What is prediabetes and can it be reversed?
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Blood glucose above normal but below diabetic thresholds. Yes — roughly 5–7% body weight loss plus 150 minutes of weekly activity reduces progression to diabetes by around 58% in trials, outperforming metformin.
The Diabetes Prevention Programme achieved a 58% reduction in progression with modest weight loss plus 150 minutes of weekly activity — better than metformin's 31%.
Recheck HbA1c every 6-12 months. Prediabetes also carries some cardiovascular risk, so blood pressure and lipids should be assessed at the same time.
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