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What to do in the week after a pre-diabetes text from your GP
Most people in the UK don't find out they're pre-diabetic in a conversation with their GP. They find out by text message, a few days after a blood test that was done for something else. There's no appointment with the practice nurse. There's no real explanation of what HbA1c is or what the numbers mean. There's often just a text, a link to a leaflet, and a feeling of being slightly stunned in the kitchen.
In this episode of Nourished & Found, Frances Norgate walks through what a pre-diabetes diagnosis actually means in plain language, why it so often comes as a surprise even to people who have been eating sensibly for years, and what to take from it if you've recently been told. This is the episode for anyone in the week after that text — newly diagnosed, slightly panicked, and not sure what they're supposed to do next.
Three takeaways:
1. Pre-diabetes is the body's warning shot, not a verdict. Insulin resistance has often been quietly developing for years before the blood test finally notices it, and the diagnosis is the moment a measurement caught up with a reality that was already there
2. The next three to six months are one of the most responsive windows in the whole metabolic continuum. The pancreas is still working, the cells haven't given up on insulin signalling, and what you do now does more than what you'll be able to do later
3. The NHS Diabetes Prevention Programme is heavily oversubscribed in most areas, with long waiting lists, so the moment a person is most ready to act is often the moment they receive the least structured support. You don't have to figure it out alone
Free guides:
Is Your Blood Sugar Working Against You? Ten Signs Most People Completely Miss → francesnorgate.com/#bloodsugarguide
Pre-Diabetes: What Your GP Didn't Have Time to Tell You → francesnorgate.com/prediabetes-guide
Work with Frances:
Free 30-minute Blood Sugar Audit → francesnorgate.com/blood-sugar-audit
Free discovery call → francesnorgate.com/work-with-me
Follow Nourished & Found:
Substack → francesnorgate.substack.com
Apple Podcasts → https://podcasts.apple.com/ie/podcast/nourished-found/id1868788812
Spotify → https://open.spotify.com/show/4xlG5vBrC0tKadVPfsBUus
Disclaimer: This podcast is for educational purposes only and is not intended as medical advice, diagnosis or treatment. The information shared is general and may not apply to your individual circumstances. Always consult your GP or qualified healthcare professional for personalised guidance, and never make changes to prescribed medication without medical supervision. Frances Norgate is a Qualified Nutrition and Lifestyle Advisor (mFHT, CertION, MA) and works alongside, not in place of, your existing medical care.
This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit francesnorgate.substack.com
View all episodes
By by Frances Norgate, CertION, mFHT, MAMost people in the UK don't find out they're pre-diabetic in a conversation with their GP. They find out by text message, a few days after a blood test that was done for something else. There's no appointment with the practice nurse. There's no real explanation of what HbA1c is or what the numbers mean. There's often just a text, a link to a leaflet, and a feeling of being slightly stunned in the kitchen.
In this episode of Nourished & Found, Frances Norgate walks through what a pre-diabetes diagnosis actually means in plain language, why it so often comes as a surprise even to people who have been eating sensibly for years, and what to take from it if you've recently been told. This is the episode for anyone in the week after that text — newly diagnosed, slightly panicked, and not sure what they're supposed to do next.
Three takeaways:
1. Pre-diabetes is the body's warning shot, not a verdict. Insulin resistance has often been quietly developing for years before the blood test finally notices it, and the diagnosis is the moment a measurement caught up with a reality that was already there
2. The next three to six months are one of the most responsive windows in the whole metabolic continuum. The pancreas is still working, the cells haven't given up on insulin signalling, and what you do now does more than what you'll be able to do later
3. The NHS Diabetes Prevention Programme is heavily oversubscribed in most areas, with long waiting lists, so the moment a person is most ready to act is often the moment they receive the least structured support. You don't have to figure it out alone
Free guides:
Is Your Blood Sugar Working Against You? Ten Signs Most People Completely Miss → francesnorgate.com/#bloodsugarguide
Pre-Diabetes: What Your GP Didn't Have Time to Tell You → francesnorgate.com/prediabetes-guide
Work with Frances:
Free 30-minute Blood Sugar Audit → francesnorgate.com/blood-sugar-audit
Free discovery call → francesnorgate.com/work-with-me
Follow Nourished & Found:
Substack → francesnorgate.substack.com
Apple Podcasts → https://podcasts.apple.com/ie/podcast/nourished-found/id1868788812
Spotify → https://open.spotify.com/show/4xlG5vBrC0tKadVPfsBUus
Disclaimer: This podcast is for educational purposes only and is not intended as medical advice, diagnosis or treatment. The information shared is general and may not apply to your individual circumstances. Always consult your GP or qualified healthcare professional for personalised guidance, and never make changes to prescribed medication without medical supervision. Frances Norgate is a Qualified Nutrition and Lifestyle Advisor (mFHT, CertION, MA) and works alongside, not in place of, your existing medical care.
This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit francesnorgate.substack.com