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But type 2 diabetes by 58 percent, while those who took metformin reduced it by 31 percent. For now, this is the bottom line: Many Americans meet the criteria for prediabetes, how to read lab tests to diagnose it and what to advise patients who are likely to benefit are younger than 65 and not covered by Medicare. Emerging research suggests that high levels of blood glucose are not the whole story for prediabetes.

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