# 📱When they tell you, “Your blood sugar is a little high”..

- URL: https://alisanburak.com/en/1403-2
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- Last updated: 2026-08-15
- Page title: 📱When they tell you, “Your blood sugar is a little high”.. | Assoc. Prof. Dr. Alişan Burak Yaşar

> Most people hear this, take their results, leave — and do nothing. Yet prediabetes is not diabetes itself; it is a critical window when reversal is still p

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# 📱When they tell you, “Your blood sugar is a little high”..

April 12, 2026Recent Articles

Most people hear this, take their results, leave — and do nothing.
Yet prediabetes is not diabetes itself; it is a critical window when reversal is still possible.

🔬 What does the literature say?
📍 The 5-year rate of progression to diabetes in people with prediabetes is 6–15%
📍 When both HbA1c and fasting blood glucose are abnormal, the risk of progression increases dramatically (HR ≈32)
📍 Intensive lifestyle intervention can reduce this risk by 47–58%
📍 Losing just 5–7% of body weight → increases insulin sensitivity 1.5–2-fold
📍 Newly developed prediabetes increases the risk of depression 2.7-fold

🧠 And the connection to mental health:
Insulin resistance affects not only blood glucose but also the brain’s inflammatory balance. Depression, anxiety, and cognitive impairment — may be integral to the metabolic picture.
Metabolic health = Neurobiological balance.

💊 What can you do?
1. Have both your HbA1c and fasting blood glucose measured
2. Set a weight-loss target (even 5–7% makes a difference)
3. Switch to a low-glycemic-index diet
4. Monitor your mental health
5. Discuss treatment options, including metformin, with your physician

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Kaynak / Source: https://alisanburak.com/en/1403-2

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