When do you consider starting medications such as metformin or a GLP-1 RA for the purpose of DM prevention in patients whose A1c% is not in the diagnostic range but demonstrates progressive weight gain/metabolic dysfunction?

Realistically, starting a GLP-1 is almost entirely dependent on whether insurance covers the medication or not. Given that Medicare/Medicaid covers the medicine for diabetes, OSA, cardiovascular disease, or MASH, I find it is often difficult to get it covered solely for obesity unless they have cert...