This would be great if the DPP program worked, but it doesn’t. It doesn’t prevent or reverse diabetes. And as I have posted before, it just fails over the long-term. After 15 years the majority of patients still progressed to diabetes and the difference between patients that did the DPP and those that took metformin was almost nothing (55% of patients doing the DPP progressed to diabetes vs 56% for patients that simply took metformin).
I say skip the DPP and just give them metformin and use the millions of dollars that are saved to do something truly useful.
ps. Metformin is $40/year at Walmart.