The prediabetes conundrum: striking the balance between risk and resources

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Název: The prediabetes conundrum: striking the balance between risk and resources
Autoři: Martin B. Blond, Kristine Færch, Christian Herder, Dan Ziegler, Coen D. A. Stehouwer
Zdroj: Diabetologia
Blond, M B, Færch, K, Herder, C, Ziegler, D & Stehouwer, C D A 2023, ' The prediabetes conundrum : striking the balance between risk and resources ', Diabetologia, vol. 66, pp. 1016–1023 . https://doi.org/10.1007/s00125-023-05890-y
Informace o vydavateli: Springer Science and Business Media LLC, 2023.
Rok vydání: 2023
Témata: Risk, For Debate, Stratified medicine, DIAGNOSIS, RECOMMENDATIONS, 3. Good health, PREVALENCE, Prediabetic State, Diabetes Complications, INDIVIDUALS, MELLITUS, Diabetes Mellitus, Type 2, Risk Factors, Intermediate hyperglycaemia, PLASMA-GLUCOSE LEVELS, CRITERIA, Humans, Prediabetes, DIABETES PREVENTION, POPULATION, INTERVENTIONS
Popis: The current definition of prediabetes is controversial and subject to continuous debate. Nonetheless, prediabetes is a risk factor for type 2 diabetes, is highly prevalent and is associated with diabetic complications and mortality. Thereby, it has the potential to become a huge strain on healthcare systems in the future, necessitating action from legislators and healthcare providers. But how do we best reduce its associated burden on health? As a compromise between differing opinions in the literature and among the authors of this article, we suggest stratifying individuals with prediabetes according to estimated risk and only offering individual-level preventive interventions to those at high risk. At the same time, we argue to identify those with prediabetes and already established diabetes-related complications and treat them as we would treat individuals with established type 2 diabetes. Graphical abstract
Druh dokumentu: Article
Other literature type
Popis souboru: application/pdf
Jazyk: English
ISSN: 1432-0428
0012-186X
DOI: 10.1007/s00125-023-05890-y
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/36897357
https://curis.ku.dk/ws/files/359177614/The_prediabetes_conundrum.pdf
Rights: CC BY
Přístupové číslo: edsair.doi.dedup.....05a71731c40285c22f7b71278049a010
Databáze: OpenAIRE
Popis
Abstrakt:The current definition of prediabetes is controversial and subject to continuous debate. Nonetheless, prediabetes is a risk factor for type 2 diabetes, is highly prevalent and is associated with diabetic complications and mortality. Thereby, it has the potential to become a huge strain on healthcare systems in the future, necessitating action from legislators and healthcare providers. But how do we best reduce its associated burden on health? As a compromise between differing opinions in the literature and among the authors of this article, we suggest stratifying individuals with prediabetes according to estimated risk and only offering individual-level preventive interventions to those at high risk. At the same time, we argue to identify those with prediabetes and already established diabetes-related complications and treat them as we would treat individuals with established type 2 diabetes. Graphical abstract
ISSN:14320428
0012186X
DOI:10.1007/s00125-023-05890-y