What is the best strategy for impaired glucose tolerance in nonpregnant adults?

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The best treatment strategy for impaired glucose tolerance (IGT) and impaired fasting glucose (IFG) is lifestyle intervention with a structured weight loss program of diet and exercise (strength of recommendation [SOR]: B, based on high-quality randomized controlled trials [RCTs] for disease-oriented outcomes). Patients with IGT and IFG should be counseled to lose 5% to 7% of their body weight and instructed on moderate intensity physical activity for ~150 minutes per week.

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