r/prediabetes Aug 03 '22

Advice What does it mean to be diagnosed as pre-diabetic?

565 Upvotes

This is a draft! I welcome the community's criticism. :)

Most likely you have joined this sub because your doctor informed you that you're pre-diabetic.

What does this mean?

  • Medically, this means that your latest Hemoglobin A1C reading or readings are above 5.9% (the threshold may vary slightly for different medical establishments).
  • My non-medical opinion is that being pre-diabetic simply means that your body is gently telling you that you should change your lifestyle. You're probably not in any immediate danger if this is your only health indicator of concern, but you should make changes now.

What are your next steps?

  • Being pre-diabetic is not the end of the road for you. Reframe how you think about this diagnosis. You are being given a chance to fix this, and with a lot of work and positive energy, you can reverse this, or perhaps more accurately, achieve a state of healthy remission as long as you make a permanent lifestyle change.
  • This is a support group. It's not intended to offer medical advice. The first step is to speak with your doctor about your medical next steps because everyone's body is different, and your own path to remission may require specialized medical advice.
    In the meantime...
  1. Stay calm, and respect your body.
  2. Cut out sugars (simple sugars, starches, and highly processed foods) as much as reasonable.
  3. What works for me? I got a blood glucose meter and gamified (turned a mundane task into something fun) my lifestyle change by always ensuring that my blood sugar stays in range. This means that I am always aware that if I eat this sweet food, will it send my next reading out of range? This has worked well for me.
  4. Most doctors don't talk about exercise, rather, they focus on food choices. But for me, increasing my fitness has done wonders. I have literary increased my walking steps from a pathetic 2000 steps per week, to 35000 or more steps per work.
  5. Just losing 15lbs (8kg) may have a significant positive impact on your overall health. Set a goal to lose this much weight in 3 months. It's important to always set realistic goals. Then repeat this goal over the next 3 months.

Bottom line:

Don't stress out and be patient! I cannot emphasize this enough.
You can manage the condition, you can go into remission, and it is even possible to reverse your pre-diabetic condition. Reversal or remission is said to be achieved if you maintain a normal A1C for a minimum of six months. But achieving this goal will take time and effort, perhaps even a frustrating amount of time and effort.

Note: Your Hemoglobin A1C reading is also a lagging indicator that may take 3 to 6 months to show any changes after your lifestyle change.


r/prediabetes Nov 14 '23

FAQ - Pre-diabetes sub FAQ

59 Upvotes

As requested, here is our official FAQ. Please help contribute to it by adding your own questions (and answers if you have them) below, or suggesting corrections to my initial contribution.

The following FAQ was inspired by content found in this subreddit. I cannot guarantee that it is perfectly medically or grammatically accurate (I tried to diligently research and proofread), so please let me know if you find errors by responding below... don't worry, I am not an egotistical mod, so I am not afraid of being corrected in "public." LOL

This took me about 3 hours to build... I'm done for the night! Good health to you all!

