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Prediabetes is a condition where blood glucose levels are higher than normal but not yet high enough to be classified as type 2 diabetes. It is caused by insulin resistance, where cells become less responsive to insulin and the pancreas cannot produce enough insulin to maintain normal blood sugar levels. The Hemoglobin A1c test is the most important test for diagnosis because it measures average blood glucose levels over the past 2-3 months.
Prediabetes is caused by insulin resistance, where your body's cells become less responsive to insulin and your pancreas cannot produce enough insulin to maintain normal blood glucose levels. This happens when excess weight, particularly around the abdomen, causes cells to resist insulin's effects, forcing the pancreas to work harder. Over time, the pancreas struggles to keep up with the increased demand, leading to elevated blood sugar levels that fall into the prediabetic range between 5.7% and 6.4% on an A1c test.
The Hemoglobin A1c test is the most important test for prediabetes because it measures your average blood glucose levels over the past 2-3 months, providing a comprehensive picture of your blood sugar control. An A1c level between 5.7% and 6.4% indicates prediabetes, while levels of 6.5% or higher suggest type 2 diabetes. The Hemoglobin A1c With eAG Estimation test is also highly valuable because it provides both the A1c percentage and an estimated Average Glucose (eAG) value in mg/dL and mmol/L, making it easier to understand your daily blood sugar patterns. These tests are essential because prediabetes typically has no symptoms, making blood work the only reliable way to catch elevated glucose levels before they progress to full diabetes.
You should get tested if you are overweight or obese, have a family history of type 2 diabetes, are physically inactive, or are over age 45. Testing is also recommended if you have high blood pressure, high cholesterol, polycystic ovary syndrome (PCOS), or a history of gestational diabetes. Since prediabetes rarely causes noticeable symptoms, regular screening is crucial for early detection, especially if you have any of these risk factors, allowing you to make lifestyle changes before the condition progresses to type 2 diabetes.
What this means
Your HbA1c level of 5.9% falls in the prediabetes range, which means your blood sugar has been slightly elevated over the past 2-3 months. This is an important warning sign, but the good news is that prediabetes can often be reversed with lifestyle changes. Taking action now can help you avoid developing type 2 diabetes and reduce your risk of heart disease and other complications.
Recommended actions
Focus on eating more vegetables, whole grains, and lean proteins while reducing refined carbs and sugary foods
Aim for 150 minutes of moderate exercise per week, like brisk walking or cycling
If overweight, work toward losing 5-10% of your body weight through diet and exercise
Retest in 3-6 months to monitor your progress and see if lifestyle changes are working
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