Prediabetes
Prediabetes means blood sugar is above normal but not yet in the diabetes range. It is a warning sign and a chance to intervene early. The CDC reports that 115.2 million adults in the United States currently have prediabetes.
Symptoms
Most people have no symptoms, which is why screening during annual visits matters.
Causes and risk
Risk factors overlap with type 2 diabetes and include excess weight, family history, low activity, and prior gestational diabetes.
How it is evaluated
We review A1c or fasting glucose, weight trends, blood pressure, lipids, sleep, and family history.
Treatment
Treatment focuses on weight loss, food quality, exercise, sleep, and follow-up testing. Some patients also benefit from medication.