Many years ago, the Diabetes Prevention Program (DPP) Outcomes Study acknowledged and brought out into the open how the power of  LifeStyle change reduced the rate of progression of diabetes in those at high risk.1 That study of 3234 overweight or obese subjects with impaired glucose tolerance, a diet and exercise program with a goal of losing at least 7% of body weight reduced the three-year incidence of diabetes by 58%—nearly twice as much as metformin.1

  1. Goldberg, RB, Mather, K. Targeting the consequences of the metabolic syndrome in the Diabetes Prevention Program. Arterioscler Thromb Vasc Biol. 2012;32(9):2077–90. doi:10.1161/ATVBAHA.111.241893.