The prediabetes conundrum: striking the balance between risk and resources
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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: [Figure not available: see fulltext.].
Originalsprog | Engelsk |
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Tidsskrift | Diabetologia |
Vol/bind | 66 |
Sider (fra-til) | 1016–1023 |
ISSN | 0012-186X |
DOI | |
Status | Udgivet - 2023 |
Bibliografisk note
Funding Information:
The German Diabetes Center is funded by the German Federal Ministry of Health (Berlin, Germany) and the Ministry of Culture and Science of the state North Rhine-Westphalia (Düsseldorf, Germany) and receives additional funding from the German Federal Ministry of Education and Research (BMBF) through the German Center for Diabetes Research (DZD e.V.).
Publisher Copyright:
© 2023, The Author(s).
ID: 340407000