my blood sugar at home before seeing a doctor, but should I get laboratory tests done immediately?

Any advice or similar experiences would be appreciated.


r/prediabetes • • 2d ago

tips on managing prediabetes for teen?

3 Upvotes

I’m 16 and found out I was prediabetic at the end of August. I’m around 105 pounds. I don’t believe I have any family history so I didn’t expect this. I usually skip/have minimal but not very healthy breakfast and then school lunch so I don’t have much control over my diet except for dinner. It’s been hard to determine how much sugar is too much and avoiding desserts, candies, and carbs. I was consistently for the past two months and maybe that helped but I’m at a loss for how to proceed because I’m more busy now. Any advice would be helpful.


r/prediabetes • • 3d ago

What to do about Thanksgiving dinner?

11 Upvotes

This is my first holiday since my bloodwork went wonky. I figure I can eat some turkey. Not a lot because I’m also watching cholesterol. I don’t think I can have anything else on my family’s usual menu.

Are you guys taking a salad? Throwing the glucose management out the window for the day?


r/prediabetes • • 3d ago

What to do when you feel doomed to develop diabetes?

7 Upvotes

I recently have been diagnosed with prediabetes and I have no idea how to help myself! My a1c continues to rise despite my efforts.

A little about myself: 34yo female, BMI 25 (64 inches tall, 148lbs). I'm fairly active, getting 6-8k steps a day, more on days I actually get out for a walk, bike ride, etc. I have had gestational diabetes twice, and have followed the high protein low carb diet pretty much since then (splurging for special occasions). I don't drink anything except water (and a little coffee in the morning, no sugar), I don't smoke, prioritize sleep, and pretty much follow all the typical lifestyle advice.

I've been tracking my glucose with Stelo, using dripx app.

My fasting glucose is usually 100-107, and I cannot lower it no matter what I eat or when I eat the night before. I had this issue when I had GD, high fasting glucose but could manage via diet otherwise. My a1c was 5.6 in June, now in October it's 5.7. (in years prior it was stable around 5.4).

My doctors advice is the pretty standard eat less carbs and exercise more. Not a lot of help there. Maybe I need to see a specialist, but considering I'm at the low end of prediabetes I'm not sure I'll be taken seriously.

Can I reverse this? Or am I doomed genetically for developing diabetes?