A forerunner to the onset of type 2 diabetes, pre-diabetes levels of blood glucose are elevated yet not high enough to diagnose diabetes. Risk factors for developing pre-diabetes are obesity, inactivity, high blood pressure, high HDL cholesterol and triglycerides, are 45 years or older, have a family history of type 2 diabetes, or had gestational diabetes, suffer from polycystic ovary syndrome or sleep less than six or more than nine hours a night. There are no signs or symptoms of pre-diabetes, often with the first noticeable changes marking the onset of type 2 diabetes. It is recommended that individuals with the above risk factors get screened for pre-diabetes. Additionally, at risk individuals should be familiar with the first symptoms of type 2 diabetes: frequent urination, excess thirst, fatigue, and blurred vision. Evidence suggests that the high glucose levels of pre-diabetes are sufficient to cause organ damage and other complications related …