Erschienen in:
01.11.2018 | Diabetes Epidemiology (E Selvin and K Foti, Section Editors)
Issues in Defining the Burden of Prediabetes Globally
verfasst von:
Justin B. Echouffo-Tcheugui, Andre P. Kengne, Mohammed K. Ali
Erschienen in:
Current Diabetes Reports
|
Ausgabe 11/2018
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Abstract
Purpose of Review
Using a global perspective, this review collates evidence on the heterogeneity of prediabetes definitions and diagnostic methods, their clinical and public health implications, and discusses possible options for improvement.
Recent Findings
Our review notes that the concept of prediabetes is increasingly recognized worldwide, but against a background of non-uniform definition and diagnostic criteria. This results in widely varying burden estimation.
Summary
Current evidence shows a variety of prediabetes phenotypes. This reflects biological and diagnostic heterogeneity, resulting from the use of different tests (glucose or HbA1C) and thresholds to define prediabetes. The biological and diagnostic variabilities have implications for the characterization of the burden of prediabetes, natural history, prognosis, screening, implementation of lifestyle or drug interventions to mitigate related health risks, and monitoring of the effects of such interventions.