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Comment on Cefalu et al. The Alarming and Rising Costs of Diabetes and Prediabetes: A Call for Action! Diabetes Care 2014;37:3137–3138

Cefalu et al. (1) used the findings of a recent study (2) to argue that the category of prediabetes is an important component of the American Diabetes Association’s (ADA’s) arsenal in diabetes prevention. They disliked our critique of the category (3), suggesting that prediabetes imposes an economic burden in its own right, that the Diabetes Prevention Program (DPP) demonstrates the benefits of intervening in prediabetes, and that by so doing medication use can be reduced.

We believe passionately in tackling the growing burden of diabetes and its complications by preventing obesity and increasing physical activity. Our argument is that a clinical approach by …