Had blood work yesterday. Fasted for 14 hours. As the title states, those were my numbers. Left complete bummed out. So, now I need to reverse those numbers. I know what I need to do food wise and exercise and all that stuff. I weigh 217 and I’m 6’. I would like to get down to 185ish. Any suggestions? I’m guessing taking metformin would help at this point. I’m hesitant as I have read the experiences some have had. So bummed. I know I can change my habits just super disappointed I did this to myself. Thanks for reading and anything suggestions. I have an appt with my primary next week to discuss these numbers.

Hi everyone, I've recently been doing research on prediabetes, and something that I've found has kind of blown my mind. There's a german center of diabetes research that published results a few years ago that identifies 6 subtypes or clusters of prediabetes.

There's three types that don't have a risk of progressing to type 2, and three that do. Both have subtypes with patients who were both at a healthy weight and overweight, but there were other factors that determined if they would progress to type 2.

There's also further division in the treatment if you have impaired fasting glucose(IFG) vs impaired glucose tolerance(IGT). IFG responds to nutrition and caloric changes, while IGT primarily responds to exercise.

I have a family friend who was diagnosed prediabetic in her late 60's, and after finding out she had IGT she switched to mainly strength training 4x a week. That gave her more results than the nutrition approach did. I didn't have a title for it until finding out about IGT in research, but this seems pretty huge.

A lot of online info about prediabetes neglects these categories, why? It seems really important to know what your specific glucose response is when doing treatment to change it, but I haven't heard health professionals bring this up in any seminars or articles that I've read in the past.

I'm worried about being at risk of prediabetes, but if I knew what subtype I was, it would be way easier to construct treatment around it. Wanted to make this article to both get my thoughts out and to maybe inspire other people to investigate what subtype they are.

I like making my own sourdough with only flour, salt & water. But I’ve been avoiding it since I started tracking my sugars. I miss it 🫤

Anyone had any experience with it spiking your sugar?

any one can suggest a glucose monitor for prediabetes? I got diagnosed with prediabetes and is hard for me since I‘m sugar lover but I don’t want to be diabetic by any means 🥺

So I am officially prediabetic with hbA1c of 5.89. Anyway I need advice with diet and meds. I am going to the doctor tomorrow and will see what She says but I just would need some advice from fellow sufferers who got their insulin lower and hbA1c. I plan to eat low carb and exercise but Idk about meds and supplements. Thanks.

Endo told me to stop metformin for 1month now. Last a1c check a week ago was 5.1, FBS was 87. I have established healthier lifestyle since dx last Sept. Lost weight, around 33lbs. And lift weights 3-4x a week. Now I am sort of worried bec my symptoms seems ot came back. I pee more frequently than I was taking metformin. Esp at night. Did not change anything even I was off metformin. I still walk every after meals. What gives?

EDIT: I want to add that I have been taking psyllium husk fiber in water before meals as a fiber. Maybe about 1-2 a day. And noticed that after taking it, I have to pee after an hour. Could that be it?

Got my A1C checked recently and it came back at 6.0.

Kinda threw me off because I've already been trying to eat better and exercise more. I guess I assumed if I was doing those things the number would move pretty quickly.

For people who were in the 5.7–6.4 range, how long did it take before you actually saw a noticeable change?

And was there one thing that seemed to make a bigger difference than everything else?

Just trying to get a realistic idea of what other people's experience has been.

I’ve been drinking ultra filtered milk because it has lower sugar and higher protein, thinking it would be better for my blood sugar and insulin.

It turns out ultra filtered milk spikes my blood sugar (175 an hour after drinking) even worse than regular milk. After doing some research, I found out that whey protein can actually cause a sharp insulin spike.

It’s so frustrating when something I think is healthy ends up straining my pancreas. Just wanted to share this for anyone else watching their glucose

I worry i might be prediabetic, it runs in my family, and lately i've been feeling worse in my skin. Big problem is sudden and long lasting thirst, a lot of times after waking up or after certain meals. Even if i drink a lot it doesn't seem to go away or only for a little time. I also get up at night to go to the toilet 1 or 2 times, if i sleep badly, then more. I always wake up so thirsty, i drink a lot, go to bed, wake up, go to toilet, need to drink again...

