November 18, 2025
With over 97 million people in the U.S. living with prediabetes — and more than 80% unaware of it — early detection and education on diabetes are more important than ever. We are in a diabetes epidemic.
Dr. Scott Flinn, regional medical director at Blue Shield of California Promise Health Plan, shares how important it is to be aware of your risk factors. “It’s vital to recognize early warning signs and take proactive steps to manage or prevent diabetes,” said Dr. Flinn. “Be sure to keep up with your annual health visits and check in with your doctor each year on any signs or symptoms to keep watch for.”
What is diabetes?
Diabetes is a chronic condition that occurs when your blood glucose (blood sugar) is too high. It stems from the body’s inability to produce or effectively use insulin — a hormone that helps glucose enter cells for energy. There are several types of diabetes:
Type 1 diabetes: An autoimmune condition where the body doesn’t produce insulin.
Type 2 diabetes: The most common form, where the body becomes resistant to insulin or doesn’t produce enough.
Gestational diabetes: Occurs during pregnancy and usually resolves after childbirth.
While Type 1 diabetes is an autoimmune condition, Type 2 diabetes is often a result of lifestyle-related health choices that can be modified:
Weight, especially excess fat around the abdomen
Physical inactivity contributes to insulin resistance
Unhealthy diets high in refined carbs, sugar and saturated fats increase risk
High blood pressure and cholesterol are often associated with insulin resistance
Recognizing prediabetes
Prediabetes is a precursor to Type 2 diabetes, marked by elevated blood sugar levels that aren’t yet high enough for a diabetes diagnosis. “Prediabetes is a critical window of opportunity,” said Dr. Flinn. “With the right lifestyle changes, it’s possible to reverse it and prevent progression to Type 2 diabetes. The best way to check is through a simple blood test that your doctor can order at any time.”
How to manage diabetes, if you’ve been diagnosed
Effective diabetes management involves a combination of medical treatment and lifestyle adjustments. Dr. Flinn recommends the following strategies:
Monitor blood sugar levels regularly to stay informed and adjust treatment as needed
Eat a balanced diet rich in fiber and low in simple carbohydrates
Exercise consistently, with a minimum of at least 150 minutes of moderate activity per week
Take prescribed medications or insulin as directed by your healthcare provider
Address emotional well-being, as diabetes-related distress can impact overall health. For more information, visit Blue Shield’s mental health resources
Most of all, Diabetes Awareness Month is a reminder that knowledge is power. “By testing for prediabetes and diabetes, learning how it works and staying informed about treatment options, you can take meaningful steps toward better health,” said Dr. Flinn. “Whether you’re at risk or already managing diabetes, this month is a chance to recommit to wellness — and support others on their journey.”
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