You can be very fit - think marathoner. Never been overweight by any definition. If your genetics are bad and you are healthy , fit and lean. Losing a few more pounds or walking a few more minutes (if you are already cover 10 miles a day) more may not help. Yes majority of Americans fit the definition of unhealthy. - but not all prediabetics or even full diabetics have unhealthy lifestyles. .

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Check out the Diabetes Code by Dr Jason Fung.

Or Dr. Bernstein. Why not?

Neither of these doctors are for people like OP.

Reducing frequency of eating to reduce frequency of insulin spikes is absolutely for OP what are you talking about

OP isn't diabetic. She doesn't need Dr Fung or Dr Bernstein. If she reduces stress/cortisol (maybe better sleep), loses a couple pounds, and/or makes a couple small diet changes, she'll be fine. Maybe in 10 or 30 years, she'll be back here again. Maybe not.

Fasting will help her tremendously being pre-diabetic. This regimen isn’t just for people with diabetes, it’s also to PREVENT diabetes. Get educated.

I am educated about diabetes and CKD. I've had both for years and have had read studies, stories, anecdotes, etc.

OP just needs to lose a couple pounds, watch her sleep, add a bit more walking. If her insulin is elevated, fasting isn't a bad idea but losing 5 lbs is a better one. But focusing on insulin doesn't make sense for someone with an a1c of 5.7.

Rather than focusing on IF, btw, if you're concerned about insulin and diabetes, look at the results from losing 5-15 lbs. It can cure diabetes for years.

Anonymous wrote:

Anonymous wrote:So I realize I need to change how I live my life as a prediabetic. Apparently I might have a genetic predisposition to it as my weight is normal. Feeling discouraged/motivated to beat this. Please share any tips that will help. Any research out there on how to make your body more insulin sensitive? Can I still have light snack/dessert after dinner? I’ve been trying fruit and peanut butter, sometimes small amount of popcorn. I do not want this to progress.. thank you

Fruit and popcorn are both undermining you here. Try to eat your carbs exclusively close in time to fats and proteins, instead of carby/sugary snacks/desserts on their own.

Popcorn, especially popped in oil, should be low GI?

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Check out the Diabetes Code by Dr Jason Fung.

Or Dr. Bernstein. Why not?

Neither of these doctors are for people like OP.

Reducing frequency of eating to reduce frequency of insulin spikes is absolutely for OP what are you talking about

OP isn't diabetic. She doesn't need Dr Fung or Dr Bernstein. If she reduces stress/cortisol (maybe better sleep), loses a couple pounds, and/or makes a couple small diet changes, she'll be fine. Maybe in 10 or 30 years, she'll be back here again. Maybe not.

Fasting will help her tremendously being pre-diabetic. This regimen isn’t just for people with diabetes, it’s also to PREVENT diabetes. Get educated.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Check out the Diabetes Code by Dr Jason Fung.

Or Dr. Bernstein. Why not?

Neither of these doctors are for people like OP.

Reducing frequency of eating to reduce frequency of insulin spikes is absolutely for OP what are you talking about

Exactly. The ignorance is astounding.

Keto reversed type 2 diabetes for my cousin.

I've been pre-diabetic for 19+ years now, never obese, always exercise, previous marathoner - but terrible genetics. I keep my A1C in a good range. Pregnancies were gestational but diet/exercise helped manage it. Siblings the same. I work with my internist on plan. Overtime, it becomes a bit more difficult as what worked before, takes a little more effort to keep fasting blood sugars in check, but in general, its manageable.

- Exercise daily. When I was younger, ran a lot (marathon runner), but then shifted over time bc of injuries. Shifted to peloton and longer walks with some runs. For me, its non-negotiable that I have Some sort of daily exercise even if brisk longer walk.

- 99% of the time, I fast at least 12 hours and try to fast 14 hours. Dr. Fung's book is helpful, but I don't do the extreme. I feel so much better with fasting this moderate amount. When I go off for a few days, my blood sugars feel terrible. Fasting was a real gamechanger when diet and exercise were not enough. This was a real gamechanger also for my siblings too or could reduce metformin because of this.

- For over 20 years, Generally, try to be moderate carb, not higher carb like american diet. I'm not perfect, but helps. Some things, I never do - like juices etc. Have family members with GI health issues so never eat heavily processed, more fruits & veggies - but not sure that impacts the diabetes. I do still like my chocolate - can't lie, but in balance / moderation, it's still possible

- I do a regular check ever few weeks on my fasting blood sugars to make sure they have not creeped up.

All of this, I feel has been very sustainable and doesn't take much discipline when you make a habit.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Check out the Diabetes Code by Dr Jason Fung.

Or Dr. Bernstein. Why not?

Neither of these doctors are for people like OP.