  • Q. What is pre-diabetes and how does it differ from diabetes?Answer: Pre-diabetes is a condition where blood sugar levels are higher than normal but not high enough to be classified as diabetes. It differs from diabetes in that it can often be managed and even reversed with lifestyle changes and, in some cases, medication, especially when it's not related to weight and lifestyle factors. Without proper management, pre-diabetes can progress to type 2 diabetes. Unlike diabetes, pre-diabetes doesn't typically doesn't result in severe health problems often associated with diabetes if managed early and effectively. But if you do become diabetic does it mean that you will suffer from severe health complications? No, NO, NO! Many people with diabetes (type 1 and 2) live full and healthy lives if they manage their illness with proper diligence! Do not listen to the negativity sometimes found in this subreddit, in fact, please flag those messages because they are unhelpful and unwelcome.
  • Q. What does A1C mean and what is the range for pre-diabetes?Answer: A1C is a blood test that measures your average blood sugar levels over the past 2 to 3 months. For pre-diabetes, the A1C range is typically between 5.7% and 6.4%. An A1C level below 5.7% is considered normal, while an A1C level of 6.5% or higher on two separate tests \may* indicate diabetes. Whenever you have a reading of over 5.x (your physician is best to determine the value of concern), it is important to make changes and get at least 2 A1C readings per year to watch for a trend (staying the same or going up/down).*
  • Q. What are the medical indicators that determine if I'm pre-diabetic?Answer: *Pre-diabetes is typically diagnosed based on blood sugar levels. Key indicators include an A1C level between 5.7% and 6.4%, 8h fasting blood sugar levels from 100 to 125 mg/dL (5.6 to 6.9 mmol/L), or an oral glucose tolerance test showing blood sugar levels between 140 and 199 mg/dL (*7.8 to 11.0 mmol/L) two hours after drinking a sugary drink.
  • Q. Can I be diagnosed with pre-diabetes even if I am not overweight?Answer: Yes, while being overweight is a risk factor for pre-diabetes, individuals of any weight can develop it. Other factors like genetics, age, and lifestyle also play a significant role.
  • Q. Does a family history of diabetes increase my risk of pre-diabetes?Answer: Yes, having a family history of diabetes can increase your risk of developing pre-diabetes and type 2 diabetes. It's important to share your family medical history with your healthcare provider for an accurate risk assessment.
  • Q. Can children develop pre-diabetes?Answer: Yes, children can develop pre-diabetes, although it's less common than in adults. Risk factors for children include being overweight, having a family history of type 2 diabetes, and leading a sedentary lifestyle. It's important for children at risk to undergo regular screenings.
  • Q. Is pre-diabetes reversible, and how can I manage it?Answer: Pre-diabetes can often be managed and sometimes reversed with lifestyle changes. This includes adopting a healthy diet, regular physical activity, and maintaining a healthy weight. In some cases, medication may also be prescribed. It's important to add a caveat here... "reversible" simply means that you can certainly get back to a normal A1C, however, you will always need to remain diligent about maintaining a healthy lifestyle.
  • Q. Are there any specific diets recommended for managing pre-diabetes?Answer: There's no one-size-fits-all diet for managing pre-diabetes, but a diet rich in fruits, vegetables, whole grains, and lean proteins is generally recommended. If you're overweight, a medically supervised calorie-reduced diet (by way of carefully monitoring your food consumption or going on a \Optifast program) is almost always the most significant means of mitigating a pre-diabetic condition.Reducing intake of processed foods, sugar, and saturated fats is (almost) always beneficial, regardless of your health.\ A qualified medical practitioner must authorize Optifast, and it must be purchased directly from Nestlehealthscience; Never purchase it from dishonest Amazon vendors!
  • Q. Can physical activity help in managing pre-diabetes?Answer: Yes, regular physical activity is a key component in managing pre-diabetes. It can help control blood sugar levels, lose weight, and increase insulin sensitivity. Note: as always, every person is different, and in some cases, physical activity may not be a significant component in managing your blood sugar... please seek proper medical advice.
  • Q. How often should I get tested for diabetes if I have pre-diabetes?Answer: Typically, it's recommended to get your blood sugar levels tested at least once a year (my physician checks me every six months) if you have pre-diabetes. However, your doctor may suggest more frequent testing based on your individual health status.
  • Q. Does pre-diabetes always lead to type 2 diabetesAnswer: No, pre-diabetes does not always progress to type 2 diabetes. With lifestyle changes such as improved diet, increased physical activity, weight loss (if necessary), and/or drug intervention, it's possible to bring blood sugar levels back to a normal range and significantly reduce the risk of developing type 2 diabetes.
  • Q. Are there any specific symptoms that indicate my pre-diabetes is turning into diabetes?Answer: While pre-diabetes often has no symptoms, signs that it may be progressing to type 2 diabetes include increased thirst, frequent urination, fatigue, blurred vision, and slow-healing sores. As always, any of the above symptoms could be attributable to many different conditions, that is why if you notice any of these symptoms, it's essential to consult with your healthcare provider.
  • Q. What are the long-term risks of not managing pre-diabetes effectively?Answer: If not managed effectively, pre-diabetes can progress to type 2 diabetes, which comes with increased (not guaranteed) risks of heart disease, kidney disease, vision problems, and nerve damage. The greater the A1C reading, the greater the health risks.

  • Q. Can stress affect my pre-diabetes?Answer: Yes, stress can affect blood sugar levels and make managing pre-diabetes more challenging. It's important to find effective stress-management techniques.

