For what it's worth, I never noticed any of my pre-diabetic symptoms until after I tried the Atkins diet. I think throwing my diet out of whack with all that low-carb, high-protein approach may have actually triggered the condition. Of course, the fans of Atkins would never put up with that I'm sure. But as far as I know, I was fine for 30 years of my life until I tried the Atkins diet. Then all sorts of problems started and I really had to continue monitoring what I ate to keep myself OK. I never had to count before that, only started becuase that was the rules of Phase I in Atkins. Phase II and III were much easier on me, but at that point those symptoms had taken hold and any time I went high-carb I suffered. Eating healthy veg*an while transitioning to raw fixed that for me though.