September 30, 2025

Managing Prediabetes with Your Primary Care Team

Prediabetes is a critical warning sign—and an opportunity. With timely guidance and consistent support, you can often prevent or delay the progression to type 2 diabetes. Your primary care team plays a central role in this journey, combining clinical expertise with practical, personalized strategies. Whether you visit a Primary care physician in Pompano Beach, an Internal medicine clinic in a larger health system, or a Family medicine practice in your neighborhood, the approach is the same: identify risk early, build a clear plan, and stick to it with steady, patient-centered care.

Understanding Prediabetes and Why It Matters

Prediabetes means your blood sugar levels are higher than normal but not yet in the diabetes range. Many people have no symptoms. That’s why an annual general health check-up is so important. Screening tests—fasting blood glucose, A1C, or oral glucose tolerance—can spot changes early. Early detection empowers you to make targeted lifestyle changes that have a big payoff: modest weight loss, improved fitness, and better nutrition can cut your risk of developing type 2 diabetes by more than half.

Why Start with Primary Care

Your Primary care provider (PCP) is your first point of contact for preventive care and chronic disease management. They coordinate labs, track trends over time, and connect you with resources like nutrition counseling, behavioral health, and community health services. This patient-centered care model ensures your plan fits your life, not the other way around. If you’re in or near Pompano Beach, for example, establishing with a Primary care physician in Pompano Beach can make it easier to access referrals, local education programs, and fitness options that align with your schedule and budget.

The Core Components of a Prediabetes Plan

1) Baseline evaluation and physical exams: Your PCP will review your medical history, medication list, family history, sleep patterns, and lifestyle habits. A focused physical exam, blood pressure measurement, weight, waist circumference, and labs (A1C, fasting glucose, lipids, liver and kidney function) help map your starting point and rule out other causes of insulin resistance.

2) Individualized goals: Most plans PRP Injections target 5–7% weight loss if overweight, at least 150 minutes of moderate physical activity per week, and dietary shifts that stabilize blood sugar. Your PCP will tailor goals based on your baseline, barriers, and preferences.

3) Nutrition coaching: Family medicine and internal medicine teams often partner with dietitians who emphasize whole foods, lean proteins, high-fiber carbohydrates, and healthy fats. Simple swaps—like replacing sugary drinks, prioritizing non-starchy vegetables, and choosing whole grains—make a measurable difference.

4) Activity strategy: Structured exercise isn’t the only solution. Brisk walking, cycling, swimming, resistance training, or short activity “snacks” throughout the day can all improve insulin sensitivity. Your PCP can advise on safe progression, particularly if you have joint pain or cardiovascular risk factors.

5) Sleep and stress: Poor sleep and chronic stress raise cortisol, which can elevate blood sugar. Internal medicine clinics often integrate stress-reduction strategies (breathing techniques, mindfulness, counseling) and screen for sleep apnea when symptoms suggest it.

6) Medication when appropriate: If lifestyle changes aren’t enough or your A1C rises, your PCP might discuss medications such as metformin. This decision is individualized, weighing benefits, side effects, and your overall risk profile.

7) Follow-ups and feedback loops: Regular check-ins—every 3–6 months—support momentum. During these visits, your team reviews labs, reassesses goals, and addresses obstacles. This continuity is a hallmark of chronic disease management in primary care.

Leveraging the Strengths of Family Medicine and Internal Medicine

Family medicine practices care for patients across the lifespan, making it easier to incorporate family-based strategies—shared meals, activity plans, and home routines that support everyone’s health. Internal medicine clinics often focus on adult and complex care, ideal for individuals with multiple conditions like hypertension, high cholesterol, or obesity. Both offer comprehensive physical exams and preventive care, ensuring you stay on track with vaccinations, cancer screenings, and cardiovascular risk reduction—key components of holistic health that indirectly support blood sugar control.

The Value of a General Health Check-Up

Even if you feel well, an annual general health check-up helps your PCP identify trends early. This is especially important if you have risk factors such as a family history of diabetes, a history of gestational diabetes, polycystic ovary syndrome (PCOS), being overweight, or belonging to certain high-risk ethnic groups. A check-up is also an opportunity to update your plan, address new stressors, review wearable or home glucose data, and celebrate wins.