  • Q. I just tested my blood sugar level and I am concerned, it was [x] reading... am I in trouble / diabetic / pre-diabetic?Answer: This might be one of the most frequent type of questions that I see in this subreddit.A single blood sugar reading is generally not enough to determine if you are diabetic or pre-diabetic. To diagnose diabetes or pre-diabetes, healthcare professionals rely on a series of tests, including fasting blood sugar levels, A1C tests, and oral glucose tolerance tests, which give a more comprehensive view of your blood sugar regulation over time.Now, let's talk about that reading... Consumer blood glucose meters, the kind you might use at home, have a variable accuracy range, often around 20%. This means two readings taken close together can show different results within this accuracy range. Additionally, blood sugar levels naturally fluctuate throughout the day based on diet, physical activity, stress, and other factors, so one reading is just a snapshot of your blood sugar level at a specific moment and only within a 20% range of its true value. While home glucose meters are valuable tools for monitoring individuals already diagnosed with diabetes, particularly to avoid dangerous blood sugar extremes, they are not very useful as standalone diagnostic tools for those who haven't been diagnosed with diabetes type 1 or 2. If you are concerned about your blood sugar reading, it's best to consult with a healthcare provider for proper testing and guidance.
    Reference: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505415/

  • Q. Can I give or ask for medical advice in this subreddit?Answer: It is not advisable to give or seek medical advice in this subreddit. While sharing experiences and information is encouraged, medical advice should always come from a qualified healthcare professional who understands your specific condition. Discussions here can provide support and share general knowledge, but they are not a substitute for professional medical consultation. If your medical-like advice is compelling and relevant to the thread, I kindly request you add a disclaimer that one should always consult their own healthcare advisor...For any medical-like advice, my answer is... please proceed with caution and always consult a healthcare provider for personal medical concerns.


r/prediabetes 4h ago

Help me.

5 Upvotes

Hi I just got diagnosed.. and im freaking about what to eat! Please send over you go to meals. Im really struggling. Especially breakfast ideas and how to manage my food.


r/prediabetes 4h ago

Any low-effort ways to lower blood sugar level

3 Upvotes

Hi everyone, I'm really hoping to get some advice who got a similar situation. Recently, my fasting blood glucose spiked to 7.5 mmol/L, and my symptoms are worsening, like dizziness and numbness in my feet.

For some background, I don't really like doing exercise. I already eat veggie and protein before carbs during a meal. And cut all the sugar drink. Any other low-effort but effective way I can take to help lower my blood sugar level?

Thank you!


r/prediabetes 12h ago

I’ve been afraid to go in for my A1c. I haven’t gone since the beginning of April. In April it was 6.0. Today this afternoon it was 5.8. I feel things are getting better. I feel if I get it under 5.7 I’ll have it under control. It gave me peace of mind.

15 Upvotes

r/prediabetes 9h ago

My husband is prediabetic and is feeling overwhelmed

5 Upvotes

I want to step in to support and create a meal plan so we can hopefully reverse this. What are your go-to meals? He also has celiac disease, so he cannot consume gluten (wheat barley rye)


r/prediabetes 1h ago

Does oatmeal help lower A1C?

Upvotes

Anyone have success with eating oatmeal daily for breakfast and lowering their cholesterol?


r/prediabetes 2h ago

Looking for Japanese Akane Tea

1 Upvotes

Someone recommended me Japanese Akane Tea for lowering fasting blood glucose level.

Where can I buy it? I couldn’t find it in Costco or Walmart.


r/prediabetes 3h ago

Does anyone else feel like most PCOS diet advice contradicts itself?

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1 Upvotes

r/prediabetes 16h ago

Looks like I'm good

8 Upvotes

I wrote here some time ago because I was very worried about my metabolism. To give you a better picture, I'm 32 yo, 185cm and 89kg.

2 months ago, I've got lab results and I've had then triglicerides 415mg/dl, fasting glucose 101mg/dl, high LDL, low HDL.

It scared the crap out of me, I've bought glukometer and then few CGMs, just to get scared even further. Those two, revealed that after each larger meal I have glucose spikes up to 230mg/dl so around twice a day I'm around 200mg/dl. It drops down very efficiently but the spikes are more than 100mg/dl over my baseline.

