Graphical Abstract. Credit: Diabetes Care (2025). DOI: 10.2337/dc24-2832 A study from The University of Texas at San Antonio Health Science Center indicates that changes in the body that lead to type 2 diabetes occur long before current diagnostic thresholds for prediabetes are met. The first-of-its-kind study, published in Diabetes Care, challenges conventional thinking about the onset of type 2 diabetes, identifying a risk category before prediabetes, called "pre-prediabetes." At this stage, p...