As an early stage of diabetes, prediabetes is closely related to the increased risk of diabetes, cardiovascular disease, and even death, which seriously harms national health and has become the core of major chronic disease management. Proactive health emphasizes individual health as the center, with the characteristics of prevention, autonomy, precision, and personalization, covering prevention, diagnosis, treatment, rehabilitation, and other aspects, and is an important strategy to promote the strategy of Healthy China. Through systematic combing of relevant domestic and foreign guidelines, it was found that the concept of proactive health is widely used in the treatment and management of prediabetes, covering a variety of aspects such as lifestyle adjustment (diet, exercise, weight management), traditional Chinese medicine (Chinese herbal medicine compound, proprietary Chinese medicines, tea replacement, acupuncture, acupuncture point embedding, tuina massage, etc.), and western medicine (metformin, acarbose, glucagon-like peptide 1 receptor agonists, etc.). The combination of Chinese and western medicine in the treatment of pre-diabetes can achieve an organic integration of "overall regulation" and "precise treatment". This approach can reduce the dosage of western medicines, minimize toxic side effects, and lower medical costs, enabling patients to maintain a healthy state in the long term. However, due to the problems of low public awareness and attention and the lack of quantifiable and standardized clinical practice guidelines for lifestyle and treatment strategies combining TCM and western medicine, it is necessary to use social media to raise public awareness in the future, to carry out high-quality, large-sample, whole-population, randomized controlled trails, and to formulate practical guidelines for lifestyle guidance accordingly. Combining modern science and technology to explain the mechanism of Chinese medicine, to promote its application in the treatment of pre-diabetes, to realize the effective integration of Chinese and western medicine, to enhance the efficiency of comprehensive management of the disease.