Reducing frequency of eating to reduce frequency of insulin spikes is absolutely for OP what are you talking about

OP isn't diabetic. She doesn't need Dr Fung or Dr Bernstein. If she reduces stress/cortisol (maybe better sleep), loses a couple pounds, and/or makes a couple small diet changes, she'll be fine. Maybe in 10 or 30 years, she'll be back here again. Maybe not.

Taking statins for my cholesterol pushed me into full blown diabetes. I have genetic predisposition too. I am slender. The statins reduced just a little bit of my total cholesterol but my problem was my ratio of bad and good cholesterol which was disastrous. I am mainly vegetarian. What has quickly changed my cholesterol numbers and given me fantastic ratio is Vitamin K2-MK7 (400 mcg daily) along with Magnesium, B-Complex and D3. Yes, it is a lot of pills and potions...but it is astounding turn around.

I am pooping better, less exhausted, no aches, sleeping like a baby, my hair and skin is healthier and also my blood sugar has improved. I have introduced a bit of protein - chicken, egg, cheese, yogurt, nuts, beans in my diet with each meal. It is hard to completely remove rice and wheat from my diet. So I am eating mostly what everyone else is eating at home but including veggies with each meal. Finally, what keeps my numbers down is a 10 minute walk immediately after every meal.

Anonymous wrote:

Anonymous wrote:Check out the Diabetes Code by Dr Jason Fung.

Or Dr. Bernstein. Why not?

Neither of these doctors are for people like OP.

Reducing frequency of eating to reduce frequency of insulin spikes is absolutely for OP what are you talking about

Anonymous wrote:Thanks all. My a1c is 5.7. I’m just going to exercise, and eat low carb and sugar and .. hope for the best. I may get a referral to an endocrinologist.

Did you say you have a genetic predisposition based on the fact that your weight is normal? Or something else?

Thanks all. My a1c is 5.7. I’m just going to exercise, and eat low carb and sugar and .. hope for the best. I may get a referral to an endocrinologist.

Have you been under significant stress? My A1c went well into prediabetic range a number of years ago right after the illness of death of a parent. Stress can impact blood sugar.

I did make a lot of dietary changes and lost weight although I was in a normal weight range, and it did go down, but frankly it has stayed down ever since and I’ve gained back the weight and then some (5 plus years at this point)

I’m trying to take it off now because I wonder if I’m susceptible but something to keep in mind.

For me, a plant based diet would not work. I think it’s much easier to watch carbs and feel satisfied when I eat fish, chicken, shellfish, eggs. Think about a little dark chocolate for a sweet and something like an apple and peanut butter for a snack (fats with the carbs) as you’ve been doing. Really try to eliminate added sugars and white carbs from your diet.

I think some of the other advice on this thread is likely not the best or easiest approach (eg no oils). Healthy fats like olive oil and avocado will help you feel satisfied.

Try upping your exercise if you don’t already.. I think studies have shown that just 150 min of walking a week is beneficial in controlling sugar levels.

For me,

Anonymous wrote:So I realize I need to change how I live my life as a prediabetic. Apparently I might have a genetic predisposition to it as my weight is normal. Feeling discouraged/motivated to beat this. Please share any tips that will help. Any research out there on how to make your body more insulin sensitive? Can I still have light snack/dessert after dinner? I’ve been trying fruit and peanut butter, sometimes small amount of popcorn. I do not want this to progress.. thank you

Have you seen an endocrinologist? In additional to Type 1 and Type 2 diabetes there is a type called Latent Autoimmune Diabetes in Adults (LADA), in which Type 1 diabetes develops in adulthood. My spouse has this (and his father, and his grandfather did) and it was misdagnosed for years as Type 2. He was in his late 20's, overweight, but nowhere near obese. He cleaned up his diet and lost weight (quite a bit, in fact) and his A1C remained high. It was a frustrating experience because most doctors refused to believe he was exercising/eating right despite his undeniable weight loss. Because he actually had Type 1 the Type 2 drugs did nothing for him. He needed insulin and probably damaged his pancreas/beta cells while taking medication that was having no effect.

He was finally diagnosed correctly after he had to be admitted to the hospital and saw a top endocrinologist.

So if you're exercising, eating right, and are at a healthy weight, push your endocrinologist for an explanation.

As far as eating right, go see a nutritionist. I will say the one that worked with my husband (and I) after he was correctly diagnosed advocated a low glycemic index diet. That means lean proteins, greens, limited carbs/good carbs - i.e. - sweet potato vs. regular potatoes, brown rice instead of white, and limit fruit and veg with lots of sugars. The basic idea is that you don't want to eat things that spike your blood sugar.

Anonymous wrote:Check out the Diabetes Code by Dr Jason Fung.

Or Dr. Bernstein. Why not?

Neither of these doctors are for people like OP.