My fasting glucose is high — what should I do?
Elevated fasting glucose is reconfirmed and paired with HbA1c, fasting insulin, and a lipid panel. Lifestyle is first-line; metformin or GLP-1 receptor agonists are provider-reviewed when warranted by risk and trajectory.
Full answer
A fasting glucose in the impaired (100–125 mg/dL) or diabetic (≥126 mg/dL) range is reconfirmed and paired with HbA1c, fasting insulin, HOMA-IR, lipids, and weight/waist. Lifestyle change — nutrition, training, sleep, weight optimization — is first-line. Metformin is considered for prediabetes with progression risk; GLP-1 receptor agonists are reviewed against weight, cardiometabolic risk, and patient goals. Decisions are integrated into the metabolic pathway with the broader baseline rather than treated in isolation.
Educational. Not a substitute for individualized provider review.
- Methodology — Primary source · oMeds
- Reviewed by Dr. Laura Purdy, MD, MBA · Clinical Director, oMeds · Last reviewed 2026-06-03