Pre-Diabetes is Diabetes

Getting a test result that concludes that I have "pre-diabetes" does not mean it is something unimportant, something to ignore.

Pre‑diabetes is a condition where blood sugar levels are higher than normal but not yet high enough for a diagnosis of type 2 diabetes. It’s a warning sign — but also a window of opportunity. With the right steps, many people can prevent or delay the progression to diabetes.

What’s Happening in the Body

Pre‑diabetes develops when the body becomes insulin resistant, meaning cells don’t respond well to insulin. As a result, the pancreas works harder to keep blood sugar in a safe range. Over time, this system becomes strained, and blood sugar begins to rise.

Common Risk Factors

• Being overweight, especially with abdominal fat
• Family history of type 2 diabetes
• Sedentary lifestyle
• High blood pressure or abnormal cholesterol
• History of gestational diabetes
• Age over 45
• Certain ethnic backgrounds (including African American, Hispanic/Latino, Native American, Asian American, Pacific Islander

Typical Blood Sugar Ranges

• Normal: A1c below 5.7%
• Pre‑diabetes: A1c 5.7%–6.4%
• Diabetes: A1c 6.5% or higher

(These are general reference ranges; a healthcare professional can interpret results in context.)

Symptoms

Most people with pre‑diabetes have no symptoms. Some may notice:

• Increased thirst
• Frequent urination
• Fatigue

But these usually appear later, once diabetes develops.

Why Pre‑Diabetes Matters

Without intervention, many people with pre‑diabetes will develop type 2 diabetes within a few years. Diabetes increases the risk of:

• Heart disease
• Stroke
• Kidney disease
• Nerve damage
• Vision problems

Addressing pre‑diabetes early can dramatically reduce these risks.

How to Reverse or Improve Pre‑Diabetes

Lifestyle changes are highly effective:

• Increase physical activity (even 30 minutes of walking most days helps)
• Choose whole, minimally processed foods
• Prioritize protein and fiber to stabilize blood sugar
• Reduce sugary drinks and refined carbs
• Aim for modest weight loss (5–7% of body weight can make a big difference)
• Get regular sleep and manage stress

Some people may also benefit from medications, but that’s a decision made with a healthcare professional.

 

The Bottom Line

Pre‑diabetes is a serious but reversible condition. With early action, many people can return their blood sugar to a healthy range and prevent long‑term complications.

 

DON'T IGNORE IT. THINK: "I HAVE DIABETES" and start taking ACTION!