Prediabetes in North America: Recognizing Symptoms and Taking Action

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Fatigue, persistent thirst, and wounds that heal slowly can be telltale signs of prediabetes. A gastroenterology specialist from Gemotest, Ekaterina Kashukh, spoke about this in Pravda.Ru. By recognizing these symptoms early, people in North America can pursue timely testing and prevention strategies that may delay or prevent the progression to type 2 diabetes.

Diabetes Mellitus is characterized by elevated blood glucose levels, a condition known as hyperglycemia. In the United States and Canada, millions live with diagnosed diabetes, while an almost equal number have high blood sugar without a formal diagnosis, a stage known as prediabetes. This is a critical window for intervention because lifestyle changes and, in some cases, medical guidance can substantially reduce the risk of developing full-blown diabetes.

Most often, prediabetes presents with constant thirst and increased fatigue. When blood glucose remains high, glucose cannot effectively enter cells to be used as fuel. As a result, cells lack energy and the body switches into an energy-saving mode. This can create a cycle of fatigue and heightened hunger as the body signals the brain for more nourishment while energy delivery to tissues remains insufficient. Healthcare providers emphasize that even subtle changes in appetite and energy levels deserve attention, especially if they persist over weeks or months.

Another important factor is the impact of elevated blood sugar on circulation. Poor circulation can hinder the body’s ability to heal wounds, including ulcers and cuts, which is particularly evident on the legs. This is why people who notice ongoing fatigue, thirst, or slow-healing injuries are encouraged to seek medical evaluation. Regular blood sugar testing and comprehensive physical exams help identify prediabetes early and guide appropriate steps to protect long-term health.

People should be aware that many individuals live with prediabetes for years without realizing it, often attributing symptoms to other temporary conditions. Early detection through periodic screening, especially for those with risk factors such as excess abdominal weight, a family history of diabetes, sedentary lifestyle, or recent changes in health, can make a lasting difference. Clinicians may recommend a combination of dietary modifications, increased physical activity, weight management, and, in some cases, medications when lifestyle changes alone are insufficient. The goal is to restore normal blood sugar levels or at least slow their rise, reducing the chances of progression to diabetes and associated complications.

Maintaining overall health, including heart and vascular health, further supports glucose control. Healthcare teams in North America routinely advise regular checkups, blood pressure monitoring, lipid profiles, and kidney function tests as part of an integrated approach to prediabetes care. Patients are encouraged to engage in open conversations with their clinicians about risks, screening intervals, and personalized plans. With awareness and proactive management, the trajectory from prediabetes to diabetes can often be altered in meaningful ways.

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