Prediabetes & Insulin Resistance


Prediabetes and insulin resistance can develop quietly, often before symptoms are obvious. Insulin resistance means the body has a harder time using insulin effectively, which can lead to higher blood sugar over time. Prediabetes means blood sugar is higher than normal but not yet in the diabetes range.


At Obsidian Integrative Health & Wellness, we help you understand what your labs, weight patterns, symptoms, family history, and lifestyle may be revealing so we can build a plan focused on prevention, metabolic health, and sustainable change. 

What This May Include

Patients may seek support for:

Patients may seek support for elevated A1C or fasting glucose, family history of type 2 diabetes, weight changes or difficulty losing weight, increased cravings, hunger, or energy crashes, PMOS related insulin resistance, history of gestational diabetes, elevated triglycerides or cholesterol concerns, or a desire to prevent or delay type 2 diabetes. 

How Obsidian Supports You

Our approach may include: 

Our approach may include a comprehensive metabolic assessment, review of A1C, fasting glucose, and insulin trends when appropriate, review of cholesterol, liver function, kidney function, and other relevant labs, nutrition and lifestyle planning, weight and waist trend monitoring, body composition testing when appropriate, resting metabolic rate testing when appropriate, medication review, medication support when clinically appropriate, and ongoing education, accountability, and care plan adjustment. 

Why Early Support Matters 

Prediabetes is not “nothing.” It is an early sign that blood sugar regulation is changing. Without lifestyle changes and appropriate support, people with prediabetes have a higher risk of developing type 2 diabetes, but progression is not inevitable. 

We Look Beyond A1C Alone 

A1C is helpful, but it does not tell the whole story. At Obsidian, we look at the broader metabolic picture, including glucose trends, cholesterol patterns, weight history, waist trends, medications, sleep, stress, nutrition habits, movement, family history, and cardiometabolic risk. 

You do not have to wait for diabetes

 If your labs are trending upward, your weight is changing, or diabetes runs in your family, this is the time to act. Early support can help you understand your risk, improve metabolic patterns, and build a plan before concerns become harder to manage.