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Furthermore, metformin can dramatically reduce the incidence of type 2 diabetes in individuals with impaired glucose tolerance who are at high risk of developing type 2 diabetes [2]

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[DOI] [PMC free article] [PubMed] [Google Scholar] 33.Wright AK, Carr MJ, Kontopantelis E, et al

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A few commenters expressed concern that this approach could distort results, limit the value of the ratings for patients, and fail to drive meaningful performance improvement, particularly given that many hospitals already receive two- or three-star ratings that signal a need for improvement in multiple respects