Jaiwant Rangi, MD, FACEEndocrinologist | Founder, Lower The Dose® | Speaker

Prediabetes: The Silent Engine of Chronic Disease

18 Jun 2026 · 0 min

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A study of 500,000 people found that only 12% of those who developed heart disease or kidney disease had first progressed to diabetes. Most cardiovascular and kidney damage happens while blood sugar is still in the prediabetic range, so waiting for a diabetes diagnosis to intervene leaves people unprotected.

A study of nearly 500,000 people showed that among people with prediabetes who eventually developed heart disease and kidney disease, only 12% had progressed to diabetes first. So that means there's so many people with prediabetes who are already at risk for heart disease and kidney disease, even though they may not develop diabetes. So the complications come before the diagnosis. If you're waiting for diabetes diagnosis to take action, you're late.

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