In 2015, it was estimated that 1 out of 3 adults has Pre-diabetes. Pre-diabetes can be diagnosed by checking a fasting blood sugar or by measuring the hemoglobin A1c (a 3-month average of blood sugar). People who are overweight or who have a family history of Diabetes are at high risk for Pre-diabetes (and for Diabetes). Most people with Pre-diabetes don’t know that they have this condition and it can only be diagnosed with a blood test. 50% of people with Pre-diabetes develop overt Diabetes in 10 years unless they are treated. The primary treatment of Pre-diabetes is exercise and weight loss. A 7% weight loss and the equivalent of 30 minutes of walking for 5 days of the week haven been shown to reduce progression of Pre-diabetes to Diabetes by nearly 60%. A medication, Metformin, is also frequently used to treat Pre-diabetes.