Metformin is commonly prescribed to pre-diabetic patients as it aids in improving insulin sensitivity and reducing excess glucose production by the liver. Dr. Pranav Ghody, a consultant endocrinologist at Wockhardt Hospitals in Mumbai, explained that pre-diabetes is characterized by elevated blood sugar levels that are not yet high enough to be classified as diabetes. For individuals at higher risk, such as those who are overweight or have a family history of diabetes, Metformin can slow or prevent the onset of type 2 diabetes, particularly when combined with lifestyle changes like diet and exercise. It is important to note that while Metformin can help control blood sugar levels, it does not cure pre-diabetes. Patients should not stop taking the medication without consulting their healthcare provider, as doing so may cause blood sugar levels to rise again. Regular monitoring and a focus on healthy habits, including balanced nutrition and physical activity, are crucial for managing pre-diabetes effectively. Metformin is generally well-tolerated, though some may experience mild gastrointestinal symptoms, which typically resolve over time. Overall, sustainable lifestyle changes are essential for preventing the progression to diabetes.