When to Start Metformin for Prediabetes

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.

When is Metformin Recommended?

Metformin is typically recommended for prediabetes in the following situations:

• High Risk of Diabetes: If you have a high risk of progressing to type 2 diabetes, especially if lifestyle changes have not been effective.
• BMI ≥ 35: If your body mass index (BMI) is 35 or higher.
• Age < 60: For individuals under 60 years old with prediabetes.
• History of Gestational Diabetes: If you have a history of gestational diabetes.
• Other Risk Factors: If you have other risk factors such as high blood pressure, high cholesterol, or a family history of diabetes.

How Does Metformin Help?

Metformin helps by:

• Reducing the amount of glucose produced by the liver.
• Improving insulin sensitivity.
• Lowering blood sugar levels.

What Should You Do?

• Consult Your Doctor: Discuss your risk factors and whether metformin is appropriate for you.
• Lifestyle Changes: Combine medication with lifestyle changes such as a healthy diet, regular exercise, and weight loss.
• Regular Monitoring: Monitor your blood sugar levels regularly to track progress.

Can Metformin Prevent Diabetes?

Yes, studies have shown that metformin can reduce the risk of developing type 2 diabetes in people with prediabetes by 31%.