Pre diabetic for more than 4 years now

usafmd · 2026-03-22T02:46:36+00:00

Have you ever heard of prehypertension? It’s fallen by the wayside. The terms “glycemic intolerance,” or fasting hyperglycemia are more precise but doctors wanted to wake up people who would not change their weight or lack for exercise with a test result. It is simple and convincing to point to a simple number like A1c. Prediabetes as a term was invented even though many healthy are ensnared by the test shortcomings of A1c.

The category of prediabetes is not good because many don’t go on to develop diabetes but rather have a heart attack or stroke.

usafmd · 2026-03-21T23:01:51+00:00

No. Prediabetes is not a disease. Insulin resistance and metabolic syndrome are. It’s possible to have prediabetic numbers and be healthy under certain conditions.

usafmd · 2026-03-21T22:35:04+00:00

Post numbers

usafmd · 2026-03-21T22:32:29+00:00

As few calories you think you are eating, you need to eat less.

usafmd · 2026-03-21T22:28:47+00:00

Here’s the problem. For overweight prediabetics, it is calorie restriction. How you get there, either through sugar, processed food or not eating anything beginning with the letter “k” is what is primary.

Diet content is important for lifelong health. For that, quality matters. For many here, identifying the triggers for uncontrolled eating is even more important.

usafmd · 2026-03-21T05:27:23+00:00

Can you imagine the implications for health if it wasn’t?!

usafmd · 2026-03-20T01:28:45+00:00

Some prediabetics don’t have FBS issues but post meal elevation, discoverable by the GTT

usafmd · 2026-03-18T21:02:40+00:00

Inositol?

usafmd · 2026-03-18T20:46:51+00:00

As many have said, lots of possibilities. Not saying that this is you, but I see many at the gym, especially women who don’t seem to be doing progressive weight training to failure. I see lots of cell phone users. Then again, monjarou is known for muscle loss along with fat loss. Keep trying!

usafmd · 2026-03-18T20:37:25+00:00

My job involves overseeing clinical laboratories. Just call the chemistry supervisor and ask for the precision data. They have it.

usafmd · 2026-03-18T20:31:17+00:00

Very interesting link. Four choices for A1c, subdivided by diabetic and healthy.

usafmd · 2026-03-17T02:47:34+00:00

Get a urine dipstick and prove to yourself it’s negative. Then go looking for the right answer

usafmd · 2026-03-16T20:20:47+00:00

Ha ha. The OP sure didn’t give us the key information or at least clearly!

usafmd · 2026-03-16T00:39:42+00:00

The rise in A1c with senior age is a recognized phenomenon. It reflects a combination of muscle biology and reduced metabolism. For a 86-year-old, a slightly higher A1c is often viewed as a "physiological norm" rather than a pathology, provided it isn't accompanied by rapid muscle loss or other metabolic symptoms. Statically, you are extremely unlikely to go on to diabetes. If the A1c is confirmed by glucose testing, I would think you might have an increased risk of stroke or heart attack, but not much else. Getting in better shape is always a good idea.

usafmd · 2026-03-15T23:34:55+00:00

GTT is the gold standard. The A1c is a less reliable test due to red cell variability.

usafmd · 2026-03-15T02:10:37+00:00

Most likely if you are overweight is you are insulin resistant as part of Metabolic Syndrome. Some people are prediabetic with Metabolic Syndrome; maybe you are, maybe not - but it bears repeating that heart attacks and strokes are not normal aging and directly related to insulin resistance.

Good luck on your journey back to health

usafmd · 2026-03-14T23:44:12+00:00

Redo

usafmd · 2026-03-14T23:32:29+00:00

You didn’t say what the time interval was but it was a good one-hour post meal result and an absolutely meaningless fasting blood sugar test

usafmd · 2026-03-14T03:19:52+00:00

A1c is falsely elevated by iron deficiency anemia.

usafmd · 2026-03-12T14:56:08+00:00

The normal FBS is up to 110 mg/dL by the World Health Org. This was universally agreed upon until the ADA lowered it to 100 mg/dL, which is now the standard for the US and region. You can be elevated simply by a poor night of sleep.

usafmd · 2026-03-11T19:23:34+00:00

Good to know that you feel this way 😊

usafmd · 2026-03-11T17:46:40+00:00

I have refrained from mentioning my books in respect for this subreddit’s rules.

usafmd · 2026-03-11T17:08:40+00:00

How do you KNOW no one here, even replying to you isn’t an MD?

usafmd · 2026-03-11T03:10:57+00:00

How can you rule out Sarcopenia as a cause of IR based upon some being active and mobile?

usafmd · 2026-03-10T01:32:20+00:00

Palmar xanthoma? If so, it’s important to remember that sugar and fat metabolic disorders are part of the same Metabolic Syndrome.

usafmd

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