A condition when a person has difficulty using the insulin produced by the body.  This  causes blood sugars to be slightly above normal. The CDC estimates more than 1 in 3 Americans have Pre-Diabetes, but 9 out of 10 are not diagnosed. If untreated, 15-30% of people with Pre-Diabetes will develop Type 2 Diabetes within 5 years.

Screening for pre-diabetes

People who should be screened for Pre-Diabetes include those who are overweight and have one or more of the following risk factors:

  • Family history of diabetes
  • History of gestational diabetes or a baby weighing over 9 pounds
  • History of impaired fasting glucose or impaired glucose tolerance
  • Are not physically active
  • Members of certain ethnic groups (including Asian American, African-American, Hispanic American, and Native American)
  • Elevated blood pressure
  • Have an HDL cholesterol level (the “good” cholesterol) of 35 mg/dl or lower and/or a triglyceride level of 250 mg/dl or higher
  • Polycystic ovarian syndrome (PCOS)
  • Vascular disease

Treatment of pre-diabetes

Research suggests making lifestyle changes is twice as effective as taking medication to prevent Type 2 Diabetes. The results of a large study published in 2001 (the Diabetes Prevention Program) showed modest weight loss and increased physical activity, such as walking 30 minutes a day, can reduce risk of developing type 2 diabetes by 58%.

Get help at the University of Michigan

If you are worried you may have pre-diabetes or be at risk for diabetes, there are several resources at U-M. To be screened for pre-diabetes by a clinician, contact your Primary Care Physician. U-M is participating in the National Diabetes Prevention Program.  Learn more by visiting our website.