Hi there everyone!

I am 38 years old and just recently had my labs come back that put me in the prediabetic range, so now I’m trying to figure out where to start. So far I have been walking more and cutting down on junk food, which is super hard for me. I love my sugar and carbs!! But I am doing it!

I went to a support group here at work today for diabetes/prediabetes. It was great to talk to others that are going through the same things I am going through and get advice. The lady there also gave me some extra test strips and a basic glucose meter from her last order because she knew how hard it is right now trying to find them. I think my co-worker was shocked when I showed up with 50 test strips! LOL

I’m looking for a community online where they have the same issues as me, but I cannot seem to find one. I’m wondering if I should get a basic glucose meter to monitor my blood sugar levels. I also want to see if adjusting my meal times will help with my blood sugars. I’m having trouble finding information specifically about prediabetes management.

Any advice or info you all can give would be GREAT!! Thanks in advance! :slight_smile:

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Good for you making some changes. The problem with type 2 is that it will get progressively worse and it can seem like your hard work is for nothing.

If you are really on top of it and drop weight and control your food, you will see a quick reversal of symptoms and blood results.

In the end it will creep back up eventually, it always does as type 2 is progressive.

It always is, so do your best, but don’t feel defeated, meds and insulin are not a failure if and when you need them

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They’re silly but they are endos with T1D so its good info.

Based on the above video a BGM isn’t necessary. If you have the money an OTC continuous glucose meter (CGM) like Dexcom’s Stelo can be a big help in overcoming the food cravings by showing you the effect of what you eat on your glucose level and the benefits of post meal activity.

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I’m the same way and after 20yrs of being pre-diabetic my doctor put me on medication. I noticed that my numbers were increasing after taking the medication and asked the doctor why is that. He really didn’t have an answer for me as I then told him that maybe the medication is not working. He advised me it was working and it will eventually change. I’ve been trying some plant base products that a friend referred me to so I’m taking it and monitoring my blood sugar and blood pressure. I must say I do feel a lot better than I use to but waiting on the new numbers.

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Thanks for the encouragement and realistic perspective. You’re right that it can feel discouraging when the numbers start creeping up despite doing everything “right.”

I’m trying to focus on the benefits I can control right now, better energy, sleep, and how I feel day-to-day - rather than getting too caught up in the long-term progression. But it’s good to be prepared mentally for what might come down the road.

Thanks for taking the time to share your perspective. It’s helpful to hear from others who’ve been navigating this longer.

Hi there

I think it is great you are being proactive and what you are doing are things which I think should help. I think you are pretty lucky too to have a glucose meter and strips via the support group.

I was 51 when I was diagnosed with T2, but my blood sugar was so high that it is likely that I had been diabetic for a number of years prior. When I was your age I suspect I may have been pre-diabetic but since I never went to the doctor it was’nt detected. So it is great you are already aware and beginning to address it.

I did eventually get back to a so called “normal” blood sugar level and have maintained it now for nearly 4 years. I basically did what you are doing, but I wrote my experience up in more detail as there are little things I picked up along the way. If it is of interest you can read it here My Type 2 Diabetes Story - Diablo’s Type 2 Diabetes Story

Good luck, if you go on as you’ve started I think you have a positive outlook for things going well.

Welcome from someone who has been living with T2DM for 35 years.

While T2 tends to progress you in the very early stages may be able to gain near or normal blood glucose levels for life with a carb restricted diet and regular daily or near daily exercise.

Use your meter to learn what foods affect your BG levels the most.The following link to Alan Sandley’s blog gives a good way to do that.

This requires a lot of finger sticks, but is worth it. Part of the problem with T2 meal plans and food lists is that we are unique biochemical/electrical beings. Those plans and lists are only guidlines.

In general reducing dietary carbs, starches and sugars is really helpful. This reduces the glucose entering the bloodstream from our digestive systems. All carbs that are digestible are quickly broken down into the simple sugar glucose.

The second important thing for us with (using its full name)Type 2 insulin resistant diabetes mellitus is regular exercise. I disagree with those who say 30 minutes throughout the day. Well I agree with the 30 minutes minimum, but it really needs to be in on piece.

A symptom common to all types of uncontrolled DM is fatigue. For T1 it’s the lack of insulin allowing fuel to enter cells of the skeletal muscles, liver and fat cells. For us it is a genetic propensity of those cells insulin receptors to resist the attachment of insulin.

Right now your Beta cells are secreting plenty of insulin but there is resistance. This causes blood glucose levels and insulin levels to rise. The glucose that is not getting into cellls and the high levels of insulin cause the liver to convert glucose into triglycerides to be stored in fat cells.

The absolute best way to increase insulin cellular sensitivity is regular exercise. Metformin works 3 ways 1. Slows the emptying of the stomach, reduces stored glycogen conversion into glucose and increases insulin sensitivity a bit, but not as much as exercise.

I advise walking to begin with, since there is this underlying fatigue it is good to start slow. I am not interested in miles or steps, but duration. Begin with 5 or 10 minutes for a week or two. When that becomes easier, extend the time until 30 minutes is achieved. Then pick up the pace. If you have a smart watch or band you can judge fitness by distance.

I am 75. My fitness regime is to bicycle daily and to do resistance exercise once or twice a week. I don’t know how old you are but we start losing muscle mass at 40. Muscle is good to have and is a sink for glucose.

By diet and exercise you may be able to stop the progression of T2DM for life. That’s because you Beta cells haven’t been running at Warp Speed 10, but much lower, so they may continue to be healthy for longer. Take the diagnoses seriously, and you will have a good life.

