Prediabetes Reversal Program—Chula Vista

Introduction: Stop Prediabetes Early—And Reclaim Your Energy

Prediabetes doesn’t have to become diabetes. In just 12 weeks, you can improve blood sugar, build strength, and feel in control again—with a clear plan that fits your life. In San Diego County’s South Region (including Chula Vista), diabetes burden is high, so acting early truly matters.

At Medical Wellness Doc, Dr. Nisha Kuruvadi blends nutrition, movement, sleep/stress care, and medication only when indicated to help patients reverse risk and protect long-term metabolic health—using the same lifestyle-medicine framework applied in metabolic health and longevity care.

Key takeaway: With the right habits and monitoring, most people can lower A1C, reduce visceral fat, and improve energy—without extreme diets.

Understanding Prediabetes (Quick Guide)

Prediabetes means blood sugar is higher than normal but not yet in the diabetes range:

• A1C: 5.7–6.4%

• Fasting glucose: 100–125 mg/dL

• 2-hour OGTT: 140–199 mg/dL

Why it matters: Untreated prediabetes can progress to diabetes, heart disease, and fatty liver (MASLD)—but it’s highly reversible when addressed early. This is why glucose control is often managed alongside fatty liver and metabolic care in Chula Vista.

The 12-Week Plan (What We Do & When)

1) Who Qualifies

You may qualify if you have:

• A1C 5.7–6.4%, fasting 100–125 mg/dL, or abnormal OGTT

• Central weight gain, strong family history, gestational diabetes history, PCOS, or metabolic syndrome

• Symptoms of glucose swings (post-meal fatigue, cravings, frequent urination)

New to labs? We order a baseline metabolic panel and body composition—similar to the testing used in preventive lifestyle medicine programs.

2) Smart Testing Workflow: A1C + “CGM Lite”

• Week 0–1: Baseline A1C and labs; optional short-term professional CGM

• Week 6: Mid-program A1C (when appropriate) + CGM or finger-stick review

• Week 12: A1C recheck and long-term maintenance plan

CGM data helps patients see how meals, sleep, and walks affect glucose in real time—powerful behavior feedback, especially when paired with sleep and circadian rhythm optimization.

3) Plant-Based, Protein-Forward Nutrition (Culturally Flexible)

We use a high-fiber, plant-forward approach to improve insulin sensitivity while protecting muscle:

• Plate method:Half non-starchy vegetablesQuarter beans/lentils/tofu/tempehQuarter intact grains or starchy vegetables

• Protein targets: ~20–30g per meal

• Glycemic swaps: oats > sugary cereal, intact grains > refined

• Timing: front-load protein/fiber; avoid late heavy meals

This strategy mirrors evidence-based plant-based nutrition for cholesterol and metabolic health.

4) Movement That Lowers A1C (Simple & Joint-Friendly)

• Post-meal walks: 10–15 minutes (even 5 minutes helps)

• Strength training: 2–3×/week (bands, dumbbells, bodyweight)

• NEAT: steps, stairs, chores

Preserving muscle is critical for glucose control, as explained in why muscle is the key to metabolic health.

5) Medications—Only When Indicated

Lifestyle comes first. We consider:

• Metformin for higher-risk profiles

• GLP-1 therapy only when clinically appropriate and covered

If medications are used, they are paired with protein intake and resistance training to protect lean mass. (Coverage and approvals vary.)

6) Insurance & Costs (Straight Talk)

• We work with Sharp, Scripps, Medi-Cal, and PPO plans

• Benefits and copays are verified before starting

• Labs usually bill through insurance

• CGM coverage varies; self-pay options are available

7) Neighborhoods We Serve

Chula Vista (Eastlake, Otay Ranch), Bonita, National City, Imperial Beach, San Ysidro—and via telehealth across California.

Weekly Roadmap (Snapshot)

Weeks 0–1: Baseline labs; optional CGM; plate method; post-meal walksWeeks 2–3: Protein optimization; grocery templates; strength training beginsWeeks 4–5: CGM/log review; carb quality upgrades; more stepsWeeks 6–7: Midpoint A1C if indicated; refine sleep and stress routinesWeeks 8–9: Dining-out strategies; travel planning; daily breathworkWeeks 10–12: Strength progression; repeat A1C; maintenance roadmap

Stress and cortisol management during these weeks is guided by principles from the mind–body connection in metabolic health.

Real-Life Story: “Rosa Reset Her Risk in 12 Weeks”

Rosa (58, Eastlake) started with an A1C of 6.2% and low afternoon energy. After using a short-term CGM, switching to fiber-rich plates, adding post-dinner walks, resistance bands, and better sleep:

At Week 12:

• ✅ A1C dropped to 5.6%

• ✅ 14 lb fat loss with stronger legs and core

• ✅ Energy and cravings dramatically improved

FAQs

1) How fast can prediabetes improve?Glucose patterns often improve in 2–4 weeks; A1C reflects ~3 months.

2) Do I need a CGM?Not always. We use it selectively as a short-term learning tool.

3) Will I need medication?Only if risk remains high after lifestyle steps.

4) What are the exact numbers again?A1C 5.7–6.4%, fasting 100–125 mg/dL, 2-hour 140–199 mg/dL.

5) Do you accept my insurance?Yes—Sharp, Scripps, Medi-Cal, and PPO plans (verified before starting).

Conclusion: Reverse Risk—Build a Metabolic Future

Prediabetes is a warning—not a verdict. With a clear 12-week plan, real-time feedback, and doctor-guided lifestyle medicine, you can lower A1C, reduce belly fat, and reclaim energy before diabetes takes hold.

➡️ Ready to start?Book your Prediabetes Reversal Program visit today and take control—early.