Blood sugar is normal, still at risk? Doctor explains ‘pre-pre-diabetes’ and metabolic dysfunction - The Times of India

The phenomenon of 'pre-pre-diabetes' highlights a crucial phase in metabolic dysfunction that occurs before any rise in glucose levels, where individuals may have normal fasting glucose, post-meal levels, and HbA1c tests but still face a high risk of developing Type 2 diabetes. Dr. Saptarshi Bhattacharya explains that during this stage, the body compensates for insulin resistance by secreting excess insulin, leading to conditions such as increased fasting insulin, built-up visceral fat, and eventually chronic inflammation, without showing elevated glucose levels. This condition is driven by factors such as genetics, high-carb diets, sedentary lifestyles, and sleep issues. Symptoms like fatigue, sugar cravings, and weight management difficulties are common yet often dismissed. The article emphasizes the importance of looking beyond glucose metrics and recommends deeper metabolic assessments for those at risk, suggesting that lifestyle changes including high protein intake, increased fiber consumption, regular exercise, and improved sleep hygiene can reverse pre-diabetes. The key message is that normal blood sugar does not equate to normal metabolic health, and quick intervention at the pre-diabetic stage is vital for long-term health.