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Cardiovascular and Vascular Diseases

Prediabetes

Biomarker testing reveals early glucose dysregulation, showing how your body processes sugar now and over months. At Superpower, we test Glucose and HbA1c for Prediabetes to profile glycemic control and insulin resistance, via fasting plasma glucose and hemoglobin A1c—quantifying chronic glucose exposure.

With Superpower, you have access to a comprehensive range of biomarker tests.

Test for Prediabetes
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Key Benefits

  • Check for prediabetes by measuring fasting and three‑month average blood sugar.
  • Spot early sugar imbalance before diabetes and complications develop.
  • Flag risk levels: HbA1c 5.7–6.4% or fasting 100–125 mg/dL.
  • Guide personalized steps—nutrition, activity, weight loss, sleep, and stress—to lower glucose.
  • Track progress: HbA1c shows 3‑month trends; fasting glucose shows day‑to‑day changes.
  • Estimate future diabetes and heart risk to prioritize prevention efforts.
  • Protect fertility by flagging sugar–insulin imbalance linked to polycystic ovary syndrome.
  • Best interpreted with risk factors, repeat confirmation, and sometimes an oral glucose test.

What are Prediabetes

Prediabetes biomarkers are measurable signals that show how well the body handles sugar and the hormone that moves it into cells. They reveal three core stories: the sugar present right now (blood glucose), the lingering imprint of sugar over time (glycated hemoglobin, HbA1c), and the body’s hormonal push to keep levels in range (insulin and C‑peptide). Together, these markers reflect how responsive tissues are to insulin (insulin resistance) and how hard the pancreas is working to compensate (beta‑cell stress). Some tests look at the body’s reaction after a sugar load (oral glucose tolerance), highlighting early trouble that fasting values can miss. Broader metabolic signals can support the picture by showing energy “spillover” into blood fats and the liver (triglycerides, HDL, liver enzymes). The value of testing is foresight: it detects impaired glucose control before symptoms, quantifies the strain on glucose‑insulin systems, and creates a baseline to track improvement or progression. In short, prediabetes biomarkers translate everyday metabolism into objective measures that guide timely prevention.

Why are Prediabetes biomarkers important?

Prediabetes biomarkers—primarily fasting glucose and HbA1c—are early signals of how your body manages fuel. They reflect the dialogue between pancreas, liver, muscle, fat, brain, and blood vessels, long before diabetes declares itself. When these markers drift upward, it means insulin is struggling to keep glucose in check, and that strain reverberates across metabolism, inflammation, vessel health, and nerve function.

Typical healthy fasting glucose sits below about 100 mg/dL, with prediabetes from 100–125. HbA1c is normal below 5.7, prediabetes from 5.7–6.4. In general, “optimal” tends to cluster at the low end of normal for both markers, signaling effective insulin sensitivity and steadier energy.

When values drop too low, it can reflect overcompensation by insulin or a mismatch in meal timing, sometimes seen as reactive hypoglycemia in early insulin resistance. People may feel shaky, sweaty, hungry, lightheaded, or foggy as the brain and autonomic nervous system respond to falling glucose. In children and teens, pubertal insulin resistance can amplify these swings; in pregnancy, low values may be less reliable on HbA1c and are interpreted with context.

Rising values within the prediabetes band point to hepatic and muscle insulin resistance, higher liver fat, endothelial stress, and subtle nerve vulnerability. Fatigue, increased thirst, frequent urination, and blurred vision may appear; men often show more visceral fat and fatty liver, while women with PCOS face higher risk. In pregnancy, higher glucose raises the chance of gestational diabetes.

Big picture: these biomarkers integrate how hormones, organs, and vessels coordinate energy use. Tracking them links daily metabolism to long-term risks like cardiovascular disease, kidney stress, fatty liver, and neuropathy—making them keystones for understanding whole-body health trajectory.

What Insights Will I Get?

Prediabetes biomarkers show how effectively your body regulates blood sugar—the core fuel for cells—and how that regulation affects energy, vascular health, brain function, kidneys, nerves, and immunity. At Superpower, we test Glucose and HbA1c.

Glucose reflects your current blood sugar level (acute glycemia). HbA1c reflects the share of hemoglobin coated with sugar (glycation), summarizing average glucose over roughly three months. Prediabetes means these measures are elevated above normal but below diabetes thresholds, signaling insulin resistance and early beta-cell stress.

