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Hello from JustAnswer.
In the studies that have looked at side effects to sermorelin, it was not identified that it would affect the blood sugar or HgbA1c levels. I can find no studies that have specifically looked at the use in pre-diabetics, but with the pharmacological effect of sermorelin, there is no reason to suspect that it would adversely affect a pre-diabetic.
If I can provide any clarification, please let me know.
Please let me know if I can provide any additional assistance.
You are most welcome.