Management of Type 2 Diabetes Mellitus

In adults with prediabetes, we suggest aerobic exercise (such as walking 8–9 miles a week) and healthy eating (with a goal weight loss >3%) to achieve a reduction in body fat mass, weight loss, and improvement in fasting blood glucose. (Weak for)

In adults with prediabetes who have participated in healthy lifestyle modification and remain at high risk for progression to type 2 diabetes mellitus, we suggest evaluating patient characteristics (e.g., age, life expectancy, co-occurring conditions, BMI, other risk factors) and offering metformin or other select medications to reduce the risk of progression from prediabetes to type 2 diabetes mellitus. (Weak for)