Heart & Metabolic Health

Prediabetes

Prediabetes means blood glucose is higher than normal but not high enough to meet the usual criteria for diabetes.

Also known as: borderline blood sugar

Updated November 13, 2026 · Patient education

Understanding Prediabetes

It signals an increased risk of developing type 2 diabetes and often occurs with insulin resistance. Many people have no symptoms. Blood testing, rather than symptoms alone, identifies the condition.

How it is assessed or used in care

Clinicians may use A1c, fasting glucose, or an oral glucose tolerance test. A finding of prediabetes is an opportunity to discuss activity, nutrition, weight-related goals when appropriate, and follow-up testing. Medication may be considered for some people.

What to discuss with your clinician

Ask which test identified the problem and when it should be repeated. Prediabetes does not mean progression to diabetes is inevitable, but it does deserve follow-up. Seek a personalized plan rather than relying on an extreme diet or unproven treatment.

Medical references

  1. Insulin Resistance & Prediabetes - NIDDK
  2. Hemoglobin A1C (HbA1c) Test: MedlinePlus Medical Test

Sources accessed November 13, 2026.

This information is for general education, not a diagnosis or an individualized treatment plan. Discuss symptoms, test results, and treatment decisions with a qualified clinician. For a medical emergency, call 911.