### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I was recently diagnosed (just over a year ago) as being pre-diabetic. The symptoms that I have had leading up to this diagnosis, I have had as long as I can remember (since at least Jr. High). I am now 33 years old. I have felt slightly off today. I do have a glucose devise that I got for Christmas. I have not really used it as I was not informed by my doctor to do so. I decided to test, again because of how I am feeling. I ate about 1:30 - 2:00PM. My level at 4:30pm was 257. Do I need to be concerned about this? If so, what do I need to do?

### output:

Hello, Thanks for the query. I have seen the details given.  A blood glucose level of 257 mg after food is a clear sign of having diabetes. The criteria to diagnose is FBG 126 mg and above, PP 200 mg and above and HbA1c% 6.5 and above. Therefore, you need to initiate treatment for diabetes forthwith. Do not delay. Many persons do not get any specific symptoms when diabetes develops. That is one of the reasons why it is unrecognized for quite some time. Along with starting treatment with oral antidiabetics (like Metformin + a Lipton), you will have to also adapt modified lifestyle, meaning taking restricted diet, avoiding sweets, junk foods, colas, pastries, bakery items, alcohol and even smoking. Plus exercise daily for at least 1 hour. My suggestion is pleased your personal physician or a ideologist and start the treatment. Take care. Also get your eyes checked for ruling out diabetic retinopathy. Thanks.