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Feature Article

Prediabetes: early identification key to halting progression

Lili Huo, Jonathan E. Shaw

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Abstract

People with prediabetes will benefit from early identification using diabetes risk scores for the general population, and then further blood testing for those who are identified as being at high risk of developing type 2 diabetes. A lifestyle intervention program should be commenced in people with prediabetes and pharmacological agents considered to prevent or slow the transition to diabetes.

Key Points

  • Prediabetes is a high-risk state for developing type 2 diabetes and is also associated with a higher cardiovascular disease risk.
  • Early detection and treatment of prediabetes can delay the onset and reduce the risk of developing diabetes.
  • A two-stepped approach based on diabetes risk scores for the general population and further blood tests for those who are identified as high risk is recommended for prediabetes screening.
  • If prediabetes is detected, lifestyle changes should be commenced to prevent or slow the transition to diabetes. Aggressive cardiovascular risk reduction should be instituted.
  • To improve diabetes prevention, a multifaceted approach that targets physicians’ understanding and compliance with guidelines, as well as interventions to diminish patient barriers to diabetes prevention is necessary.

    Picture credit: © WavebreakmediaMicro/stock.adobe.com
    Models used for illustrative purposes only

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