The prediabetes conundrum: striking the balance between risk and resources
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The prediabetes conundrum : striking the balance between risk and resources. / Blond, Martin B.; Færch, Kristine; Herder, Christian; Ziegler, Dan; Stehouwer, Coen D.A.
In: Diabetologia, Vol. 66, 2023, p. 1016–1023.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - The prediabetes conundrum
T2 - striking the balance between risk and resources
AU - Blond, Martin B.
AU - Færch, Kristine
AU - Herder, Christian
AU - Ziegler, Dan
AU - Stehouwer, Coen D.A.
N1 - Publisher Copyright: © 2023, The Author(s).
PY - 2023
Y1 - 2023
N2 - 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.].
AB - 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.].
KW - Intermediate hyperglycaemia
KW - Prediabetes
KW - Risk
KW - Stratified medicine
UR - http://www.scopus.com/inward/record.url?scp=85149787376&partnerID=8YFLogxK
U2 - 10.1007/s00125-023-05890-y
DO - 10.1007/s00125-023-05890-y
M3 - Journal article
C2 - 36897357
AN - SCOPUS:85149787376
VL - 66
SP - 1016
EP - 1023
JO - Diabetologia
JF - Diabetologia
SN - 0012-186X
ER -
ID: 340407000