Healthy Living Through Environment, Policy and Improved Clinical Care (EPICC) Program

Pre-Diabetes

A person with pre-diabetes has a blood sugar level higher than normal, but not high enough for a diagnosis of diabetes. He or she is at higher risk for developing Type 2 diabetes and other serious health problems, including heart disease, and stroke. Without lifestyle changes to improve their health, 15% to 30% of people with pre-diabetes will develop Type 2 diabetes within five years. Review our Pre-Diabetes in Utah Fact Sheet (PDF) for more information.

  • Pre-diabetes is sometimes called impaired glucose tolerance (IGT) or impaired fasting glucose (IFG).
  • About one in 14 (7.1%) of adults in the U.S. have been told by a health care provider that they have pre-diabetes. About one-third of Americans aged 20 and over are at high risk for Type 2 diabetes.

Clinical Definition of Pre-Diabetes

There are no clear symptoms of pre-diabetes, so, you may have it and not know it. Results indicating pre-diabetes are:

A1C 5.7% – 6.4%
Fasting blood glucose Between 100 – 125 mg/dL
Oral Glucose Tolerance Test (OGTT) 2 hour blood glucose 140 mg/dL – 199 mg/dL

Risk Factors

  • Being overweight
  • Not getting enough physical activity
  • Getting older
  • Family history of Type 2 diabetes
  • Membership in a racial or ethnic minority group
  • Polycystic ovarian syndrome
  • Sleeping too much or too little
  • Having metabolic syndrome (high blood pressure, high blood sugar and high cholesterol) or having even one of these symptoms
  • Having history of gestational diabetes or delivering a baby weighing 9 pounds or more

Preventing Type 2 Diabetes

Research shows that you can lower your risk for Type 2 diabetes by 58% by:

Don't worry if you can't get to your ideal body weight. Losing even 10 to 15 pounds can make a difference. Intersted in learning more about improving self-management skills? Check out information you we have for the evidence-based lifestyle change program, National Diabetes Prevention Program.

Pre-Diabetes Resources