Most importantly in your situation is to maintain a normal body weight for your height; excess body weight leads to insulin resistance which leads to diabetes. The Diabetes Prevention Program was a major research study which demonstrated in people with pre-diabetes that a 7% weight loss in association with at least 150 minutes of exercise each week led to markedly decreased rate of diabetes in the population studied. Ten years later, those people who maintained the weight loss had about a 25% decreased rate of clinical diabetes than those who gained weight. Speak to your doctor or nutritionist about a low-carb, low-saturated fat diet, and exercise.
Marvin A. Leder, MD FACP FACE
Dr Marina Strizhevsky