The US Preventive Services Task Force (USPSTF) has published new draft guidelines recommending all adults over the age of 45 years be screened for type 2 diabetes. Previous guidelines for diabetes screening published in 2008, recommended that primary care physicians focus on screening patients with high blood pressure. The idea introduced in this guideline is prevention of diabetes in everyone. Identifying patients with impaired glucose tolerance (IGT) and impaired fasting glucose (IFG) levels can lead to early diagnoses of pre-diabetes and the needed treatment with lifestyle measures to reduce the risk of developing “full blown” diabetes. Preventing diabetes can help prevent its devastating sequelae (e.g., kidney disease, heart attack, and stroke). This USPSTF recommendation comes with a grade of B which means, under the Affordable Care Act, that insurers are required to cover this preventive service.