What prediabetes actually means:
Blood sugar levels are elevated but not high enough for a diabetes diagnosis
Insulin resistance is already developing
The pancreas is under pressure to keep up
The clock is ticking toward long-term metabolic damage
The numbers that define prediabetes:
A1C between 5.7% and 6.4%
Fasting glucose between 100–125 mg/dL
Oral glucose tolerance test results between 140–199 mg/dL at two hours
Why prediabetes matters more than most people think:
70–90% of people with prediabetes will progress to Type 2 diabetes without lifestyle changes
Metabolic damage is already underway before diagnosis
Cardiovascular risks increase even before diabetes develops
Early action can fully reverse the condition in many cases
Major contributors to prediabetes:
Carrying excess abdominal fat and low muscle mass
Consuming too many refined carbohydrates
Chronic sleep deprivation and irregular schedules
High levels of stress and cortisol disruption
Sedentary habits with long hours of sitting
Family history or past gestational diabetes
Signs that could indicate trouble — even if subtle:
Increased hunger shortly after eating
Afternoon energy crashes
Darkened skin patches around neck, elbows, or armpits
Difficulty losing weight despite effort
Brain fog or trouble concentrating
The good news is that prediabetes doesn’t have to become diabetes. This is the stage where change works best.
Proven strategies to reverse or delay progression:
Building muscle with regular strength-focused exercise
Increasing daily movement and reducing long periods of sitting
Prioritizing protein and whole foods over refined sugars and starches
Improving sleep hygiene and stress management
Losing just 5–10% of body weight if overweight
Getting screened regularly to monitor improvements
What healthcare and society get wrong:
Rarely screening before symptoms appear
Overlooking the role of muscle as a metabolic organ
Treating prediabetes like a minor issue instead of a clear warning
The truth is simple: doing nothing guarantees things will get worse. Acting now gives people a powerful chance to reclaim metabolic health and avoid the long-term consequences of diabetes entirely.