The issue at hand really is that most people have no clue they are prediabetic until its too late. I would wager that Americans are more fucked than the medical system realizes. I have a friend who runs a business, his fat manager asked him if he should go to the doctor because his toe didn't look right. Fucker had full blown diabetes and didn't even know until now they gotta remove the toe.  My fellow american shit people, our country is in a world of hurt right now. I think its much worse than the media is letting on.