1. Educate individualized lifestyle modifications for diabetes prevention. [Randomized controlled trial, general recommendation]

2. Provide constant motivation to maintain lifestyle modifications and monitor them through various methods, including education and information and communication technology (ICT)-based interventions. [Expert opinion, general recommendation]

3. For diabetes prevention, adults with prediabetes should follow individualized diet plans, considering each person’s eating patterns. [Expert opinion, general recommendation] [Randomized controlled trial, general recommendation]

4. Adults with prediabetes should engage in at least moderate-intensity physical activity for ≥150 minutes per week to prevent diabetes. [Randomized controlled trial, general recommendation]

5. Overweight or obese adults with prediabetes should achieve and maintain a weight reduction of at least 5% of their initial body weight to prevent diabetes. [Randomized controlled trial, limited recommendation]

6. Metformin can be considered to prevent diabetes in overweight or obese adults with prediabetes. [Randomized controlled trial, limited recommendation]