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pre-diabetic: can't lower blood sugar

My husband was diagnosed pre-diabetic more than 4 years ago.  Even though we eat very healthy without any sugary beverage but more whole grain than refined one, I requested him to cut back more white flour foods.

We've also always been physically active, and he works out regularly.   All these years, I also request him try not to eat sweets.  I regular bake sugar free sweets (both he and I are sugar ants).  

I think this is how far he can get, for he's already eating much healthier than a lot of people (I try convince him to eat my home baked whole wheat bagels, but he refuses it).

His dad's early type II diabetic.  Thus, we can't fight genetics.

What else can he/we do to lower his blood sugar???  Diets play a big part to cause or reverse diseases, yet it does not seem to work for him?

Thanks
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