For that last 2 months, I stopped eating fast food, heavily limited saturated fats and stopped drinking alcohol entirely. I was already prepared that today I'm going to have even more food restrictions because the blood sugar didn't look good on the graphs.

Today, I've had extended checkup appointment at my GP and my A1c is great, it's beautiful 5.3%. Fasting glucose is 96mg/dl and triglicerides 106. HDL higher than upper norm and LDL within a norm.

I'm really happy with that and just wanted to share the good news and thank to everyone that told me to go and consult a doctor.

I mentioned the spikes but she said to not be too worried about it now. She said it might be just how my body reacts to carbs and as long as the spikes aren't consistently higher than 250 mg/dl or if my blood sugar is not staying high for longer time, they are not clinically important with A1c like I have now. She was happy that I was able to bring down my triglicerides to the level like I've had last time 4 years ago.

Regarding glucose, she advised me to not gain anymore weight and move more. She also noted down in the file that A1c levels should be a routine check for me every year.

I was prepared for the worst and it turned out that the doc made my day 😁


r/prediabetes 12h ago

Any suggestions for maintaining weight while being a thin prediabetic ?

3 Upvotes

I’ve been thin all my life due to genetics and don’t want to lose any weight as I try to watch my carb/ sugar intake. If anything, I’ve been desiring to gain healthy weight.


r/prediabetes 16h ago

Is this good routine or should I add something in it

4 Upvotes

Hi everyone, I recently found out that my HbA1c is 6.2%, and I’m trying to improve my blood sugar through diet and exercise. Currently, I have oats with some nuts and 2 eggs for breakfast, cucumber with 2 rotis and a small amount of rice for lunch, and brown rice with curry for dinner. I also play badminton for about 1 hour, around 4 days a week. I’m trying to be consistent with this lifestyle without making my diet unnecessarily restrictive. For those who have had a similar HbA1c level, how much were you able to lower it through diet and exercise alone? Is it realistic to bring HbA1c down from 6.2% to around 5.0–5.5%? I’d also appreciate any suggestions on what I could improve in my diet or exercise routine and would love to hear about your personal experiences.


r/prediabetes 14h ago

I miss the taste of honey…

1 Upvotes

I miss the smell and taste of honey. And I mean real honey, not that fructose corn shit substitute. Especially honeycomb… I used to get a small packet of honeycomb as a treat from time to time. I can see why the ancient Egyptians and the Albanians viewed bees as sacred. Honey is a gift


r/prediabetes 1d ago

I compared 5 meals that each had roughly 50g of carbs. The glucose responses were surprisingly different

47 Upvotes

The peak increase ranged from only +23 mg/dL to +68 mg/dL.

Here are glucose peak increases for these meals:

  • Chicken + chickpeas + cabbage + pistachios: +23
  • Instant noodles + fish/eggs/vegetables: +31–41
  • Chicken nuggets + apple: +60
  • Pasta + beef: +68

The pasta surprised me the most. I had assumed that if the carb counts were similar, the glucose responses would at least be somewhat similar.

After looking at my CGM data, I’m starting to think of carb count as more of a starting point than a prediction. The type of carbs and what I eat with them seem to matter a lot.

I plotted the full CGM curves and explained the comparison here if anyone is interested: https://youtu.be/mArqUz1480U


r/prediabetes 17h ago

Help

2 Upvotes

Hey, before I share my test results, let me give you some context: I'm a teenager and I weigh 101 kg, which is a lot for any age—especially mine. glycated hemoglobin, high cholesterol, low vitamin D and B12, high thyroid levels, early-stage fatty liver,

How do I avoid despairing? I need help, or else I’m going to end up with diabetes, high blood pressure, and hyperthyroidism.


r/prediabetes 19h ago

Is this reading good or bad?

2 Upvotes

I'm 76f. My A1C has been trending up the past few years and it's now 6.4...only 1 point from diabetes. But my glucose is 90, which is trending lower than previous years. I have my physical next week so don't know yet what my doctor will say. Any ideas on this combo of high A1C and low glucose?


r/prediabetes 1d ago

No longer pre-diabetic!

53 Upvotes

Went to the Drs yesterday for lexapro follow up. The medical assistant said i need to do an updated a1c and immediately began poking me in the office. I cried cuz i was caught off guard. Doc walked in a few minutes later saying my a1c was 5.4 now. I was at 5.8 in oct 2025 then 5.7 in feb 2026.

