Prediabetes
Prediabetes is a state of blood sugar higher than normal but not yet in the diabetic range. Without intervention, up to 37% of people with prediabetes develop type 2 diabetes within four years — but intensive lifestyle change can cut that risk by more than half.
When to Book
Book a visit if symptoms are new, persistent, getting worse, or affecting daily life. Early evaluation often prevents complications.
Symptoms
Most people have no symptoms. Fatigue, increased thirst, or blurred vision may occur at higher glucose levels. Darkened patches of skin in armpits or neck (acanthosis nigricans) are a skin marker sometimes associated with insulin resistance.
Causes & Risk Factors
Insulin resistance is the underlying mechanism. Risk factors mirror those for type 2 diabetes: overweight or obesity, sedentary lifestyle, family history of diabetes, gestational diabetes, PCOS, high blood pressure, high triglycerides, and age over 35.
How We Evaluate
Prediabetes is diagnosed by fasting glucose 100–125 mg/dL, two-hour glucose after oral glucose challenge of 140–199 mg/dL, or A1C 5.7–6.4%. We also check fasting insulin and lipids to gauge overall metabolic risk.
Treatment Options
The Diabetes Prevention Program showed a 5–7% weight reduction plus 150 minutes of moderate activity per week reduces diabetes risk by 58%. We build a practical nutrition and exercise plan, address barriers, and reassess in three to six months. Metformin is an option for high-risk individuals who cannot sustain lifestyle changes.
When It Is Urgent
Prediabetes itself is not an emergency. Seek care promptly if fasting glucose exceeds 200 mg/dL, as this may indicate progression to diabetes requiring prompt management.
Frequently Asked Questions
Do I need a referral to see an endocrinology provider?
No referral is needed at Nomi Beach Health. You can book directly with our team for hormone, thyroid, metabolic, or weight-management concerns.
How long does it take to see results from treatment?
Timeline depends on the condition. Thyroid medication often improves symptoms within four to eight weeks. Weight-loss interventions show measurable changes in four to twelve weeks. Hormone therapy timelines vary by the specific condition and individual response.
Will I need labs before my first visit?
You can come in without prior labs — we order whatever is appropriate during or after your visit. If you have recent results, bring them so we can start the conversation right away.
Are these conditions managed long-term or treated once?
Most endocrine and metabolic conditions require ongoing management rather than a single treatment. We build a follow-up schedule around your specific diagnosis and goals.
Can I be seen for weight loss even if I do not have a hormone diagnosis?
Yes. We evaluate weight holistically — including metabolic markers, lifestyle factors, and, when appropriate, medication options such as GLP-1 agonists.
Get a Clear Plan for Prediabetes
Our endocrinology team evaluates you as an individual and builds a treatment plan that fits your life — not a template.