• Published on: Sep 26, 2021
  • 3 minute read
  • By: Second Medic Expert

What Is The Meaning Of Pre-diabetic?

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What is the meaning of pre-diabetic?

Pre-diabetes is the stage that comes before type 2 diabetes. If blood sugar levels are high but not yet high enough to be classified as type 2 diabetes, then you are pre-diabetic.

A person may have pre-diabetes if they find it hard to control their blood glucose levels.

It is important to note how long you have had this condition and what your other risk factors are like such as age, history of gestational diabetes, history of cardiovascular disease, family history (genetic heritability), obesity (BMI > 30), physical inactivity.

Pre-diabetic people tend to be insulin resistant or sensitive when they're not eating anything, and the fasting level is high at 138 mg/dl and when they're drinking glucose their fasting level goes up even more and after a meal, their blood sugar goes up higher than 140 mg/dl at least two times in 225.

Someone affected by pre-diabetes has an impaired ability to produce insulin, which is necessary to regulate glucose levels. This could lead to high blood sugar over time. People who are pre-diabetic may suffer from polycystic ovary syndrome (PCOS), normal aging or another illness that causes the pancreas to fail to work properly. A person suffering from pre-diabetes is suffering from high blood sugar levels. A person suffering from diabetes not Type 1 is suffering from high blood sugar levels.

Sometimes people are diagnosed with pre-diabetes instead of Type II Diabetes because it's more common in the population. Pre-diabetes occurs when the body cannot produce enough insulin or process glucose properly to regulate blood sugar, but that can be managed through diet and exercise in most cases.

Type I Diabetes is when a person cannot make any insulin at all, whereas type II might be caused by, for example, an unfortunate metabolic issue or lifestyle change like eating too many sweets or quitting smoking.

Pre-diabetic refers to a person who has blood sugar levels that qualify him or her as "pre-high blood glucose" but not high enough to be considered diabetic yet. Pre-diabetes is a temporary condition in which the body starts to develop insulin resistance, and the cells of your pancreas start secreting more and more of their own insulin to avoid producing too much glucose. Eventually, this becomes counterproductive, the pancreas becomes so resistant it can't keep up with demand anymore, and type 2 diabetes occurs. However, pre-diabetes does not require any treatment because by avoiding junk food and excessive portions (and exercising) you will likely get off pre-diabetics without ever developing diabetes. Pre-diabetes is a term to describe high blood insulin levels that are on the cusp of developing type 2 diabetes but haven't yet.

Type 2 diabetes develops when cells lose their insulin receptors and cannot create enough sugar for themselves. This means the body has to produce more and more insulin in order to get glucose into any cells with remaining insulin receptors (such as muscle or fat cells). Over time, high levels of circulating hormones lead to damage in the small vessels that provide oxygen and nutrients — particularly to kidneys — putting them at risk of failure. This can happen over decades and is referred to as "insulin resistance".

The primary goal for people suffering from pre-diabetes should be lifestyle change: reduce weight. Pre-diabetic means that you are at high risk for developing type 2 diabetes. If you're overweight, have a family history of diabetes, develop gestational diabetes while pregnant, or if it runs in your household then pre-diabetes is more likely to progress into type 2 diabetes.

Pre-diabetic means that a patient has been diagnosed as prediabetic – that is, their blood sugar levels are higher than normal but not yet high enough to be classified as having diabetes. People with pre-diabetes have a greatly increased risk of developing type 2 diabetes and cardiovascular disease. One study found that adults who had one or more characteristics of the metabolic syndrome exhibited a 46% reduction in risk for the development of diabetes over 4 years following blinded diagnosis if they took metformin therapy alone or with other agents, compared to those on placebo therapy. In addition, people with pre-metabolic syndrome specifically were found to have 89?creased risks for this development

The term pre-diabetic is typically applied to patients who have impaired glucose tolerance or who are at risk for developing type 2 diabetes. A patient is considered a pre-diabetic when he or she has high blood sugar levels that may lead to progression into full-blown diabetes, called Type 2 Diabetes Mellitus, but doesn't meet the diagnostic criteria for T2DM. In other words, the cells of this patient's body aren't quite as dysfunctional as those of a diabetic, yet they show signs of dysfunction. This stage falls between normal and diabetic and is sometimes referred to as prediabetes because it puts an individual at "risk" for T2DM development.

A pre-diabetic person is one who exhibits signs that they may be diabetic. The symptoms include stomach pains, frequent urination, and sudden weight loss. Pre-diabetes used to be known as age-related diabetes and are common in adults who are overweight and have high blood pressure or abnormal cholesterol levels. Early-onset of pre-diabetes can lead to both short-term and long-term risks including heart disease, strokes, kidney failure, blindness caused by diabetic retinopathy (Eye) as well as early death for people with type 2 diabetes.

