Consider this a wake-up call! With diabetes in his family, plus his BS elevation, it is an indication he is headed down the road toward diabetes in the future. It is possible to avoid diabetes by making a "lifestyle change for life" now. That is, lose weight if overweight, exercise, reduce amount of starches, sweets, and carbohydrates in general, eat less, choose more non-starch foods, low fat foods, etc. Making better food choices will help protect pancreas from overworking.