Reviewed by Dr. Badal Kalamkar, MD on Jan. 26, 2026
When the term “prediabetes” is spoken during a regular examination, many people are taken aback. Even if you don’t have any symptoms, you could still be told that your blood sugar is elevated. At first, this may seem perplexing or even frightening.
In actuality, prediabetes is highly prevalent and frequently discovered during routine blood work at a primary care appointment. More significantly, it’s an opportunity to act early. You can safeguard your health and reduce your chance of acquiring type 2 diabetes in the future by learning what prediabetes is and what to do next.
What Is Prediabetes
The U.S Centers for Disease Control and Prevention (CDC) explains that prediabetes happens when your blood sugar is above the normal range but not high enough to be diagnosed as type 2 diabetes. It’s a warning sign that your body isn’t using insulin as well as it should, a condition called insulin resistance.
Blood sugar levels healthcare providers use to diagnose prediabetes include:
- A1C test: 5.7% to 6.4%
- Normal range: below 5.7%
- Diabetes range: 6.5% or higher
The A1C test shows your average blood sugar over the past 3 months. This test is often done during routine blood work at your primary care clinic.
Who Is at Risk?
Anyone can develop prediabetes, but some people are more likely to have it, including those who:
- Are overweight
- Are 45 years or older
- Have a close family history of type 2 diabetes, such as a parent or sibling
- Are physically inactive
- Had diabetes during pregnancy
- Belong to certain ethnic groups, including African American, Hispanic/Latino, Asian American, or Native American.
Because symptoms often don’t appear, it’s important to talk with your primary care provider about testing if you have one or more of these risk factors. According to the National Institutes of Health (NIH), many people with prediabetes will eventually develop diabetes. However, lifestyle modifications can frequently correct prediabetes, allowing your blood sugar to return to and remain within a normal range.
Lifestyle Changes That Help Prevent Diabetes
The CDC suggests several actions you can take to reduce your risk:
1. Eat a Healthier Diet
Pay attention to whole foods such as:
- Vegetables and fruits
- Whole grains
- Proteins that are lean
- Legumes and beans
Limit added sugars and processed foods. Choosing healthier meals helps your body use insulin more effectively.
2. Get Regular Physical Activity
Aim for at least 150 minutes of moderate activity a week, that’s about 30 minutes most days. Walking, swimming, biking, and dancing are great options.
3. Maintain a Healthy Weight
Losing even a small amount of weight, about 5% to 7% of your body weight, can make a big difference in lowering your risk. For example, for a 200-pound person, losing 10 to 14 pounds can make a significant difference.
Your Role and Your Primary Care Team
Talking with your primary care provider is one of the most important steps you can take if you’re concerned about prediabetes. Your doctor can review your personal risk factors, order the right blood tests, and help you understand your results.
If you are diagnosed with prediabetes, your care team can work with you to create a personalized plan focused on healthy eating, physical activity, and regular follow-up to track your progress. Many primary care clinics can also connect you with programs like the CDC-recognized National Diabetes Prevention Program, which offers structured support to help lower your risk.
At Zenith Primary & Urgent Care, we make it easy to get started. Zenith Primary Care is accepting new patients from Marlborough, Ashland, Berlin, Bolton, Framingham, Hopkinton, Hudson, Maynard, Northborough, Southborough, Stow, Sudbury, Wayland, and Westborough.
We offer same-day and next-week appointments, and our clinic is open daily until late for after-work or weekend visits. Whether you need a physical, lab tests, or quick relief from sudden symptoms, our care team is here for you.
Call 627-500-7933 or book online here to schedule your appointment.
Frequently Asked Questions (FAQs)
What does it mean if my A1C is in the prediabetes range?
An A1C of 5.7% to 6.4% means your average blood sugar is higher than normal, but not high enough for diabetes. It’s a chance to take steps now to prevent diabetes.
Are there symptoms of prediabetes?
Most people with prediabetes don’t have obvious symptoms. That’s why testing is important if you have risk factors.
How often should I get tested?
If you have risk factors, talk to your primary care provider. Many adults should be tested at least once every 1-2 years, or sooner if recommended.
Can lifestyle changes really prevent type 2 diabetes?
Yes. Healthy eating, regular physical activity, and modest weight loss can significantly lower your risk and often prevent or delay type 2 diabetes.
