Prediabetes is a condition in which blood sugar levels are higher than normal, but not yet high enough to be classified as type 2 diabetes. It acts as a warning sign that your body is beginning to lose its ability to regulate blood glucose effectively. If left unchecked, prediabetes can progress into full-blown diabetes, bringing with it long-term health complications such as heart disease, kidney damage, nerve issues, and vision loss.
According to health officials, over 94,000 adults in Delaware alone are currently living with prediabetes—many without even knowing it. In fact, most people don’t experience any symptoms at all. That’s why awareness and routine screenings are crucial for early detection and effective prevention.

Know the Risk Factors for Type 2 Diabetes
Identifying whether you’re at risk is the first step toward making proactive changes. Risk factors include:
- Being overweight or obese
- Leading a sedentary lifestyle
- Age 45 or older
- Having a family history of diabetes
- High blood pressure or abnormal cholesterol levels
- History of gestational diabetes (diabetes during pregnancy)
If any of these apply to you, talk to your healthcare provider about getting your blood sugar tested. A simple fasting glucose test or A1C test can reveal whether you are at risk.
Reversing Prediabetes: Lifestyle Changes That Work
1. Lose a Little Weight
Even modest weight loss can significantly improve blood sugar regulation. Losing just 5 to 7 percent of your body weight can dramatically reduce the chances of developing type 2 diabetes. For someone who weighs 200 pounds, this translates to just 10 to 14 pounds.
2. Increase Physical Activity
The American Diabetes Association recommends at least 150 minutes of moderate-intensity activity each week. This can include:
- Brisk walking
- Swimming
- Biking
- Dancing
Even walking 30 minutes a day, five times a week, can make a huge difference in insulin sensitivity and glucose control.
3. Adopt a Healthy Diet
Nutrition plays a central role in managing and preventing diabetes. Focus on:
- Whole grains over refined carbs
- Plenty of fruits and vegetables
- Lean proteins like chicken, fish, or legumes
- Healthy fats from nuts, seeds, and olive oil
- Reducing sugary beverages and snacks
4. Stop Smoking
Smoking increases insulin resistance and the risk of complications. Delaware residents can access free support to quit smoking through the Delaware Quitline at 1-866-409-1858.
Resources Available Through Bayhealth
Bayhealth offers an array of educational and medical services designed to help individuals prevent and manage diabetes effectively. Although their diabetes team doesn’t directly treat prediabetes, they can provide guidance and connect you to the right resources.
Bayhealth Endocrinology, Blue Hen
Their expert team includes endocrinologists, nurses, pharmacists, and a registered dietitian dedicated to helping people control their blood sugar levels.
Diabetes and You: Bayhealth’s Education Program
Bayhealth’s “Diabetes and You” program is recognized by the American Diabetes Association and meets national standards for self-management education. The program includes:
- Individual consultations and group classes
- Education on blood sugar monitoring, nutrition, physical activity, and medications
- Tools and techniques to support long-term lifestyle changes
Medical Nutrition Therapy
A registered dietitian helps patients develop a personalized eating plan. You’ll learn how to make smart food choices that support better blood sugar control without sacrificing flavor.
Pharmacist-Guided Management
A diabetes-specialized pharmacist works with your primary care provider to:
- Review your medication regimen
- Educate you about side effects and proper use
- Track your blood glucose patterns
- Adjust your medications if needed
Gestational Diabetes Services
Bayhealth also provides dedicated support for pregnant women diagnosed with gestational diabetes. This includes dietary guidance, glucose monitoring, and safe exercise plans to ensure the health of both mother and baby.
How to Get Started
Getting into the right program begins with a referral from your primary care physician. Once referred:
- Choose between day or evening appointments
- Undergo a comprehensive assessment
- Register for group classes or one-on-one sessions
Fees may apply, but many insurance carriers include diabetes education in their plans.
Frequently Asked Questions:
Q1: Can prediabetes really be reversed?
A: Yes, many people reverse prediabetes by making healthy lifestyle changes such as losing weight, eating better, and exercising regularly.
Q2: Is medication necessary for prediabetes?
A: Most cases of prediabetes can be managed without medication. However, in some cases, a doctor may prescribe medication if lifestyle changes are not enough.
Q3: What foods should I avoid if I have prediabetes?
A: Avoid sugary drinks, processed snacks, refined carbs, and high-fat fast foods. Focus on whole foods, fiber-rich vegetables, and lean proteins.
Q4: How can I get support for quitting smoking in Delaware?
A: Call the Delaware Quitline at 1-866-409-1858 for free smoking cessation support, counseling, and nicotine replacement therapy.
Q5: Do I need a referral to join a Bayhealth diabetes education program?
A: Yes, a referral from your primary care provider is required to begin a diabetes education program through Bayhealth.