Program Eligibility

Healthcare worker drawing blood from man's arm

To be eligible for referral to a CDC-recognized lifestyle change program, patients must:

  • Be at least 18 years old and
  • Be overweight (Body Mass Index ≥25; ≥23 if Asian) and
  • Not be pregnant and
  • Have no previous diagnosis of type 1 or type 2 diabetes and
  • Have a blood test result in the prediabetes range within the past year:
    • Hemoglobin A1C: 5.7–6.4% or
    • Fasting plasma glucose: 100–125 mg/dL or
    • Two-hour plasma glucose (after a 75 gm glucose load): 140–199 mg/dL or
  • Have a previous clinical diagnosis of gestational diabetes or

Note: Medicare beneficiaries require a blood test, clinically administered within the last year, to qualify for eligibility; self-reporting is not allowed for Medicare beneficiaries.

Prediabetes can be diagnosed via oral glucose tolerance tests, fasting blood glucose tests, or an A1C test. Blood-based testing is the most accurate way to determine if a patient has prediabetes.

Refer your at-risk patients to an available program (online or in person) that works for them.

Page last reviewed: March 5, 2019