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Monkeypox

Monkeypox Virus Symptoms: Early Signs, Disease Progression, and When to Seek Care

Monkeypox, now commonly referred to as mpox, is a viral infection that has gained global attention due to outbreaks beyond traditionally affected regions. Understanding monkeypox virus symptoms is essential for early detection, timely isolation and prevention of further spread.

According to the World Health Organization and Indian public health authorities, awareness of symptom patterns plays a critical role in controlling outbreaks and protecting vulnerable populations.

What Is the Monkeypox Virus?

Monkeypox is caused by the monkeypox virus, a member of the Orthopoxvirus family, which also includes smallpox. While generally less severe than smallpox, monkeypox can still cause significant illness and discomfort.

The virus spreads primarily through close physical contact.

 

Incubation Period of Monkeypox

After exposure, symptoms typically appear within:

  • 5 to 21 days

  • most commonly 6 to 13 days

Individuals may feel well during this period but can become infectious once symptoms begin.

 

Early Monkeypox Virus Symptoms

Fever

Fever is usually the first symptom and may be:

  • sudden in onset

  • moderate to high grade

  • accompanied by chills

Fever signals the start of systemic infection.

 

Headache and Body Aches

Patients often experience:

  • severe headache

  • muscle aches

  • back pain

These symptoms resemble many viral illnesses.

 

Fatigue and Weakness

Marked tiredness and low energy levels are common and may limit daily activities.

 

Swollen Lymph Nodes

Swollen lymph nodes are a distinguishing feature of monkeypox.

Common sites include:

  • neck

  • armpits

  • groin

This helps differentiate monkeypox from chickenpox or smallpox.

Development of Monkeypox Rash

The skin rash usually appears:

  • 1 to 3 days after fever onset

It may begin on the face or genital area and spread to other parts of the body.

 

Stages of Monkeypox Rash

The rash progresses through well-defined stages:

Macules

Flat red spots on the skin.

Papules

Raised, firm bumps.

Vesicles

Fluid-filled blisters.

Pustules

Pus-filled lesions that are painful.

Scabs

Lesions crust over and eventually fall off.

Complete healing occurs once scabs detach.

 

Distribution of Rash

Rash commonly affects:

  • face

  • hands and feet

  • mouth

  • genital and anal areas

The number of lesions can vary widely.

 

Pain and Discomfort

Rash lesions may be:

  • painful

  • itchy during healing

Pain severity differs between individuals.

 

Other Possible Symptoms

Additional symptoms may include:

  • sore throat

  • cough

  • nasal congestion

These reflect upper respiratory involvement.

 

Duration of Illness

Monkeypox symptoms typically last:

  • 2 to 4 weeks

Recovery occurs gradually as lesions heal.

 

Who Is at Higher Risk of Severe Illness?

Higher risk groups include:

  • children

  • pregnant women

  • individuals with weakened immunity

  • people with chronic illness

Early care is crucial in these groups.

 

Complications of Monkeypox

Though uncommon, complications may include:

  • secondary bacterial skin infections

  • dehydration

  • pneumonia

  • eye involvement

Prompt medical guidance reduces risk.

 

How Monkeypox Is Transmitted

Transmission occurs through:

  • direct skin-to-skin contact

  • contact with lesions or bodily fluids

  • respiratory droplets during close contact

  • contaminated clothing or bedding

Understanding transmission helps prevent spread.

 

When to Seek Medical Care

Seek medical evaluation if:

  • fever is followed by rash

  • lymph nodes become swollen

  • rash appears in genital or facial areas

Early diagnosis supports isolation and care.

 

Diagnosis and Testing

Diagnosis may involve:

  • clinical examination

  • laboratory testing of lesion samples

Public health authorities guide testing protocols.

 

Prevention and Control Measures

Preventive steps include:

  • avoiding close contact with infected individuals

  • maintaining good hand hygiene

  • isolating during illness

  • following public health guidance

Vaccination may be recommended for high-risk groups.

 

Role of Public Awareness

Awareness of symptoms:

  • enables early detection

  • reduces stigma

  • supports timely care

WHO emphasises community education in outbreak control.

 

Conclusion

Monkeypox virus symptoms typically begin with fever, body aches and swollen lymph nodes, followed by a characteristic rash that progresses through defined stages. While most cases are self-limiting, early recognition, medical evaluation and isolation are essential to prevent complications and reduce transmission. Staying informed and acting promptly protects both individual and public health.

 

References

  • World Health Organization (WHO) – Mpox (Monkeypox) Clinical and Public Health Guidance

  • Indian Council of Medical Research (ICMR) – Emerging Viral Infections Reports

  • National Centre for Disease Control (NCDC), India – Monkeypox Advisories

  • Lancet – Clinical Features and Outcomes of Mpox

  • NITI Aayog – Public Health Preparedness and Infectious Disease Control

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