Written by Dr.Albana Greca Sejdini, Md, MMedSc
Medically reviewed by Dr.Ruden Cakoni, MD, Endocrinologist
Blood sugar level 110-126 mg/dl is classified as prediabetes: this means that the blood sugar level is higher than normal, but not high enough to be classified as diabetes.
Prediabetes usually has no sign or symptoms apart from acanthosis nigricans, which is a condition where the skin in certain parts of the body darkens. The easiest and used tests to diagnose prediabetes are fasting glucose test and A1c test.
Fasting blood sugar level 110-126 mg/dl is classified as prediabetes. This means that the blood sugar level is high, but not high enough to be classified as type 2 diabetes.
Without any intervention, prediabetes is likely to become type 2 diabetes in approximately 10 years or so.
If having fasting blood sugar level 110-126mg/dl (prediabetes) this means that your body is not processing sugar(glucose) properly anymore.
Prediabetes can happen when the pancreas does not produce the proper amount of insulin, or when the cells become resistant to insulin, or both.
This causes the sugar to build up in the bloodstream instead of serving as an energy source to the cells.
Prediabetes is a sneaky condition. It often does not have any sign or symptoms. Acanthosis nigricans- darkened skin in certain parts of the body, may be the only sign of having blood sugar level 110-126 mg/dl (prediabetes).
The most common affected area is the neck, armpits, knuckles, and elbows.
If you have prediabetes, and you start having symptoms such as frequent urination, increased thirst, fatigue, blurred vision, you should go to your doctor because you may have developed type 2 diabetes.
The basic tests to measure blood sugar level are as following:
1.Fasting blood sugar test - A blood sample will be taken after you have been fasting for at least 8 hours. A level of blood sugar between 110-126 mg/dl means that you have prediabetes
2.Glycated hemoglobin test (A1C test) - This test indicates the average blood sugar level for the last three months. Normal levels of A1C are below 5.7%. If having levels of A1C between 5.7%-6.4% is considered prediabetes. And if having A1C above 6.5% in two separate tests means that you have diabetes.
If having fasting blood sugar level 110-126mg/dl means that you have prediabetes. In this situation, some lifestyle changes can help you lower the blood sugar levels back to the normal ranges, or at least can keep it from rising towards the levels seen in type 2 diabetes.
The lifestyle changes are as following:
1. Eating healthy foods - Choose foods rich in fiber and whole grains (fruits, vegetables, whole grain products) and low in fat and carbohydrates. A Mediterranean diet would be the best choice.
2. Get more physical activity - Take at least 30-60 minutes of moderate intensity exercises most days of the week. Do not let more than two days go without exercising. Consider swimming laps, a brisk walk, riding a bicycle etc.
3. Losing extra pounds - Sometimes losing the extra pounds is enough to bring the blood sugar levels down to the normal range. Losing just 5-10% of your body weight can significantly reduce the risk of developing type 2 diabetes.
4. Take medications as prescribed by the doctor - Usually, prediabetes needs no treatment. But sometimes your doctor may prescribe you anti-diabetic drugs to reduce the risk of developing type 2 diabetes(if having a history of gestational diabetes, if your MBI is above 35 if being older than 65 years etc). Take them as prescribed.