Prediabetes and metabolic health
70% of people with prediabetes don't know it. A 14-day CGM run is the fastest way to see how your body reacts to food and exertion.
What it is
Prediabetes — glucose above normal but below the T2D threshold: HbA1c 5.7-6.4% (ADA) or 6.0-6.4% (WHO), fasting 5.6-6.9 mmol/L, OGTT 7.8-11.1 mmol/L. Without intervention, 5-15% per year progress to T2D. Lifestyle (DPP trial) reduces risk by 58%.
Principles
Risk-factor screening
Age > 45, BMI > 25 (>23 in Asian populations), sedentary lifestyle, family history of T2D, prior GDM.
Weight loss
5-7% of starting weight — effect on glycaemia confirmed by DPP. Weight maintenance matters more than speed of loss.
150 min of activity a week
Aerobic + resistance. At least 3 sessions a week.
CGM as an education tool
A single 14-day course shows the real glucose response to one's usual food. Often changes behaviour long-term without a prescription.
Syai's role
For prediabetes, a single 14-day sensor (or one every 3 months) is enough. The goal — see your food triggers, morning dawn phenomenon, stress response. The patient becomes their own metabolism researcher. No prescription needed in most jurisdictions.
Studies
Diabetes Prevention Program — 58% reduction in progression to T2D
DPP Research Group · New England Journal of Medicine · 2002
Use of CGM in prediabetes — behavioural and metabolic outcomes
Ehrhardt N., Al Zaghal E. · Diabetes Spectrum · 2019
On request
Further reading
More on the manufacturer's site
Syai Health maintains a detailed topic page with clinical cases. Opens in a new tab.