[19] Based on previous studies and the important role of gut microbiota in metabolism, the proposed clinical trial will determine the possible effects of AM on prediabetes by evaluating the FBG, 2-hour post-meal blood glucose (2hPG), HbA1c, fasting insulin, insulin resistance index (HOMA-IR), blood lipid, BMI, waist-to-hip ratio, and waist-to-height ratio (WHtR), and will explore the mechanism of viscera massage on prediabetes from the perspective of intestinal microbiota. The gene discussed is INS; the disease is Insulin resistance.