Perspectives

Prediabetes: proactive intervention to prevent or delay onset of type 2 diabetes

Kirstine Bell

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Abstract

The early detection of prediabetes is a crucial step for initiating proactive intervention and support strategies to prevent or delay the onset of type 2 diabetes and associated comorbidities, such as cardiovascular disease. This article provides a summary of the major recommendations from the recent position statement on screening and management of prediabetes in adults in primary care.

Key Points

  • Early detection of prediabetes represents a crucial step for initiating proactive intervention and support strategies to prevent or delay the onset of type 2 diabetes and associated comorbidities, including cardiovascular disease.
  • A range of strategies are effective for prediabetes, therefore management plans should be individualised. However, it is imperative that advice (e.g. regarding healthy eating or exercise approaches) is consistent between members of the multidisciplinary team so as not to confuse the individual.
  • Lifestyle interventions are recommended for all individuals with prediabetes with the aim to reverse prediabetes, or at least delay the onset of type 2 diabetes, and reduce associated risk factors through weight reduction, healthy eating, regular physical activity, stress reduction, improved sleep and smoking cessation.
  • Lifestyle interventions can be provided by referring individuals to allied healthcare professionals or by public, private or community organisations (via face-to-face meetings, telephone, webinars or community programs) with expertise in the management of prediabetes.

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