When glucose stays near normal and returns to baseline smoothly after meals, it indicates stable fuel control and good insulin signaling. Persistently high fasting values or frequent spikes point to impaired hepatic control and tissue insulin resistance. A lower, mid-normal HbA1c suggests minimal chronic glycation and lower microvascular strain; a higher HbA1c within the prediabetes range indicates sustained exposure, endothelial stress, and increased cardiometabolic risk. Together, glucose shows day-to-day stability, while HbA1c captures longer-term burden.

Notes: Interpretation can shift with pregnancy, age, acute illness, stress, or poor sleep. Anemia, iron deficiency, hemoglobin variants, kidney or liver disease, and recent transfusion can skew HbA1c. Some drugs (e.g., glucocorticoids, atypical antipsychotics) raise glucose. Assay variability and biological fluctuation apply.

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Frequently Asked Questions About Prediabetes

What is Prediabetes testing?

Prediabetes testing checks how well your body regulates blood sugar. Superpower measures fasting blood sugar (glucose) and your 2–3 month average sugar (HbA1c). Prediabetes means glucose is above normal but below diabetes, reflecting insulin resistance and early beta‑cell strain (dysglycemia). These biomarkers capture both day‑to‑day control and chronic exposure.

Why should I get Prediabetes biomarker testing?

It flags early dysglycemia before symptoms. Elevated glucose or HbA1c signals higher risk for type 2 diabetes and related heart, kidney, eye, and nerve disease. Glucose shows current regulation; HbA1c shows chronic glycemic load. Identifying this pattern early quantifies cardiometabolic risk and guides risk‑reduction efforts.

How often should I test?

If results are normal and risk is low, testing every 3 years is typical. If you have risk factors or prior prediabetes, test at least yearly. When monitoring known prediabetes or recent changes, HbA1c every 3–6 months and fasting glucose more often can track trajectory, since HbA1c shifts over about 90 days.

What can affect biomarker levels?

Acute illness, stress, recent exercise, alcohol, or corticosteroids can raise glucose; eating or not fasting skews a “fasting” value. HbA1c can be unreliable with iron deficiency (falsely high), hemolysis or recent blood loss/transfusion (falsely low), chronic kidney or liver disease, pregnancy, and hemoglobin variants. Smoking and severe hypertriglyceridemia can also distort results.

Are there any preparations needed before Prediabetes biomarker testing?

For a fasting glucose, do not eat or drink anything but water for 8–12 hours. Avoid vigorous exercise and alcohol the day before. Take usual medicines unless your clinician advised otherwise. HbA1c does not require fasting. Try to test when you are well, as acute illness and stress hormones can transiently raise glucose.

Can lifestyle changes affect my biomarker levels?

Yes. Improving insulin sensitivity and reducing hepatic glucose output can lower fasting glucose and HbA1c. Weight loss, regular physical activity, and dietary pattern changes influence glycemia; so do sleep quality and stress load via counter‑regulatory hormones. Because HbA1c reflects roughly 2–3 months, sustained changes are needed to shift it.

How do I interpret my results?

Fasting glucose: normal <100 mg/dL; prediabetes 100–125; diabetes ≥126 (confirm on a separate day). HbA1c: normal <5.7%; prediabetes 5.7–6.4%; diabetes ≥6.5% (confirm). HbA1c reflects average exposure; glucose reflects current state. If results disagree, factors affecting HbA1c or glucose may be present; repeat testing or an alternative assay may be needed. Pregnancy uses different thresholds. Superpower reports both glucose and HbA1c together to show pattern and trend.

How do I interpret my results?

Fasting glucose: normal <100 mg/dL; prediabetes 100–125; diabetes ≥126 (confirm on a separate day). HbA1c: normal <5.7%; prediabetes 5.7–6.4%; diabetes ≥6.5% (confirm). HbA1c reflects average exposure; glucose reflects current state. If results disagree, factors affecting HbA1c or glucose may be present; repeat testing or an alternative assay may be needed. Pregnancy uses different thresholds. Superpower reports both glucose and HbA1c together to show pattern and trend.

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Supported by the world’s top longevity clinicians and MDs.

Dr Anant Vinjamoori

Superpower Chief Longevity Officer, Harvard MD & MBA

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Dr Leigh Erin Connealy

Clinician & Founder of The Centre for New Medicine

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Dr Abe Malkin

Founder & Medical Director of Concierge MD

Dr Robert Lufkin

UCLA Medical Professor, NYT Bestselling Author

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