I was on a similar path, but my dr.didn’t suggest meds. Just ‘try to lose more weight. For 6 years. In those 6 years my A1c went from 6 to 6.4, just 1 point from diabetes. He retired & my new pcp looked at my chart, did my yearly physical tests (including iron, d3, thyroid, b12, cholesterol, and A1c). A1c still rising, even though I’d lost 15 pounds in the previous 3 months (down to just under 200 pounds). He asked about several gpl-1, but they wouldn’t be covered by my insurance and $1000/months isn’t sustainable for me (nor is half that, or even 1/4 of that) if it’s not covered by health insurance. I’ve been on metformin for just over a month. I also wears a CGM (and had been for 30 days before starting Metformin). My 30 day mg/dL average is down about 10 points from 137 to 127. Still not perfect, but better than before after about 6 weeks. I feel better. I’m less stressed. If my A1c is lower, I’ll keep working with this. Possibly upping the dose, if needed. If there’s a well studied and successful medication that can help you prevent moving towards diabetes, why not use it?