Pre-diabetes on metformin

Had a driver come in that has been put on metformin for “pre-diabetes”, but told she doesn’t have DM (yet).   So on treatment for a “pre” condition.  At what point would this be considered for a 1 year card? Starting to see drivers with “pre-“conditions and on medications, e.g., HTN and DM. If the driver is on treatment but does not “have” the disease how are others dealing with this?

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