Reverse Prediabetes to Avoid Diabetes

At this point, it’s well known that diabetes is a growing concern in the U.S. and around the world. According to the CDC’s National Diabetes Statistics Report from 2020, more than 34 million Americans, or about 10% of the population, already have it.

However, what’s even more alarming are the statistics related to prediabetes, which is a state of higher blood sugar levels that indicates an increased risk of developing diabetes.

The same CDC report from 2020 indicates that 88 million adults in the U.S. have prediabetes.

That’s almost one-third of the population.

What are the glucose levels for prediabetes?

Ronald B. Goldberg, M.D., an endocrinologist at the University of Miami Health System, says there are several reasons to be concerned about this trend. For one, blood sugar numbers that qualify somebody for prediabetes are not too far off from diabetes itself.

For example, the American Diabetes Association says that people with diabetes will have a fasting blood sugar of higher than 126 milligrams per deciliter. Prediabetes is just below that, with fasting blood sugar levels between 100 and 125 milligrams per deciliter.

Diabetes and prediabetes can also be diagnosed by a 2-hour post oral glucose test. For this test, Dr. Goldberg says that the “the cutpoint for diabetes is 200 and for prediabetes, it is 140-199.”

The same thin margin holds true for the A1C blood test, as people with prediabetes are between 5.7% and 6.4%, while people with diabetes are 6.5% or higher.

Now, take those thin margins and compound it with the alarmingly high number of people with prediabetes, and you can see why Dr. Goldberg is concerned.

“We’ve been looking at this issue for over 25 years, and we know that prediabetes represents a 60% or higher risk of developing diabetes later in life,” he says. “So yes, we’re looking at a great number of people who have a chance of developing a dangerous, life-threatening condition in the years ahead.”

While the numbers related to prediabetes are alarming to both health professionals and the general public alike, Dr. Goldberg says there is some reason for optimism.

While prediabetes indicates a high likelihood of getting diabetes later in life, you can do something about it.

In fact, for many, it has served as a wake-up call that it’s time to make some positive health changes. “If you have prediabetes and make some lifestyle changes, you can do a lot to slow it down, if not prevent it altogether,” says Dr. Goldberg.

Simple steps can help you reverse prediabetes to avoid diabetes.

How can you turn things around if you’re trending toward diabetes? According to the American Diabetes Association, working closely with a health care provider can help you begin a treatment plan that includes diet and lifestyle changes. Here are a few suggestions to help you get started on the path to reverse prediabetes.

Lose weight.

As part of the Diabetes Prevention Program, Dr. Goldberg and his colleagues at the University of Miami were one of 27 sites around the nation that examined the impact of lifestyle changes and medication on preventing diabetes.

During the course of that research, it became clear that, if you are overweight, the key to preventing prediabetes from becoming diabetes was a weight loss of 7%. This reduced the risk of diabetes by 58% over approximately three years. Of course, this is easier said than done, which is why he recommends focusing on cutting calories just a little bit at a time and focusing on small victories.

But with diabetes, the bottom line is that weight loss is critical to success.

Get regular physical activity to avoid diabetes.

“One of the important factors that helps you maintain weight reduction is increasing physical activity,” says Dr. Goldberg.

If you’re not meeting the CDC’s recommendations to get at least 150 minutes of moderate intensity activity a week, now is the time to start. Dr. Goldberg says this doesn’t have to be super elaborate or challenging at first. Even a simple walk or yard work can provide benefit as you work toward a more active lifestyle.

 Embrace sustainable habits.

Rather than losing weight through a diet that is difficult to sustain, Dr. Goldberg says habits that you can continue for the long-term are important.

“When you prescribe a diet for a person, it may have recommendations that are hard to stick with,” he says. “It’s really more about changing your overall eating behavior toward healthier choices.”

Don’t give up!

Finally, Dr. Goldberg says that it’s important to realize that you’ll have setbacks. We all do from time to time. But rather than letting them get you off course, you should recognize them, acknowledge them, and then get back on track toward meeting your goals.

“The key is to recognize that you will slip up. It happens to everybody,” he says. “Rather than getting into negative thinking and a downward spiral, it doesn’t mean you failed. Just learn from your past mistakes and keep moving forward.”

Wyatt Myers is a contributing writer for UMiami Health News.

Last reviewed in October 2023, by Ronald B. Goldberg, an endocrinologist with the University of Miami Health System.

Originally published on: November 23, 2021

Tags: diabetes prevention, Dr. Ronald Goldberg, DRI, endocrinology, preventing diabetes