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Endocrinology

Prediabetes: symptoms, causes & treatment

Also known as Impaired glucose tolerance, Impaired fasting glucose, Borderline diabetes.

This information is for general guidance only and does not constitute medical advice. Always consult a qualified healthcare professional for personal medical concerns. In an emergency, call your local emergency number.

Overview

Prediabetes means blood sugar levels are higher than normal but not yet high enough to be called type 2 diabetes. It is an important warning sign because it often progresses to diabetes, but this can frequently be slowed or prevented. It usually causes no symptoms and is found through a blood test.

Symptoms

  • Usually no symptoms
  • Sometimes increased thirst or hunger
  • Sometimes increased tiredness
  • Most often detected through routine blood testing
  • Darkened skin patches in some people (acanthosis nigricans)

Causes & risk factors

  • Insulin resistance
  • Excess body weight, especially around the abdomen
  • Physical inactivity
  • Family history of type 2 diabetes
  • Increasing age
  • History of gestational diabetes
  • Certain ethnic backgrounds with higher risk

Treatment & self-care

Care generally focuses on lifestyle changes, including healthier eating, increased physical activity, and modest weight loss, which can substantially lower the chance of developing diabetes. A clinician arranges periodic blood-sugar monitoring and discusses whether additional measures are warranted. A licensed clinician should confirm the diagnosis and guide a prevention plan.

See a doctor urgently if

  • You have risk factors such as family history, excess weight, or a previous high blood-sugar reading
  • You develop increased thirst, frequent urination, or unexplained tiredness
  • You had diabetes during pregnancy and want follow-up testing

Frequently asked questions

What are the first signs of Prediabetes?
Early signs often include usually no symptoms, sometimes increased thirst or hunger, sometimes increased tiredness. Symptoms vary from person to person, so a proper assessment by a doctor is the only way to be sure.
Can Prediabetes be treated?
Care generally focuses on lifestyle changes, including healthier eating, increased physical activity, and modest weight loss, which can substantially lower the chance of developing diabetes. A clinician arranges periodic blood-sugar monitoring and discusses whether additional measures are warranted. A licensed clinician should confirm the diagnosis and guide a prevention plan.
When should I see a doctor about Prediabetes?
See a doctor promptly if you notice: you have risk factors such as family history, excess weight, or a previous high blood-sugar reading; you develop increased thirst, frequent urination, or unexplained tiredness; you had diabetes during pregnancy and want follow-up testing.

Talk to the right specialist

Prediabetes is usually handled by endocrinology. See an online endocrinology doctor in minutes on iHealix.

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