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Prediabetes: What It Means and How to Reverse It

Writer: Dr. Aaron RosenbergDr. Aaron Rosenberg

Introduction

As people get older, they often notice their metabolism slowing down, weight creeping up, and energy levels dropping. If this sounds familiar, prediabetes could be part of the problem. Prediabetes happens when blood sugar levels are higher than normal but not high enough to be called diabetes. It affects nearly 1 in 3 adults, and most people don’t even know they have it.

The good news? Prediabetes can be reversed. With a few key lifestyle changes, you can bring your blood sugar levels back to normal, boost your metabolism, and feel better overall.

What is Prediabetes?

Prediabetes means your body isn't using sugar (glucose) properly. This happens because of insulin resistance, where cells don’t respond well to insulin, so sugar stays in the blood instead of getting used for energy. Doctors check for prediabetes using these tests:

  • A1C Test: Measures blood sugar levels over three months (5.7% - 6.4% means prediabetes).

  • Fasting Blood Glucose Test: A result between 100-125 mg/dL suggests prediabetes.

  • Oral Glucose Tolerance Test: A reading of 140-199 mg/dL after drinking a sugary liquid confirms prediabetes.

Without changes, up to 70% of people with prediabetes will develop type 2 diabetes. But the right steps can lower that risk dramatically.

How Prediabetes Affects Your Body

Prediabetes can cause problems with metabolism and energy levels, leading to:

  • Extra Fat Storage: Insulin resistance makes your body store more fat, especially around your belly.

  • Muscle Loss: Without enough insulin activity, muscles don’t grow or repair as well.

  • Low Energy: Since sugar isn’t getting into cells properly, you might feel tired, foggy, or sluggish.

  • Faster Aging & Inflammation: High blood sugar can speed up aging and increase the risk of diseases like heart disease.

How to Reverse Prediabetes

1. Eat Better to Control Blood Sugar

  • Cut back on processed carbs and sugars – switch to whole grains, vegetables, and fiber-rich foods.

  • Eat protein and healthy fats – include lean meats, fish, nuts, and avocados to help stabilize blood sugar.

  • Be mindful of meal timing – avoid eating late at night and spread meals evenly throughout the day.

2. Exercise to Improve Insulin Sensitivity

  • Strength training 2-3 times a week helps build muscle and improve blood sugar control.

  • Do at least 150 minutes of moderate exercise (like walking, jogging, or biking) each week.

  • Take short walks after meals – even 10-15 minutes can help lower blood sugar levels.

3. Improve Sleep & Reduce Stress

  • Get 7-9 hours of quality sleep – lack of sleep makes insulin resistance worse.

  • Manage stress – high stress increases blood sugar, so try meditation, deep breathing, or yoga.

Conclusion: Take Control of Your Health

Prediabetes doesn’t mean you’re guaranteed to get diabetes—it’s a sign that your body needs a reset. Making small but consistent changes can completely turn things around, boosting your metabolism, energy, and long-term health.

Start today by making a few simple food swaps, adding more movement to your day, and getting better sleep.

Want a personalized plan for better metabolic health?




 
 
 

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