If you’ve been diagnosed with prediabetes, it’s not a life sentence, it’s a wake-up call.
November 1, 2025
What is Prediabetes?
Prediabetes means your blood sugar levels are higher than normal but not yet high enough to be classified as Type 2 diabetes. The good news? You can take control now to prevent progression and manage your health effectively.
Prevention Starts with Awareness
Most people with prediabetes don’t experience symptoms, which makes regular screening essential. Annual blood sugar tests can catch changes early, especially if you have risk factors like obesity, family history, or conditions such as PCOS or sleep apnea.
Lifestyle Changes That Make a Difference
- Maintain a Healthy Weight
- Work with your primary care provider to determine your ideal weight.
- Consider structured programs like MetroHealth’s STRIDES, a year-long diabetes prevention initiative.
- Eat Smart
- Choose whole grains over refined ones—think brown rice and whole grain bread.
- Avoid sugary drinks and opt for water or unsweetened beverages.
- Fill your plate wisely:
- Half: non-starchy vegetables (leafy greens, carrots, squash)
- Quarter: lean or plant-based proteins (beans, chicken, fish)
- Quarter: quality carbs (berries, citrus, whole grains, low-fat dairy)
- Increase Fiber and Protein
These nutrients help stabilize blood sugar and keep you full longer.
- Exercise Regularly
Even short walks after meals can improve blood sugar processing.
- Quit Smoking or Vaping
MetroHealth offers support through its Nicotine Dependence Prevention and Treatment Program.
Medical Management Options
If lifestyle changes aren’t enough lifestyle changes, medications may help.
- Metformin: Can be prescribed for those under 60 with a BMI over 35 or a history of gestational diabetes.
- Weight-loss medications: Options like Contrave, Victoza, Wegovy, and Ozempic may assist with both weight and blood sugar control.
Stay Consistent and Supported
- Schedule regular checkups to monitor progress.
- Discuss any challenges with your provider so they can tailor strategies to your needs.
- Enjoy food in moderation, especially during the holidays. Swap high-sugar dishes for fiber-rich alternatives like roasted sweet potatoes and lean turkey.
Taking action today can prevent diabetes tomorrow. With the right tools, support, and mindset, managing prediabetes is entirely within reach. For personalized guidance, contact MetroHealth at 216-MY-METRO (216-696-3876) or visit metrohealth.org/appointments.
Contributed by: Priyal Gandhi, MD / Internal Medicine
