Total body bone mineral content (BMC), bone area, and areal bone mineral density (aBMD) in overweight prepubertal children with normal glucose levels (n = 99) and overweight children with pre‐diabetes (n = 41). Pre‐diabetes was defined as having a fasting plasma glucose ≥ 100 mg/dL (5.6 mmol/L) but < 126 mg/dL (7.0 mmol/L) or 2‐h values in the oral glucose tolerance test of ≥ 140 mg/dL (7.8 mmol/L) but < 200 mg/dL (11.1 mmol/L). Bone outcomes are adjusted means ± SE controlling for sex, race, height, and weight; tests of significance between groups were based on group main effect using ANCOVA. *, P ≤ 0.05, significantly different from pre‐diabetes group.