Over 96 million American adults have pre-diabetes — and 80% don't know it. Our primary care team offers fast, accurate A1c testing, personalized risk assessments, and proven prevention programs to keep type 2 diabetes from ever developing.
Schedule Your ScreeningPre-diabetes means your blood sugar is higher than normal but not yet high enough to qualify as type 2 diabetes. It is the body's earliest warning sign that insulin resistance is developing. Caught at this stage, type 2 diabetes can often be prevented entirely.
According to the CDC, roughly 1 in 3 American adults has pre-diabetes, but more than 80% are unaware. Without intervention, 15–30% will progress to full type 2 diabetes within five years.
The Hispanic and Latino populations of Miami are at significantly higher genetic risk. Our bilingual primary care providers offer culturally relevant screening, education, and prevention support.
🎬 Video Coming Soon: Dr. Teresa Moreno on early detection and prevention.
Universal screening recommended starting at age 35; earlier with risk factors.
BMI of 25 or higher (23+ for Asian Americans) significantly increases risk.
Parent or sibling with type 2 diabetes nearly doubles your risk.
Women with prior gestational diabetes have 7x higher lifetime risk.
Less than 150 minutes/week of moderate activity increases insulin resistance.
Hispanic, African American, Native American, and Asian American populations have elevated risk.
We use the validated American Diabetes Association risk calculator combined with personal and family history to estimate your risk and decide which tests are most appropriate.
We offer all three primary screening tests through our in-office lab services: A1c (3-month average glucose), fasting plasma glucose, and oral glucose tolerance test (OGTT). A1c 5.7%–6.4%, fasting glucose 100–125, or 2-hour OGTT 140–199 confirms pre-diabetes.
We also evaluate lipids, blood pressure, liver function, and BMI — pre-diabetes commonly clusters with metabolic syndrome.
We base your plan on the proven Diabetes Prevention Program (DPP): 5–7% body weight loss, 150 minutes of moderate weekly exercise, and dietary changes. Weight loss counseling support is included.
For high-risk patients (BMI ≥35, age <60, or prior gestational diabetes), metformin may be considered alongside lifestyle changes to further reduce diabetes risk.
A1c of 5.7%–6.4% = pre-diabetes. Below 5.7% = normal. 6.5%+ confirmed twice = diabetes.
Yes — 5–7% weight loss plus 150 minutes weekly exercise reduces progression risk by 58%, more effective than medication for most.
All adults 35+. Earlier with overweight, family history, gestational diabetes history, PCOS, hypertension, or high-risk ethnicity.
Usually none. Subtle clues: darkened skin patches (acanthosis nigricans), increased thirst, fatigue, slow-healing wounds.
Every 1–3 years if normal. Annually if pre-diabetic.
Early detection is the most powerful prevention tool we have.
Call (305) 676-8217