Prediabetes — treatment in Lahore
Also known as: Borderline Diabetes · Impaired Fasting Glucose · Impaired Glucose Tolerance
Prediabetes is a state of elevated blood sugar that does not yet meet diabetes criteria — HbA1c 5.7–6.4%, or fasting glucose 100–125 mg/dL. It is a critical window for prevention, as up to 70% of patients progress to diabetes without intervention.
Overview
Prediabetes is reversible in most people. Identifying it early lets us prevent — not just manage — diabetes.
Signs & symptoms of Prediabetes
If you recognize one or more of these, it may be worth a consultation:
- Usually no symptoms
- Often found on routine screening
- Family history common
Causes & risk factors
Several factors can contribute to Prediabetes. Identifying yours guides the treatment plan.
- Same as diabetes — earlier in the spectrum
How Prediabetes is diagnosed
We order tests selectively — only what changes the plan.
- HbA1c, fasting glucose
- OGTT in selected patients
- Lipid panel and liver enzymes
Treatment options
Treatment for Prediabetes is personalized — the right plan depends on your symptoms, test results, and life situation.
- 1 Structured weight loss (5–10% body weight)
- 2 Mediterranean-style diet
- 3 150 minutes of aerobic + 2 sessions of resistance training weekly
- 4 Metformin in selected high-risk patients
- 5 GLP-1 receptor agonist in selected obese patients
Can Prediabetes be prevented?
Simple, evidence-based steps that reduce your risk.
- Lifestyle change reduces progression to diabetes by ~58%
- Annual HbA1c monitoring
Frequently asked questions about Prediabetes
Can prediabetes be reversed? +
Yes, in most patients — with 5–10% body weight loss and consistent lifestyle changes. The Diabetes Prevention Program showed a 58% reduction in progression to diabetes over 3 years.
Related services
How we treat Prediabetes at Javaid Poly Clinic.
Useful self-check tools
Free, evidence-based — try them before your visit.
Calculate Body Mass Index — with adjusted ranges for South Asian populations.
Set a realistic target weight and timeline — with and without GLP-1 therapy.
An 8-question screen for your 10-year risk of developing type 2 diabetes.
Convert HbA1c (%) to estimated average blood glucose (mg/dL or mmol/L) and back.
Dr Usman Javaid
Gastroenterology & Medicine Diplomat · DIP (Gastro) UK · DIP (Hepatology) UK · DIP (Diabetes) UK · MCPS FM-TC · MPH · FRSPH (UK) · FRCP (Colombo) · Organ Transplant Advisor · CHPE (NUMS) · Preventive Medicine Specialist · Owner of Javaid Poly Clinic.
This page was medically reviewed by Dr Usman Javaid on . Content is updated when new evidence or guidelines emerge.
Medical disclaimer: This page is for educational purposes and does not replace medical consultation. If you have symptoms of Prediabetes or any other condition, please book a consultation. In emergencies, call 1122 or visit your nearest emergency department.