What is diabetes?

Diabetes is a disease of abnormally elevated blood sugar. Persistently elevated blood sugar causes damage to small blood vessels and is associated with vision loss, kidney damage and vascular disease. Glucose is the usual sugar fuel that powers our cells, and we produce a hormone called insulin that keeps glucose levels in healthy range. Diabetes results when our ability to produce insulin is impaired or when our cells develop a resistance to the natural secretion of insulin.


Type I and Type II Diabetes

Type I diabetes is caused by autoimmune destruction of cells in the pancreas that secrete insulin. About 5% of new diabetes diagnoses is type I. The great majority of diabetes is type II, a metabolic disease of increased insulin resistance. Researchers now describe this dramatic increase in diabetes as a world-wide epidemic. There is a large genetic component that determines risk for diabetes, but metabolic diseases are largely the result of poor diet and sedentary lifestyle. We need innovative tools to help people prevent diabetes.



If you have prediabetes (fasting blood sugar > 99, or HbA1c > 5.6), our CGM program may help you prevent the onset of full-blown diabetes. Insulin resistance is reversible with improvements in diet, exercise and sleep habits, and this is exactly what P4 medicine is about. Especially if you have a family history or genetic risk for diabetes, knowing the patterns of your glucose response is important. Your P4 physician will analyze your CGM data and give you specific recommendations for improving your metabolism.


Please Note: Your CGM patch is not accurate enough to diagnose prediabetes or diabetes. You will likely see significant glucose spikes after eating certain dense carbohydrates. As long as your fasting blood sugar and HbA1c remain in the normal range, you would not meet criteria for prediabetes.