Question

A 59-year-old woman with BMI 32 and fasting glucose 108 mg/dL has A1c 6.3%. Which intervention has strongest evidence to prevent progression to diabetes?

Accepted Answer

Intensive lifestyle intervention with weight loss goal 7% and ≥150 minutes/week activity

Answer

Start metformin for all with prediabetes

Answer

Bariatric surgery for all with BMI >30

Answer

Start sulfonylurea low dose

Answer

No intervention until A1c ≥6.5%

Practice question

A 59-year-old woman with BMI 32 and fasting glucose 108 mg/dL has A1c 6.3%. Which intervention has strongest evidence to prevent progression to diabetes?