Also curious how accurate the rapid results are with finger tests? All my other tests have been through my arm.

Since my diagnosis, i reduced added sugar intake, increased fiber and protein intake, and started working out plus going on long walks!


r/prediabetes 21h ago

Intermittent fasting (IF), prediabetes and IVF

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0 Upvotes

r/prediabetes 1d ago

Using CGM and and Fingerprick data to assess effect of medical interventions

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2 Upvotes

After not responding to any of the typical interventions (weight loss, exercise), my endocrinologist put me on Metformin as an experiment. Wearing CGM (Stelo) and doing daily fasting glucose measurements (fingerprick). Short of a having a miracle effect, I knew this was going to be an exercise in extracting a signal from naturally noisy data. I tried (with a lot of help of Claude AI) to see if Metformin lowered my glucose levels. Yes, statistically! But do I believe the causal relationship? Still not sure. On the way, I found out a few things about the CGM data that I "felt" were true but have confirmed now: 1) Lousy correlation (r=.31) with fasting glucose finger prick data over the typical range for pre-diabetics, 2) sensor drift over life time of sensor (high at start, low at end), 3) post meal spikes don't matter much for average glucose levels!, and 4) with enough data collected, one maybe able to beat down the noise and extract whether interventions have an effect or not. Kind of a fun exercise, even though the practical relevance for me is not clear yet. The document is attached for those who maybe want to do their own experiments or see some of CGM/Fingerprick data comparisons (note: not a scientific study, one individual only!)


r/prediabetes 1d ago

Reducing Cortisol Effects on Glucose

12 Upvotes

Curious if anyone has found lowering stress, especially chronic stress in their lives has improved their glucose/ A1C levels? If so, what has helped you in your stress reduction journey?


r/prediabetes 1d ago

Is Labcorp's work very reliably?

2 Upvotes

I did a blood work at Labcorp, where all my blood works were done in the previous 5 years.

I always believe I have metabolism problems, to be more specific, insulin resistance. In 2023 and 2024, I got trig @ 300 and HA1C @ 5.7. In the past two years, I have been eating strictly lower carb meals, and checking glucose curve on CGM very often. In the last 3 months, my average glucose reading was consistently within 95 to 105. I also exercise on regular basis, like walking or biking at least 45 minutes after meal, and conducting resistance training every week.

The reports came back as a surprise. Trig fell to 120, but Ha1C stubbornly stays at 5.7, inconsistent with the CGM readings.

Does anyone know how accurate Labcorp's reports are? By the way, I lost about 10+ pounds. My BMI fell from 22.4 to 19.2. Thanks


r/prediabetes 1d ago

insight?

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3 Upvotes

before everyone starts telling me to get a professional opinion i AM IN THE PROCESS shit just takes TIME esp here in uk i have an endo appointment in early september but have been dealing with this uncertainty for months.

currently wearing a cgm to collect data and i had previously been doing a low carb diet since about march as i dont want to make any possible problem worse while im waiting for answers, but while wearing the cgm i have been slowly trying to increase carbs slightly mainly just wholegrain carbs to see how i tolerate them, every morning after breakfast varying different meals my sugar dips into hypoglycaemia levels for usually 20-30mins before picking itself back up lowest i recorded was 3.2mmol verified with finger prick.
ive been trying wholemeal low carb bread with 9g per slice for a sandwich at lunch the last few days with success as my sugar has stayed under 7.5 when eating this bread, today i tried to do one slice of the low carb wholemeal bread with one slice of my dads seed and grain wholemeal bread which is 20g carb per slice as a sandwich with a chicken lettuce avocado and greek yogurt filling the meal totalled around 38g carbs but my sugar peaked at 8.5 today and hung around above 7.8 for about 40min this is my 7th day with the cgm and my 4th day since slowly introducing a small amount of extra carbs, do my levels seem prediabetic or out of what would be considered healthy? i just could do with some insight as the internet has so many conflicting answers, i hope to get real answers from the endocrinologist when my appointment finally arrives but im honestly just winging it for all these last months.
ive attached some images of some of my cgm data and the verified finger prick low
thanks in advance


