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I did not reach pre diabetes but I felt like I had insulin resistance and was heading towards diabetes from years of low T levels (one of the main reasons I started trt).  The a1c is a good test but it does not always tell the full story on insulin resistance because you can get a great score through a low carb diet/exercise even with insulin resistance.  The a1c test is better at showing how well you are managing your diabetes.


To really see if you have insulin resistance you can take a test where they will give you a drink with a high amount of sugar and the test your blood sugar 2 hrs after.  I took that test but then figured out that by buying a blood sugar monitor I could just perform it myself at home. 


In my case, only 10 days on trt and I believe my insulin resistance is quickly improving, I am eating more carbs and my blood sugar is always 80 to 90 2 hrs after a carb heavy meal.


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