Your Teen's A1C Came Back High. Now What? A Pediatric Obesity Specialist's Guide for the Lab-Portal Moment
Your teen's A1C came back in the prediabetes range and you saw it in the patient portal. This is a calm, specialist-written guide to that lab-portal moment: what an abnormal A1C means in a teenager (5.7 to 6.4 percent is prediabetes; 6.5 percent and above is the type 2 diabetes range), the concrete steps to take tonight and the exact questions to ask at the pediatrician appointment, why a flagged ALT on the same panel often signals MASLD, and how the AAP 2023 stepped-care framework treats teen prediabetes with intensive lifestyle treatment (IHBLT) first and medication considered for ages 12 and older when labs don't move at the 3-to-6-month re-test. Teen prediabetes is treatable, and the trajectory bends with sustained, supported care.