Methods: This retrospective study analyzed data from 427 patients with prediabetes (HbA1c: 5.7%–6.4% not on insulin or oral hypoglycemic agents and aged 18–75 years) who underwent a 1-year online ILI program at the Freedom from Diabetes Clinic, India, between 2020 and 2023. Here, INS is linked to prediabetes syndrome.