Table 2—

Treatment recommendation for individuals with IFG, IGT, or both

PopulationTreatment
IFG or IGTLifestyle modification (i.e., 5–10% weight loss and moderate intensity physical activity ∼30 min/day)
Individuals with IFG and IGT and any of the following:
  • <60 years of age

  • BMI ≥35 kg/m2

  • Family history of diabetes in first-degree relatives

  • Elevated triglycerides

  • Reduced HDL cholesterol

  • Hypertension

  • A1C >6.0%

Lifestyle modification (as above) and/or metformin*
  • *

    * Metformin 850 mg twice per day.