Stage Specific Signs of Diabetes

The American Association of Clinical Endocrinologists (AACE) and the American College of Endocrinology (ACE) combed through clinical evidence and research to come up with the four stages of type 2 diabetes.

The statement’s four stages of type 2 diabetes are:1. Insulin resistance2. Prediabetes3. Type 2 diabetes4. Type 2 diabetes with vascular complications (retinopathy, nephropathy or neuropathy and, or, related microvascular events)

Insulin resistance:

Insulin resistance increases your risk of progressing to diabetes. You could be insulin resistant for years without knowing it. This condition typically doesn’t trigger any noticeable symptoms. So, it’s important your doctor regularly checks your blood glucose levels.

Some signs of insulin resistance include:

  1. A waistline over 40 inches in men and 35 inches in women

  2. Blood pressure readings of 130/80 or higher

  3. A fasting glucose level over 100 mg/dL

  4. A fasting triglyceride level over 150 mg/dL

  5. A HDL cholesterol level under 40 mg/dL in men and 50 mg/dL in women

  6. Skin tags

  7. Patches of dark, velvety skin called acanthosis nigricans


Prediabetes means you have a higher than normal blood sugar level. It’s not high enough to be considered type 2 diabetes yet, but without lifestyle changes, adults and children with prediabetes are more likely to develop type 2 diabetes.

Prediabetes doesn’t usually have any signs or symptoms.

One possible sign of prediabetes is darkened skin on certain parts of the body. Affected areas can include the neck, armpits, elbows, knees, and knuckles.


  1. Classic signs and symptoms that suggest you’ve moved from prediabetes to type 2 diabetes include: Extreme thirst or hunger

  2. Feeling hungry even after a meal

  3. Increased or frequent urination

  4. Feeling more tired than usual

  5. Frequent infections

  6. Evidence in blood work

Type 2 diabetes with vascular complications

Diabetes is associated with both microvascular and macrovascular diseases affecting several organs, including eyes, muscles, skin, heart, brain, and kidneys. Some of the symptoms include:

  1. Tingling sensation in limbs

  2. Blurry vision

  3. Skin Problems

  4. Hearing Impairment

  5. Dementia

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