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Pre-Diabetes · Insulin Resistance · Metabolic Health · Clinical Review

Pre-diabetes is a warning. It is not a life sentence.

A HbA1c in the pre-diabetic range is one of the most actionable findings in medicine. The right response, specific, evidence-based, and built around your physiology, can reverse it entirely. The wrong response is generic advice to "eat less sugar and exercise more."

Full page coming soon
What this page will cover

What's actually driving your glucose, and what to do about it.

What pre-diabetes actually means

HbA1c, fasting glucose, and what the numbers mean in context, not just whether they're in range.

Insulin resistance

The mechanism behind pre-diabetes, how to assess it properly, and why treating it early is one of the highest-yield clinical interventions available.

What actually works

Low-carbohydrate diet, time-restricted eating, resistance training, weight loss: what the evidence shows for your situation.

Medication: when and whether

When metformin is appropriate, when it isn't, and what the evidence says about lifestyle intervention first.

The investigation gap

Fasting insulin, HbA1c trends over time, CGM data: the investigations that give the full metabolic picture.

Monitoring and follow-up

Which markers to track, how often, and what improvement looks like on a timeline.

In the meantime, if you have questions before this page is complete, contact the practice directly, or book a consultation online. Every enquiry is reviewed personally by Dr Dan Reardon.