This habbit started like 6 years ago, i tried to drink more and i sort of got "addicted", i always had to carry a bottle with me and drink every half an hour so. But back than i had my blood check and everything was okay. I wonder, if it's just my bad habbit getting worse, my body getting used to the excess water (i might have OCD tendecies) or could it be the sign of high blood sugar? How to differenciate? I will ask my GP for bloodtest, but it might take some time to get there.

So, I’ll try to make a long story short - about three years ago, I reached my peak weight of 280 lbs. (I’m a 6’0”, 29 y/o male), and I’d begun experiencing spells of faintness, almost passing out, feeling freezing cold and sweating, skin turning pale, impenetrable brain fog, twitchiness, etc. I went to the doctor, and my A1C at that time was 5.3; they told me to eat more often, as it sounds like low blood sugar. To be fair, I was eating only once per day, a massive amount of food, and pure junk. So after that, I switched to a mostly-whole-foods diet, no added sugars whatsoever, like 70% vegetables, 20% tofu, and a teeny amount of grains, all very low glycemic index carbs, split it into equal four meals per day, started exercising five days a week, and over a year and some change, I lost about 130 pounds.

I started feeling depressed at the end of my weight loss (Not abnormal for me) and my doctor raised an antidepressant dose, and over the next few months, I regained about 35 of those pounds. This whole time (During and after weight loss), the spells of dizziness and brain fog were less common, or less intense, but did still occur. I went to a new doctor about 7 months ago and got some new blood tests. My vitamin D was low (Should be normal now), and my A1C was 4.2%. She said the value should be accurate, no confounding factors like fast-dying RBC’s, and told me to eat more, smaller meals through the day.

So I did split my second meal into two and ate five meals per day. I felt pretty bad when I did, like I wasnt sated enough from my second meal nor my third meal, and after three weeks or so I returned to my previous way of eating. I now continue to eat the way I have before and continue to feel a constant fatigue, no energy ever, foggy and out of it. I havent gained weight since my last weight gain (I had my psych revert the antidepressant dose) and in fact have lost about 10 pounds, very slowly. Not to mention, just going by the math, I’d probably have to have regular fasting hypoglycemia, like at night, in order to hit such a low A1C. During the day, based on my glucose meter, I have a normal reaction after my meals, hitting like 100 two hours after eating, maybe 110 at most but most often 90-100.

Nonetheless, it seems like any way I try to alter the way I eat, I start feeling badly. Add more carbs, feel sluggish and hungry. Lower the protein, sluggish and hungry. Add fat, sluggish and hungry. So I eat the same exact things everyday, in the same exact ways, or else I feel worse than usual. I eat about 50% carbs, 26% protein, 24% fat. 

Has anyone else experienced anything like this? Does anyone have any idea what could be wrong with me? Fatty acid oxidation issues, carnitine deficiency, hormone problems? I know not to take anything as medical fact on here, just wondering about others’ thoughts and experiences. 

I am following most recommendations to keep my average daily glucose low. Use Stelo (CGM) to monitor my glucose. Am doing intermittent fasting, eat only between the window of 11 am to 6 pm. Breakfast is avacado toast on ezikel bread and 2 boiled eggs. Lunch is salad followed by some low carb options with protein. I walk after every meal. Work out around 3 days a week but otherwise either bike or walk on the days I do not workout. I have lost more than 10 pounds in last 9 months (height 5'9 weight was 180 pounds to 169 pounds).

HBA1C is 6.6 when measured on home HBA1C tester (relion from Walmart). My average daily glucose, as per Stelo, is 134.

Morning glucose ranges between 108 to 120 when measured with the finger prick method.

So the question is, why the hell is HBA1C so high? When daily glucose is around 134? I have confirmed this with the finger prick test method as well.

What am I missing? What else should I be doing to get HBA1C to pre diabetic or lower levels?

This is a continuation of my previous posts:

**Part 1:** https://www.reddit.com/r/prediabetes/s/43HE5Ntzhq

**Part 2:** https://www.reddit.com/r/prediabetes/s/frnTzn6uV1

It's been another year, so here's the next update.