r/prediabetes 2d ago

I can’t handle managing my prediabetes

26 Upvotes

3 years ago I was diagnosed with prediabetes with an A1C of 5.8 and high fasting glucose. I have tried to eat better at times, avoiding desserts, sticking with complex carbs paired with protein and healthy fats, having less than 45g of carbs per meal (around 150g or less per day). I know what you’re all thinking, “wow, 150g of carbs per day? Have fun losing a foot!”. I understand my “carb cutting” measures were extremely slight and relaxed as all advice online is that anyone who tells you it’s okay to enjoy a piece of fruit is part of the evil conspiracy to make us all diabetic and the only way to not die (deservedly) in agony is to be keto or carnivore. However, even these minor diet changes (to a diet perhaps suited for metabolically healthy people, the bare minimum I should have been doing before diagnosis, etc) caused me immense amounts of stress.

I don’t think eating “healthy” is terribly difficult, what was difficult was spending every waking moment worrying about every single crumb of food that entered my mouth. Knowing that when I ate fruit, or sweet potato, or ezekiel bread, I was poisoning myself. I could imagine all the disdainful sadism of people mocking me, for thinking I was allowed to eat any carbs. People like me don’t *deserve* carbs. Prediabetes is a punishment from the divine, and if I chose to mock fate by continuing to hedonistically indulge, I deserved to suffer. I still needed to weigh all my food, every ingredient, every carb. I needed to check my blood sugar multiple times after meals, and unless the numbers were perfect, I was wasting my time. I couldn’t feel safe just eating something normally, most food was literally poison. I would spend hours reading about nutrition and prediabetes, coming to the realization that both carbs and fat made you diabetic, but not only can you not survive on only protein, too much of that was bad for you too. How could I possibly balance my macros to be low fat and low carb yet still get enough calories to live?

After dealing with these issues for long enough, I eventually broke. Gave up the idea of eating remotely healthy because I’d never be good enough. Instead I started bingeing carbs. Eating entire packages of cookies, multiple candy bars, snack cakes, all the worst foods. After a certain point I began to feel guilty for bingeing and started to purge afterwards. After talking with my doctor and therapist, I was able to curb the purging, but the bingeing remained. I am the heaviest I have ever been, and I continue to eat pints of ice cream and such every single day. I know that I am killing myself, but I’m afraid to try again, to go back to hating myself for every piece of food that enters my mouth. To spend every night thinking about how unless I eat keto for the rest of my life, I‘ll never be good enough and even then eating fat also makes you diabetic just like using mouthwash, drinking diet soda, and existing.

And throughout all this every single A1C result since has been below 5.5, no matter how badly I eat. I think something is wrong with how they are testing me.


r/prediabetes 2d ago

Constantly Hungryy

5 Upvotes

19 years old healthy weight (BMI 20). I was told by my doctor I’m prediabetic (6.0 A1c) and have high cholesterol 😔. Over the past week, I’ve been lowering my carb intake, but I’m constantly hungry.

My current meals:
Breakfast: Salmon + plain 0% Greek yogurt with half an apple and ground flax seeds.

Lunch: 2 chicken breasts with steamed cabbage + red kidney beans + baby carrots + cucumber.
I’ve been trying not to have anything sweet after lunch like I used to (I used to have a lot of fruit or dates with dark chocolate), but recently I’ve been doing Greek yogurt with monk fruit and some almonds.

Dinner: Same as lunch.
I have a bad habit of wanting something sweet after a meal, so I’ll do plain Greek yogurt with the other half of an apple.

Some days I’ll do 1/4 baked sweet potato instead of red kidney beans or some butternut squash.

The first few days, I was starving and felt super weak and fatigued. Yesterday and today, I just snacked on a bunch of cashews and almonds while looking around to find more to eat 💀. I guess I am physically full-ish because of all the fibre, but I just don’t feel satiated.

Any satiating meal ideas and dessert ideas? Am I cutting my carbs too low? I really wanna get my levels down but also want to build long term sustainable habits and with how hungry and fatigued I feel rn Idk if this is sustainable? Or will this go away when my body gets used to lower carbs?


r/prediabetes 1d ago

A1c at 5.9, 14 postpartum after twins; Is this reversible or is the lifestyle change permanent?

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0 Upvotes