I am a firm believer in doing what it takes. The effects of undiagnosed BG in me weren’t evident until I got good control. I never want to feel that awful again.

Here’s another link to Alan’s blog:

Oh, on meters and test strips, while I have a CGM, I have 2 meters I carry with me always - one in my bike kit and the other in my every day kit. I buy my own and am very happy with Contour Edge meters and strips. I get the strips from Amazon at a reasonable price. The strips in my bike kit are individual foil wrapped. This takes less space although more pricey.

If you have anymore questions or concerns, just ask.

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Use some caution accepting the well-worn report that lessening of control is inevitable. A fatalistic approach to the disease is not helpful. Focus on what you can do, not what you cannot. What you can do is take medications, monitor your condition, adjust your diet, and if able, exercise (not possible for all).

Don’t assume medications will solve the problem; they’re available to assist. Don’t assume diet wills solve the problem, but it’s perhaps the most useful, long-term thing you can do. Don’t assume exercise will solve the problem, though it’s a significant benefit without immediate effect, but valid results over time. Monitor your blood glucose, but monitoring is not enough: respond to the changes and adjust diet, exercise, and medication accordingly.

The single biggest benefit of monitoring your blood sugar, either through a finger-stick glucometer or a continuous glucose monitor, is educaiton: you learn how your body responds to medicaiton, to exercise, to food and drink, time of day, and the combination of each. This allows you to refine your decision-making, lifestyle, diet, and so forth, to fove forward in a way that maintains or improves your state.

Don’t expect immediate results. Be willing to let go of former habits, foods, etc. The changes aren’t always comfortable, but can also be a fascinating journey. When I began mine, I couldn’t have told you what a carb was, or identified one in a lineup. I read everything I could, went to lectures, met authors and researchers, and tried to educate myself, but I’ve learned more about managing blood glucose by closely referencing how I respond to food and medication and exercise and sleep, from glucose monitoring, than anything else. The education is ongoing, and I feel as though I’ve scarcely scratched the surface.

It’s a long game. Don’t let anyone tell you a given ending is inevitable. It’s not. Focus on the present, learn as you go. Limit your glucose levels to lower values than the “acceptable range”. Shoot for controlling them in a smaller range; don’t beat yourself up if glucose makes excursions out side the range, but learn from each excursion and move on .

This isn’t going to be about preventing, or eradicating, but living with, and that’s very possible. Your diabetic story isn’t written in stone and pre-determined, but rather, you write it. Make small corrections, and keep making them.

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You have an interesting perspective, I always thought control gets better the longer we have diabetes. Definitely the way it was for me. Always learning new strategies and tools. Mindset does play a big role. Staying focused too.

It’s relentless and we never get a break, so that can wear on you.

I was diagnosed 33 years ago ( type1) but as fr as the journey goes it hardly matter what type. I celebrate every Labor Day,n the day I got my diagnosis as an extra year of life I got due to science and brilliant researchers and doctors.

Doesn’t mean I don’t struggle, but I try to focus on the good stuff

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Congratulations! It’s really cool that you’ve already started walking more and paying attention to food — even small steps really matter, especially at the beginning of working with prediabetes. Gathering in a supportive group and sharing experiences also helps not to feel lonely in the process. I recently came across an article about corporate bonuses and employee programs: although it’s not about pre-diabetes directly, but some ideas for organizing healthy habits and scheduling time can be useful for maintaining stable sugar levels and a general routine. You can look here 8 Employee Benefit Trends to Look out for in 2026 - BetterMe

Just a heads up that this forum may be shutting down in a month or so. If you need to reach people, you can find people over at https://forum.fudiabetes.org/. Try to let other new members know.

Well, you asked for it. First, I’d like to welcome you to the club that no one wants to join. Second being diagnosed as pre-diabetic is a plus. I was diagnosed with T2DM at 40 and fairly advanced with high fBG and HbA1c. Even advanced I was able to have normal BG levels for 10 out of 35 years.

T2DM tends to progress, but the earlier you become compliant the less likely it will progress.

Good that you are walking, exercise is the one sure way to increase our cells acceptance of insulin. The root cause of T2DM is inherited abnormal cellullar insulin resistance.

Now the tough cookie (:cookie:). The other key for us is a carbohydrate restricted diet. This is hard to do in the beginning, but all carbs very quickly are digested into glucose (the sugar we are concerned with) to enter the bloodstream. By limiting carbs we limit the amount of glucose in our blood.

I am glad you have a meter and strips. If I had my way everyone diagnosed with Pre-diabetes would be prescribed an Continuous Glucose Monitor such as Dexcom or Libre. These will show in near real time how and which foods affect your BG the most and how physical activity leads to a better time in range.

But you can use your meter to learn about foods and beverages. These links are to Alan Shanley’s blog that are helpful.

It’s my opinion that Pre-diabetes is just another name for very early Type 2 insulin resistant diabetes mellitus.

Take it seriously, be a label reader, and be constantly vigilant watching for any possible progression.

If you are doing the right things by proper diet and exercise and BG begins to elevate again, DO NO BELIEVE YOU FAILED. The only failure is not doing what is necessary to maintain as close to normal BG range as possible. If that means adding medication and/or insulin DO IT.

Sorry for the capital letters. I am fortunate that I have good management, now with metformin and an insulin pump. It took years to progress this far. I still restrict carbs and exercise daily. The only complication I have is mild autonomic neuropathy that causes dry skin and eyes. I don’t have the usual neuropathy that affects feet and hands, thankfully.