The lifestyle approach
We now know the underlying cause of metabolic syndrome and diabetes and that they are lifestyle diseases. But we persist in treating them with drugs and giving these people lifestyle advice when it is already progressed after years of damage. The only difference between diabetes and prediabetes is really an arbitrary number. On one side of the number you have prediabetes then the other side you are a diabeteic? We need to treat the illness before it even becomes prediabetes as most people with this will progress onto being a diabetic. And the treatment is simple diet and lifestyle changes. Not drugs.