Evaluation of Empagliflozin vs Standard Care in Veterans With Prediabetes

Inclusion Criteria: Diagnosis of prediabetes defined by HbA1c \>5.7% and \<6.5% or fasting glucose 100-125 mg/dL with documentation of diagnosis (ICD-10 code) within electronic health record at time of enrollment * Age 35 to 60 years at time of enrollment * Able to read and speak English Exclusion Criteria: * Diagnosis of diabetes (type 2 or type 1) * Contraindication to SGLT2i medication per medication labeling, prior adverse reaction to SGLT2i medication, or received SGLT2i medication within the 6 months prior to enrollment * Currently prescribed an antihyperglycemic agent approved for treatment of type 2 diabetes or taking any FDA-approved weight loss agent or over-the-counter supplement promoted for weight loss * Veterans unable to complete informed consent process (Veterans with impaired decision-making ability or who require use of a legally authorized representative) * Women who are pregnant or may become pregnant * Veterans with neurogenic bladder, indwelling catheter, or urinary tract infection within the previous 12 months requiring hospitalization or emergency department visit