Pre-diabetes or Impaired Glucose Tolerance is when your blood sugar runs above the normal range, but not as high as diabetes. It is classed as an HbA1c blood result of 42-47 (diabetes is HbA1c 48 or above.) This result along with certain risk factors puts you at a higher risk of developing T2DM and cardiovascular disease. This doesn’t mean that you will definitely go on to develop T2DM, but it is possible to reduce this risk by making some changes to your lifestyle, such as increasing activity, healthy diet, losing weight, reducing alcohol and stopping smoking.

Diabetes UK has some more useful information:

https://www.diabetes.org.uk/diabetes-the-basics/types-of-diabetes/type-2/prediabetes

We would strongly recommend getting support to make lifestyle changes. Options include:

• Doing the Diabetes Prevention Programme (9 month programme in person or digital)- you can self-refer Register for the Diabetes Prevention Programme – Preventing Diabetes (preventing-diabetes.co.uk) We will do this referral for you if you agree when you are diagnosed, otherwise you can self- refer at any time.
• Contact a City of York Health Trainer for one-to-one support and guidance CYC Health Trainers – City of York Council

We will invite you for an annual review including a repeat blood test and blood pressure on a yearly basis.