Prediabetes Range: Are You at Risk and What to Do Next?

23 Aug 2025

Prediabetes Range: Are You at Risk and What to Do Next? Prediabetes is a serious health condition where blood sugar levels are higher than normal, but...

Prediabetes Range: Are You at Risk and What to Do Next?

Prediabetes is a serious health condition where blood sugar levels are higher than normal, but not high enough to be diagnosed as type 2 diabetes. Understanding the prediabetes range and your risk factors is the first step in preventing the progression to full-blown diabetes. This article will cover everything you need to know, including what puts you at risk, how to get tested, and what lifestyle changes can help you manage the condition.

What is Prediabetes?

Prediabetes means that your blood glucose levels are higher than they should be, signaling that your body isn't using insulin properly. Insulin is a hormone made by your pancreas that acts like a key to let blood sugar into your cells for use as energy. When you have prediabetes, your cells don't respond well to insulin, and your pancreas can't make enough insulin to keep your blood sugar at a healthy level.

Recognizing and addressing prediabetes early can dramatically reduce your risk of developing type 2 diabetes, heart disease, and stroke.

Understanding the Prediabetes Range

Diagnosing prediabetes involves specific blood glucose tests. Here are the ranges to understand:

  • Fasting Plasma Glucose (FPG): This test measures your blood sugar after an overnight fast (at least 8 hours). A normal FPG is less than 100 mg/dL. Prediabetes range is 100 to 125 mg/dL. A reading of 126 mg/dL or higher indicates diabetes.

  • Oral Glucose Tolerance Test (OGTT): This test measures your blood sugar two hours after drinking a sugary liquid. A normal OGTT result is less than 140 mg/dL. A result between 140 and 199 mg/dL falls into the prediabetes range. A reading of 200 mg/dL or higher signifies diabetes.

  • Related reading: Fasting Blood Sugar What Your Morning Levels Are Telling You

    A1C Test: This test measures your average blood sugar level over the past 2-3 months. A normal A1C is below 5.7%. An A1C between 5.7% and 6.4% indicates prediabetes. A result of 6.5% or higher confirms diabetes.

    Related reading: Is Your Fasting Blood Sugar In The Normal Range What The Numbers Mean

Test Normal Range Prediabetes Range Diabetes Range
Fasting Plasma Glucose (FPG) Less than 100 mg/dL 100 to 125 mg/dL 126 mg/dL or higher
Oral Glucose Tolerance Test (OGTT) Less than 140 mg/dL 140 to 199 mg/dL 200 mg/dL or higher
A1C Below 5.7% 5.7% to 6.4% 6.5% or higher

It's crucial to consult with your doctor to determine the most appropriate test for you and to interpret your results accurately.

Are You at Risk for Prediabetes?

Several factors increase your risk of developing prediabetes. Recognizing these risk factors can help you take proactive steps to manage your health:

  • Weight: Being overweight or obese is a significant risk factor. Excess weight, especially around the abdomen, can lead to insulin resistance.
  • Inactivity: A sedentary lifestyle increases your risk. Physical activity helps your body use insulin more effectively.
  • Family History: Having a parent, sibling, or other close relative with type 2 diabetes increases your risk.
  • Age: Your risk increases as you get older, especially after age 45.
  • Race/Ethnicity: Certain racial and ethnic groups, including African Americans, Hispanic/Latino Americans, American Indians, Pacific Islanders, and some Asian Americans, are at higher risk.
  • Gestational Diabetes: If you had gestational diabetes during pregnancy, you're at higher risk of developing prediabetes and type 2 diabetes later in life.
  • Polycystic Ovary Syndrome (PCOS): Women with PCOS are at higher risk.
  • Sleep Apnea: This condition can contribute to insulin resistance.
  • High Blood Pressure: People with high blood pressure are more likely to develop prediabetes.
  • Abnormal Cholesterol Levels: High triglycerides and low HDL cholesterol levels increase your risk.

If you have one or more of these risk factors, it’s important to talk to your doctor about getting tested for prediabetes. Early detection is key to prevention.

What to Do Next If You Are in the Prediabetes Range

If you've been diagnosed with prediabetes, don't panic. It's a warning sign that you can address with lifestyle changes. Here’s what you should do:

  1. Consult with Your Doctor: Discuss your diagnosis with your doctor and develop a personalized management plan. They may recommend additional tests or referrals to specialists.

  2. Related reading: Mastering Your Mornings How To Achieve A Normal Fasting Blood Sugar

    Make Dietary Changes:

    • Focus on Whole Foods: Eat plenty of fruits, vegetables, and whole grains.
    • Limit Processed Foods: Reduce your intake of sugary drinks, processed snacks, and fast food.
    • Control Portion Sizes: Be mindful of how much you're eating.
    • Choose Healthy Fats: Opt for healthy fats like those found in avocados, nuts, and olive oil.
  3. Increase Physical Activity:

    • Aim for at Least 150 Minutes Per Week: Engage in moderate-intensity aerobic exercise, such as brisk walking, cycling, or swimming.
    • Incorporate Strength Training: Include strength training exercises at least twice a week to build muscle mass, which helps improve insulin sensitivity.
    • Find Activities You Enjoy: Choose activities that you find enjoyable to make it easier to stick to your exercise routine.
  4. Lose Weight (If Overweight or Obese): Even a small amount of weight loss (5-7% of your body weight) can significantly reduce your risk of developing type 2 diabetes.

  5. Manage Stress: Chronic stress can affect blood sugar levels. Practice stress-reduction techniques such as meditation, yoga, or deep breathing exercises.

  6. Monitor Your Blood Sugar: Regularly check your blood sugar levels as recommended by your doctor. This will help you track your progress and make any necessary adjustments to your management plan.

  7. Consider Participating in a Diabetes Prevention Program: The CDC's National Diabetes Prevention Program (NDPP) offers structured lifestyle change programs that have been proven to help people with prediabetes prevent or delay the onset of type 2 diabetes.

Action Description
Dietary Changes Focus on whole foods, limit processed foods, and control portion sizes.
Increased Physical Activity Aim for at least 150 minutes of moderate-intensity exercise per week.
Weight Loss Losing even a small amount of weight can make a big difference.
Stress Management Practice stress-reduction techniques to help regulate blood sugar levels.
Blood Sugar Monitoring Regularly check your blood sugar levels to track your progress.

Can Prediabetes Be Reversed?

Yes, prediabetes can often be reversed through lifestyle changes. Studies have shown that making healthy lifestyle modifications can significantly reduce the risk of developing type 2 diabetes. In some cases, people can even bring their blood sugar levels back to the normal range.

However, it's important to remember that managing prediabetes is an ongoing process. Even if you successfully reverse prediabetes, you'll need to continue maintaining healthy habits to prevent it from returning.

The Importance of Regular Check-Ups

Even if you’re managing your prediabetes effectively with lifestyle changes, regular check-ups with your doctor are crucial. Your doctor can monitor your blood sugar levels, assess your overall health, and make any necessary adjustments to your treatment plan. They can also screen for any potential complications, such as heart disease or kidney problems.

Conclusion

Being diagnosed within the prediabetes range is a wake-up call. By understanding your risk, getting tested, and taking proactive steps to improve your health, you can prevent or delay the onset of type 2 diabetes and reduce your risk of other serious health problems. Remember, lifestyle changes can make a significant difference, so start today and take control of your health. Talk to your healthcare provider to get personalized advice and guidance. Don't wait—your future health depends on it.