Treatment recommendation for individuals with IFG, IGT, or elevated A1C

Population	Treatment
IFG, IGT, or A1C (5.7 to 6.4%)	Lifestyle modification (ie, ≥7% weight loss and moderate-intensity physical activity, ≥150 minutes per week)
Individuals with IFG, IGT, or A1C ≥6%, especially for those: <60 years of age BMI ≥35 kg/m² History of gestational diabetes	Lifestyle modification (as above) and/or metformin^*

A1C: glycated hemoglobin; BMI: body mass index; IFG: impaired fasting glucose; IGT: impaired glucose tolerance.

* Metformin 850 mg twice per day.

Reproduced with permission from: Nathan DM, Davidson MB, DeFronzo RA, et al. Impaired fasting glucose and impaired glucose tolerance. Diabetes Care 2007; 30:753. Copyright © 2007 American Diabetes Association. Updated information from American Diabetes Association. Standards of medical care in diabetes—2013. Diabetes Care 2013; 36 Suppl 1:S11. The content within this table is still current as of the 2024 version of the Standards of Medical Care in Diabetes.

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Treatment recommendation for individuals with IFG, IGT, or elevated A1C