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Prediabetes — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CarePrediabetesUSMLE Step 3

A 44-year-old man with BMI 33 kg/m2 has fasting glucose 112 mg/dL and A1c 5.9%. He has no symptoms. He asks how to reduce progression to diabetes. Which of the following would you recommend at the follow-up visit?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Refer to an intensive lifestyle intervention program

Structured lifestyle intervention with weight loss and physical activity reduces progression from prediabetes to type 2 diabetes.

Reference: American Diabetes Association Standards of Care in Diabetes—2026