A 40-year-old male with BMI 34 and A1c 6.0% asks about diabetes prevention. What intervention has strongest evidence?...

Question

A 40-year-old male with BMI 34 and A1c 6.0% asks about diabetes prevention. What intervention has strongest evidence?

Accepted Answer

Intensive lifestyle modification (≥150 min/week activity + weight loss)

Answer

Metformin for all regardless of risk

Answer

SGLT2 inhibitor prophylaxis

Answer

No intervention until A1c ≥6.5%

Answer

Bariatric surgery for all with BMI ≥30

us-abfm MCQ (SBA): Prediabetes Management