Using Community Health Services to Build Momentum

Community health services—diabetes prevention programs, group classes, walking clubs, and nutrition workshops—add structure and social support. Your Primary care physician in Pompano Beach or your local Primary care provider (PCP) can help you find low-cost or insurance-covered options. If transportation, cost, or time are barriers, ask about virtual classes or home-based programs.

Putting Patient-Centered Care into Practice

Patient-centered care means co-creating a plan you can follow. If cooking time is limited, your team might focus on batch-prepped meals and smart grocery lists. If you travel for work, they can suggest portable proteins, fiber-rich snacks, and hotel-room workouts. If stress is the main obstacle, counseling and brief daily mindfulness practices might be front and center. The best plan is the one you’ll actually use.

Measuring Progress Beyond the Scale

The scale matters, but it’s not everything. Improved energy, better sleep, looser clothing, and lab trends (A1C, fasting glucose, triglycerides, HDL) are all valid markers. Your PCP may also track blood pressure and waist circumference, which reflect metabolic health. Periodic physical exams provide context—how your joints feel, your heart rate recovery, and your overall fitness.

When to Escalate Care

If your numbers worsen or complications like high blood pressure or fatty liver develop, your PCP may refer you to specialists—endocrinology, cardiology, sleep medicine, or behavioral health. This is not a setback; it’s proactive chronic disease management. In many cases, a short-term specialist consult helps you refine the plan and then transition back to routine follow-up with your primary care team.

Getting Started Today

  • Schedule a visit: Book a general health check-up with your Primary care provider (PCP). If you’re local, an Internal medicine clinic or Primary care physician in Pompano Beach can coordinate labs and set a baseline.
  • Know your numbers: Ask for A1C, fasting glucose, lipids, and blood pressure.
  • Pick one or two changes: Add a 20-minute brisk walk after dinner, replace sugary beverages with water or unsweetened tea, or build a protein-and-fiber breakfast.
  • Set a follow-up: Accountability drives results; plan a check-in in 8–12 weeks.
  • Use your network: Explore community health services for practical, affordable support.

Frequently Asked Questions

Q1: How often should I have labs checked for prediabetes?

A1: Most people benefit from A1C and fasting glucose every 3–6 months initially, then every 6–12 months once stable. Your PCP may adjust based on your progress and risk factors.

Q2: Can I reverse prediabetes without medication?

A2: Many people do. Weight loss of 5–7%, at least 150 minutes of weekly activity, and a high-fiber eating pattern often normalize blood sugar. Your Primary care provider (PCP) will monitor and discuss medication if needed.

Q3: What type of exercise is best?

A3: The best exercise is the one you’ll sustain. Aim for a mix of aerobic activity (walking, cycling) and resistance training 2–3 times per week. Your Family medicine or internal medicine clinic can tailor advice if you have joint or heart concerns.

Q4: Are physical exams necessary if I feel fine?

A4: Yes. Regular physical exams and preventive care identify silent risks, guide safe exercise, and keep vaccinations and screenings up to date—key elements of comprehensive chronic disease management.

Q5: How can community health services help me?

A5: They offer structure, education, and social support—group classes, coaching, and local programs that make healthy habits easier. Ask your Primary care physician in Pompano Beach or your local PCP for referrals that fit your schedule and budget.

Dr. Jason Cheshire is a dedicated physician at Lighthouse Medical Center, where he has built a reputation for delivering compassionate, patient-focused care to the Pompano Beach community and beyond. With more than fifteen years of experience in medicine, Dr. Cheshire blends clinical expertise with a genuine commitment to guiding patients toward healthier, more balanced lives. A graduate of a respected medical program, Dr. Cheshire pursued additional training in integrative and preventive healthcare, believing strongly that wellness extends beyond treating illness. His philosophy centers on empowering patients with the knowledge and tools they need to take an active role in their health. At Lighthouse Medical Center, he has been instrumental in developing patient education programs, wellness workshops, and community outreach initiatives aimed at making healthcare more accessible and approachable. Dr. Cheshire is especially passionate about chronic disease management, lifestyle...