☥ 96M Americans have pre-diabetes — most don't know it

Diabetes Prevention Program

Reverse pre-diabetic indicators before they become diagnoses. AIC screening reminders, nutrition nudges, gym-reimbursement alerts, and FSA-eligible continuous glucose monitoring — all delivered at the right moment.

96M
Americans with pre-diabetes
58%
Will develop Type 2 without intervention
58%
Reduction in risk via lifestyle change

What is Pre-Diabetes?

Pre-diabetes means your blood sugar is elevated but not yet in the diabetic range. Diagnosed by:

  • A1C: 5.7–6.4% (prediabetic range)
  • Fasting glucose: 100–125 mg/dL
  • Oral glucose tolerance: 140–199 mg/dL

The DPP (Diabetes Prevention Program) trial showed that a 5–7% body weight loss and 150 min/week of moderate activity reduced progression to Type 2 diabetes by 58% — more effective than metformin (31% reduction).

How NudgeWell Helps

NudgeWell targets the three highest-leverage intervention points for pre-diabetes reversal:

📊 A1C Screening Reminders

Annual AIC tests are covered under preventive care at no cost-share. NudgeWell sends reminders when you're 90 days overdue — with an Instacart CTA linking to low-glycemic grocery options that support your outcomes.

Preventive Care · Instacart CTA

🍔 Nutrition & Grocery Nudges

Low glycemic meal planning through Instacart integration. NudgeWell sends targeted grocery nudges — not generic "eat healthier" copy, but specific items tied to your plan's wellness account balance and calendar context.

FSA-eligible groceries · Instacart CTA

🏃 Gym Reimbursement Reminders

Many employer plans include gym reimbursement up to $600/year. NudgeWell identifies employees with FSA/HSA balances and low activity signals, then sends gym-reimbursement reminders timed to enrollment and year-end.

Wellness Account Eligible · FSA-eligible

⚠ CGM Access for High-Risk Members

Continuous glucose monitors (CGMs) are increasingly covered for pre-diabetic members at high risk. NudgeWell surfaces CGM access when biometric data indicates elevated risk and the plan covers DME.

DME · May require prior auth

FSA & HSA Eligible Services

A1C Lab Tests

Covered as preventive care — no cost-share on most plans.

Continuous Glucose Monitors

FSA-eligible DME. Prior auth may be required.

Low-Glycemic Meal Delivery

Medically necessary meals may qualify with Rx documentation.

Diabetic Testing Supplies

Test strips, lancets, and glucometers are FSA-eligible.

Nutrition Counseling

Covered as preventive care when referred by PCP.

Diabetes Prevention Program

CDC-recognized DPP programs may be employer-covered.

Activity Data & Pre-Diabetes

Physical activity is the single most modifiable risk factor for pre-diabetes progression. NudgeWell uses Google Fit step and activity data to identify members with consistently low activity signals — and targets them with gym-reimbursement and preventive care nudges.

Connect Google Fit to enable personalized activity-based nudges. Your activity data stays private — it's used to improve the relevance of your nudges, not shared with your employer.

Your Action Steps

  • Get your A1C tested. If it's been over 12 months, schedule a preventive care visit. This is covered at no cost-share on most employer plans.
  • Check your gym reimbursement balance. Many plans cover up to $600/year. Use it before year-end — and NudgeWell will remind you if you haven't.
  • Build movement into your day. 150 minutes/week sounds like a lot. It's 20 minutes of walking — and even small increases in daily step count correlate with improved insulin sensitivity.
  • Connect Google Fit. NudgeWell uses your activity data to send relevant gym and nutrition reminders — never generic.

Personalized pre-diabetes prevention nudges

Connect your benefits profile and Google Fit in the NudgeWell employee portal to receive A1C screening reminders, gym-reimbursement alerts, and nutrition nudges — all tailored to your plan.

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