Prediabetes is a condition that can be reversed with some simple lifestyle changes. Learn about prediabetes symptoms and how to treat prediabetes.

1. Understanding and Managing Prediabetes
PRE-DIABETES = PREVENT DIABETES!!
You heard that right
Prediabetes is a health condition where your blood sugar is higher than normal, though
not so high to label it as diabetes. It is also known as Impaired Fasting Glucose (IFG) or
Impaired Glucose Tolerance (IGT).
So, prediabetes is not an actual disease but a warning sign. The good news is if you are
motivated to make lifestyle changes you can reverse Prediabetes and have a healthy life.
About 15-35% of people can reverse prediabetes by making suitable changes to their
lifestyle
Common tests to diagnose prediabetes are:
1. Fasting blood sugar level, where a blood sample is taken after an overnight fast
or after you haven’t eaten for at least 8 hours
2. Glycated Hemoglobin (HbA1c) which measures your blood sugar level for the
past 3 months. When you have sugar (glucose) in the blood, it glycates or sticks
to hemoglobin. More the amount of sugar is in the blood, the more it sticks. So,
this test measures the average amount of sugar that’s been attached to
hemoglobin over a period of time.
3. Oral glucose tolerance test – you need to fast overnight and then drink 75g of
sugary liquid at the laboratory. Your blood sugar levels will be measured
periodically for the next two hours.
Here’s a sneak peek into what is prediabetes range:
Diagnosis Fasting blood
sugar
Oral Glucose
tolerance
Glycated
Hemoglobin
Normal 70-100 mg/dl < 140 mg/dl 5.7%
Pre-diabetic or IGT 100-125 mg/dl 140-199 mg/dl 5.7 – 6.4%
Diabetes 126 mg/dl or higher 200 mg/dl or
higher
6.5% or higher
As per the International Diabetes Federation, 1 in 11 adults has diabetes. Almost 1 in 2
adults with diabetes are unaware that they have diabetes.
Causes and risk factors for Prediabetes
The exact cause of prediabetes is unknown, but there are certain factors that put you at
an increased risk.

2. a. Family history of diabetes, if any of your parents or siblings are diabetic
b. Being overweight
c. Waist size over 40 inches in males and over 35 inches in females
d. Lack of exercise
e. Regular consumption of junk food, sugar-sweetened beverages, high-
calorie snacks, and processed foods
f. Tobacco/alcohol/drug abuse
g. Disturbed sleep or lack of sleep
Women with a history of gestational diabetes, and polycystic ovarian syndrome (PCOS)
are also at increased risk of prediabetes.
You are more likely to develop prediabetes if you are overweight and or eat a diet that
contains too many calories from refined carbohydrates and processed foods.
What are the Symptoms of Prediabetes?
The bitter part of Prediabetes is the absence of any clear signs and symptoms. Over 80%
of people don’t know they are prediabetic unless they get their blood sugar tested.
Result? They advance to more serious symptoms of insulin resistance which include:
 Increased appetite and thirst – A person feels hungry even after a meal or thirsty
even after drinking water.
 Frequent urination
 Fatigue
 Blurred vision
 Numbness or tingling in hands and feet – high blood sugar damages the nerves
that send signals from your hands and feet, leading to numbness and tingling. It is
labeled as diabetic neuropathy.
 Frequent infections due to weakened immunity caused by high blood sugar levels
 Slow-healing sores
 Unintended weight loss
 Few prediabetic people may notice thick velvety darkened skin in certain parts of
the body, like the neck, groin, and armpits.

3. What is the treatment of prediabetes?
The goal of treating prediabetes is to return to normal blood sugar levels and prevent the
development of actual diabetes. This can be accomplished with a healthy lifestyle. The
two healthy habits that can make the biggest difference are making healthy food choices
and regular exercise
 Eat healthy food - Choose a diet rich in fruits, vegetables, nuts, whole grains, and
cold pressed oils, which is associated with a lower risk of prediabetes. Consume
foods low in fat and calories, and high in fiber. Replace sugary drinks like Packed
fruit juices, soda, and sweetened beverages, with water. Make your water more
interesting by adding kiwi, cucumber, mint leaves, ginger etc. You can consult a
dietician to avoid comprising on taste while choosing nutritious food. Research
suggests that a low carbohydrate diet could help improve blood glucose levels,
insulin levels, and weight
 Be more active – Regular physical activity helps control weight, thus lowering your
blood sugar levels. Aim for at least 150 minutes of moderate exercise per week,
like brisk walking or 75 minutes of vigorous exercises a week, or a combination of
moderate and vigorous exercises, as per your capability. Not only exercise helps
in weight loss but also causes your muscles to use up blood glucose
 The best ways to incorporate physical activity into your daily routine.
 Ride a bicycle
 Brisk walking/ jogging
 Going to the gym
 Swimming
 Recreational sports
 Losing weight – losing just 5 – 10% of your body weight can significantly reduce
your risk of developing Type II Diabetes and eliminate your prediabetes.
 Reduce Mental stress - get active, meditate, laugh more, connect with others,
and try yoga.
 Stop smoking and drinking - as this can improve the way insulin works in your
body and improve your blood sugar level.
 Take medications - and other necessary treatments for other health conditions
like PCOD, high blood pressure, and high cholesterol.

4. Take away
If left untreated prediabetes can cause health issues including type II diabetes, heart
diseases, and kidney ailments.
Fortunately, it is reversible and can be treated by simple lifestyle changes and changes
to your diet.
Connect with the experienced doctors at CareFirst if you are worried about prediabetes,
observe any signs or symptoms, or need assistance with prediabetes.
Dr. Uma Nagpal
MBBS, DHSM
Dr. Uma Nagpal retired as a Deputy Director General of NHI South Africa. She has
worked across specialties over an illustrious 40+ years of clinical experience. She has
worked as a Senior resident in the Department of Obstetrics and Gynecology and
anesthesia. She Independently practices as GP for thirteen years. Then worked as
Medical Officer, Principal Medical officer, and Chief Medical Officer in various hospitals
in South Africa.
Col. (Retd.) Dr. VK Popli
MBBS, FCGP, M. Phill (HHSM)
Col. (Retd.) Dr. V K Popli is a Family Physician with more than 45 years of work
experience. He is a veteran & has managed various army healthcare facilities across
India.