Should Prediabetics Take Metformin?

What is Prediabetes?

Prediabetes is a condition where blood sugar levels are higher than normal but not high enough to be classified as diabetes. It increases the risk of developing type 2 diabetes, heart disease, and stroke.

What is Metformin?

Metformin is a medication commonly used to treat type 2 diabetes. It helps lower blood sugar levels by improving insulin sensitivity and reducing glucose production in the liver.

Should Prediabetics Take Metformin?

Metformin is sometimes prescribed for prediabetics, especially those at high risk of developing diabetes. Here’s why:

• Reduces Diabetes Risk: Studies show metformin can lower the risk of progressing from prediabetes to type 2 diabetes by up to 31%.
• For High-Risk Individuals: It’s often recommended for people with a BMI ≥ 35, women with a history of gestational diabetes, or those under 60 with very high blood sugar levels.
• Lifestyle Changes First: Metformin is typically prescribed alongside lifestyle changes, not as a replacement for them.

What Are the Alternatives?

Before considering metformin, prediabetics should focus on lifestyle changes:

• Healthy Diet: Eat a balanced diet low in refined carbs and sugars.
• Regular Exercise: Aim for at least 150 minutes of moderate exercise per week.
• Weight Loss: Losing 5-7% of body weight can significantly reduce diabetes risk.

Consult Your Doctor

If you have prediabetes, consult your doctor to determine if metformin is right for you. They will assess your risk factors and recommend the best course of action.