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Reach the goal of fasting blood sugar under 100!  Bringing down blood sugars as soon as possible in prediabetes provides the best shot at preventing disease progression.  This comes into play when a patient has a fasting blood sugar that is between 100 and 126.  Within this range, it shows that the patient’s body is having a hard time controlling blood sugars.   A landmark Diabetes Prevention Program study was performed which showed regardless if blood sugars were brought down by lifestyle intervention or drug therapy the importance is that blood sugars were normalized.  Even transient reversion to normal blood sugars was associated with a significantly reduced risk of diabetes.

Overall, this study showed that the strategy is unimportant as long as at the intervention is early (when someone has prediabetes) and can restore normal blood sugar, even if just transiently.   Weight loss and exercise have been shown to help keep blood sugars down.

Hope this helps.