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

What Is The Meaning Of Pre-diabetic?

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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Diabetes Symptoms in Men: Early Warning Signs You Should Not Ignore

Diabetes is one of the fastest-growing health challenges worldwide, and men are particularly vulnerable to its long-term complications. In India, the burden of diabetes has increased sharply over the past two decades, driven by lifestyle changes, sedentary habits and dietary patterns. Despite this, many men remain unaware of early diabetes symptoms or delay medical consultation until complications develop.

Understanding diabetes symptoms in men is essential for early diagnosis, effective management and prevention of serious health consequences.

What Is Diabetes?

Diabetes is a chronic metabolic disorder characterised by high blood sugar levels due to:

insufficient insulin production
ineffective insulin action
or both

The most common form affecting men is type 2 diabetes, which is strongly linked to lifestyle factors.

Why Men Are at Higher Risk

Several factors increase diabetes risk in men:

higher abdominal fat accumulation
smoking and alcohol consumption
irregular eating patterns
work-related stress
lower healthcare-seeking behaviour

According to Indian Council of Medical Research data, a significant proportion of men remain undiagnosed until advanced stages.

Early Diabetes Symptoms in Men

Frequent Urination

Excess sugar in the blood causes kidneys to work harder, leading to increased urination, especially at night.

Excessive Thirst

Frequent urination leads to dehydration, causing constant thirst.

Fatigue and Weakness

Cells cannot utilise glucose efficiently, resulting in low energy levels and persistent tiredness.

Unexplained Weight Changes

Men may experience unexplained weight loss despite normal or increased appetite.

Increased Hunger

Insulin resistance prevents glucose from entering cells, triggering frequent hunger.

Diabetes Symptoms Unique or Commonly Seen in Men

Erectile Dysfunction

Diabetes damages blood vessels and nerves, leading to erectile dysfunction.

Studies show a strong association between diabetes and male sexual health problems.

Reduced Testosterone Levels

Men with diabetes often have lower testosterone, affecting libido, muscle mass and mood.

Decreased Muscle Strength

Poor glucose utilisation affects muscle health and physical stamina.

Skin and Infection-Related Symptoms

Slow-Healing Wounds

High blood sugar impairs wound healing, increasing infection risk.

Frequent Infections

Men with diabetes are more prone to:

skin infections
urinary tract infections
fungal infections

Vision and Nerve Symptoms

Blurred Vision

Fluctuating blood sugar affects eye lenses, causing blurred vision.

Tingling or Numbness

Nerve damage, known as diabetic neuropathy, causes tingling or numbness in hands and feet.

Why Diabetes Symptoms Are Often Ignored by Men

Many men dismiss symptoms as:

work-related fatigue
ageing
stress

This delay increases the risk of complications.

Long-Term Complications of Untreated Diabetes

If untreated, diabetes can lead to:

heart disease
kidney failure
nerve damage
vision loss
sexual dysfunction

According to WHO and Lancet studies, early detection significantly reduces complication risk.

Importance of Early Diagnosis

Early diagnosis allows:

better blood sugar control
lifestyle modification
prevention of organ damage

Routine screening is crucial, even in the absence of symptoms.

When Should Men Get Tested?

Men should consider testing if they:

are over 30 years old
have a family history of diabetes
are overweight
have a sedentary lifestyle
experience any warning signs

Annual screening is recommended for at-risk individuals.

Managing Diabetes After Diagnosis

Effective management includes:

healthy diet
regular physical activity
weight control
stress management
medical treatment as advised

Early management improves quality of life.

Role of Preventive Healthcare

Preventive healthcare focuses on:

early screening
lifestyle intervention
regular follow-up

According to NITI Aayog, preventive strategies are essential to control India’s diabetes burden.

Mental Health and Diabetes in Men

Diabetes can affect mental wellbeing, leading to:

stress
anxiety
depression

Addressing emotional health improves diabetes outcomes.

Breaking the Stigma Around Men’s Health

Men often avoid seeking help due to stigma.

Promoting awareness helps:

normalise health conversations
encourage timely medical care
reduce preventable complications

Conclusion

Diabetes symptoms in men often develop gradually and may go unnoticed for years. Frequent urination, fatigue, unexplained weight changes and sexual health issues should never be ignored. Early diagnosis and timely management significantly reduce the risk of serious complications and improve long-term health outcomes. Awareness, routine screening and proactive healthcare are essential steps for men to protect their health and wellbeing in an era of rising lifestyle diseases.

References

Indian Council of Medical Research (ICMR) – Diabetes Epidemiology and Risk Studies
World Health Organization (WHO) – Diabetes Prevention and Management Guidelines
National Family Health Survey (NFHS-5) – Diabetes Prevalence in Men
Lancet Diabetes & Endocrinology – Male-Specific Diabetes Outcomes
NITI Aayog – Non-Communicable Disease Prevention Reports
Statista – Global Diabetes Trends and Gender Differences

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