Prediabetes Care:
Sequoia Medical 360

Turning the Tide Before Diabetes Develops in Westchester, NY

At Sequoia Medical 360 in Bronxville, NY, we emphasize that prediabetes is not a “pre” disease — it is the disease itself. The same metabolic processes that drive Type 2 Diabetes, cardiovascular disease, and fatty liver disease are already underway. The difference is that at this stage, we still have the best opportunity to reverse them.

Prediabetes is a silent but powerful warning signal. Defined as blood glucose levels that are above normal but not yet in the diabetic range, it represents a metabolic crossroads. Nearly one in three American adults has prediabetes, yet most are unaware. Left unaddressed, up to 70% progress to Type 2 Diabetes, often with complications—heart disease, kidney damage, and neuropathy—well before a formal diagnosis.

Why Prediabetes Matters

Even without “full-blown” diabetes, prediabetes is linked to:

Elevated risk of heart disease and stroke
Hypertension and abnormal cholesterol
Fatty liver disease (NAFLD)
Progressive loss of pancreatic beta-cell function

These risks underscore the urgency of early detection and intervention.

Advanced Diagnostics at Sequoia Medical 360

Standard blood sugar tests often miss early dysfunction. That’s why our evaluation goes deeper:

Short-term CGM use provides unmatched insight into early metabolic dysfunction — revealing post-meal spikes, overnight trends, and stress responses that standard labsmiss. For many, this single tool creates the breakthrough moment that drives lifestyle change
Oral Glucose Tolerance Testing (OGTT): Detects subtle dysfunction earlier than fasting glucose or A1c.
Fasting insulin & HOMA-IR index: Direct measure of insulin resistance.
InBody® 770 body composition analysis: Differentiates visceral fat (most harmful) from lean muscle
Lipid & inflammatory panels: ApoB, Lp(a), hs-CRP and other markers to assess cardiovascular risk.

This allows us to map your unique metabolic profile and target interventions precisely.

Precision Treatment & Prevention

Our concierge prediabetes program integrates medicine + lifestyle + technology:

Targeted nutrition frameworks: Low-glycemic, anti-inflammatory diets tailored to restore insulin sensitivity.
Exercise prescriptions: Resistance and aerobic regimens proven to lower glucose and visceral fat.
Sleep & stress optimization: Addressing circadian rhythm disruption and cortisol excess.
Pharmacologic support (when appropriate): Low-dose metformin or cutting-edge GLP-1 receptor agonists for those at highest risk.

Beyond Glucose: Full Metabolic Optimization

Because prediabetes rarely exists in isolation, we address the broader picture:

Cardiovascular health: Advanced lipid testing and blood pressure control.
Weight management synergy: Integration with Obesity Management.
Liver & kidney protection: Screening for NAFLD and early nephropathy.
Inflammation control: Lifestyle and pharmacologic strategies to reduce long-term vascular risk.

Many patients with prediabetes also meet criteria for metabolic syndrome, a cluster of conditions that dramatically raises cardiovascular risk.

The Sequoia Medical 360 Advantage

Quadruple board-certified physician with expertise spanning Endocrinology, Preventive Cardiology, Lipidology, and Obesity Medicine.
Direct Physician Counsel: Ample, scheduled exam time and streamlined communication to review results with the depth your physiology requires.
Cutting-edge diagnostics including CGM, VO₂ max, and InBody analysis.
Personalized health coaching to ensure strategies integrate seamlessly into your lifestyle.

With this model, many of our patients normalize A1c levels, reverse insulin resistance, and prevent progression to diabetes altogether.

Take Action Today

Prediabetes is reversible. With the right intervention, you can reclaim metabolic balance and protect your long-term health.

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Located in Bronxville, serving Westchester & all of New York State.
https://sqmed360.com/
(914) 292-0300
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