You’re really thirsty and are peeing a lotSedovaY/Shutterstock
“Prediabetes is caused when the body is unable to efficiently process blood sugars,” says UPMC endocrinologist Dr. Jason Ng, MD, clinical assistant professor of medicine at the University of Pittsburgh. “This happens over time as the body builds up resistance to insulin, the hormone that helps the body control blood sugars.” As you become insulin resistant, the body has to produce more insulin to keep blood sugars at a good level. Eventually it can’t keep up, so blood sugars rise. Prediabetes may take you by surprise, as there often aren’t symptoms—though there are a few subtle cues you can look out for. “A patient may feel slightly more thirsty and have to urinate more over time as well as the sugars increase in their body,” Dr. Ng says. If you’re looking for a step-by-step plan to reversing diabetes—or borderline diabetes—check this out.
Borderline diabetes could be one of the medical reasons you’re tired all the time. If you’re one of the 84 million Americans (that’s more than 1 in 3) who have prediabetes, you may notice you’re not feeling up to your normal activity level. “Patients may feel more tired or sluggish,” Dr. Ng says. Blood sugar fluctuations can cause fatigue; plus, other factors that often appear with blood sugar problems could be the culprit, such as depression or obesity, according to a University of Illinois study. Physical activity is recommended by the American Diabetes Association to help with prediabetes symptoms, but ironically people with the condition may be too tired to exercise. If that’s the case, see your doctor. “Most of prediabetes is diagnosed by lab work at a doctor’s office,” Dr. Ng says. With prediabetes, “fasting sugar is between 100 to 125 mg/dl or a random blood sugar between 140 to 200 mg/dl.”