About 88 million Americans adults (more than one in three) have prediabetes and—despite their proven effectiveness—fewer than 500,000 have participated in a Centers for Disease Control and Prevention (CDC)-recognized program that promotes the needed lifestyle changes that can reverse the condition and prevent type 2 diabetes.

“So, despite all the best efforts, diabetes is winning,” said Karl Ronn, founder and CEO of First Mile Care, a spinoff company from Health2047, the AMA-led Silicon Valley venture.

CDC-recognized lifestyle-change programs are modeled after the diabetes prevention program (DPP) study, which showed that an intensive lifestyle-change program could reduce the incidence of type 2 diabetes by up to 58% and as much as 71% for people 60 and older.

“Diabetes is preventable and we’re not preventing it enough,” Ronn said.

Read more from the American Medical Association here.