**What I did**

For the last year, I've kept essentially the same lifestyle:

- 3x/week weight training
- Daily biking
- Same body weight, more or less
- Continued reducing animal fat
- Continued increasing carbohydrates, primarily from whole-food/whole-grain sources
- Increased unsaturated fat, particularly olive oil

My weight has remained basically unchanged.

**Bloodwork**

Here is the progression:

HbA1c: **5.58 -> 5.40 -> 5.19**

Fasting insulin: **6.6 -> 3.8 -> 11.8**

HOMA-IR: **1.4 -> 0.9 -> 2.97**

Fasting glucose: **85-95 -> 80-95 -> 102 mg/dL**

So something interesting happened this year.

My **HbA1c continued to decrease**, and is now the lowest it's ever been.

This is despite the fact that I'm eating considerably more carbohydrates (200-250g) than when I started this experiment.

However, my **fasting insulin and HOMA-IR went up quite substantially**, and my fasting glucose is back to 102 (highest 108 in 2024)

So now I'm a little confused about what direction I should actually be trying to optimize for.

**What should I prioritize?**

Is it better to have:

**A)** Lower HbA1c but higher fasting insulin/HOMA-IR

or

**B)** Lower fasting insulin/HOMA-IR but somewhat higher HbA1c?

I honestly don't know.

I'm not sure whether I should change my diet based on these results, or simply continue doing what I've been doing and see what happens over another year.

For context, I'm still normal weight (BMI ~22), my weight hasn't meaningfully changed, and I have a family history of type 2 diabetes. So I realize my situation may be quite different from the typical person with prediabetes.

I'm posting this mainly because I find the evolution interesting, and I'd be interested in hearing how others would interpret the discordance between **HbA1c and fasting insulin/HOMA-IR**.

For now, I'm probably going to continue monitoring rather than making a major change based on a single set of results.

I'll keep you updated.

Hi everyone, I’m 10 weeks postpartum and just had my follow-up after having gestational diabetes. My fasting glucose was 108, 1-hour was 117, and 2-hour was 118. My doctor said I’m probably prediabetic and recommended losing some weight and continuing to eat healthy, which I’m already trying to do.

I’m still really worried, though. My A1c was 5.2% two weeks before giving birth and 5.4% when I was diagnosed with gestational diabetes. Now that I have a newborn, I don’t have much time to read a lot, so I’d really appreciate some simple tips or encouraging words about what I can do to improve my blood sugar and lower my risk of developing/ reverse diabetes.

I’m honestly quite scared and just want to stay healthy for my son. ❤️ Any advice or positive experiences would mean a lot. Thank you!

In February I had a blood sugar of 105 (I ate within 2 hours of the test). My weight was 237lbs. Since then, I’ve lost about 20lbs. I thought I was falling the 50/25/25 split right, but all my carbs were problematic (potatoes, and jasmine rices, and rolled/instant oats). It also doesn’t help that I didn’t have a full nights sleep for months (family reasons), been inconsistent with workouts (I did try to get 10,000 steps a day and I achieve that for the most part), and lacked the discipline to avoid sweets as much as I should’ve been at the time.

In July, I felt my legs feeling weak at certain points, my headaches (at a few point as I walk it felt my body was about to slant). I would feel hungry after eating a meal within 2 hours sometimes (frozen veggies, jasmine rice, and chicken), Then there’s the sensation/pressure that comes around my eyes sometimes.

I’m getting test this Thursday, but I won’t get results until later. How do I calm myself mentally no matter what happens to me ?

I feel like an idiot who tried to fight against my fate due to family history, only to fall short because I’m a failure/loser, like how it’s always been

Feeling gutted, recently discovered I am pre, and went through some research only to find out high risk individuals like myself might already have functionally lost 80% of Beta cells.

Honestly lifestyle changes for me personally isn't that difficult. Eventually had to do it. Sure can delay it but can't deny it.

Two hours after a meal I’m routinely at 120 or lower. When I’m not around a more “normal” number like that, I’ll be in the 70s or 80s instead, no matter what I eat — high carb or low carb, there doesn’t seem to be a correlation. But in the morning, right after waking, some times it’s at 110. Others it’s in the 90s. What would explain these weird readings? And can you have the “dawn effect” without diabetes?