Prediabetes and prevention

Researchers recommend using different BMI or age thresholds for type 2 diabetes screening in ethnic minority groups, on finding that a single threshold may miss many cases in non-White Americans.

The US Preventive Services Task Force has recommended lowering the age of screening for prediabetes and type 2 diabetes to 35 years for people with overweight or obesity.

A random blood glucose test in people without diabetes may provide a good indication of who has an increased risk for developing cardiovascular disease over the subsequent decade, a study suggests.

Lifestyle intervention significantly reduces the risk for type 2 diabetes in people who have prediabetes based on fasting plasma glucose or glycated hemoglobin measurements, show findings from a randomized trial.

Gujral UP et al. Curr Diab Rep 2018; 18: 60. doi: 10.1007/s11892-018-1017-1

Chen ME, Aguirre RS, Hannon TS. Curr Diab Rep 2018; 18: 51. doi: 10.1007/s11892-018-1023-3

Thankappan KR et al. PLoS Med 2018; 15: e1002575. doi: 10.1371/journal.pmed.1002575

Vajravelu ME, Lee JM. Curr Diab Rep 2018; 18: 43. doi: 10.1007/s11892-018-1012-6

Juarez LD et al. Diabetes Res Clin Prac 2018. doi: 10.1016/j.diabres.2018.05.009

Adding body fat percentage to BMI improves the classification of individuals at risk for abnormal blood glucose, US researchers report.

Hjort R et al. Diabetologia 2018; 61: 1333–1343. doi: 10.1007/s00125-018-4596-0

Sortsø C et al. Diabetologia 2018; 61: 1306–1314. doi: 10.1007/s00125-018-4594-2

Almost two in every five patients receiving treatment for hypertension or dyslipidemia have undetected dysglycemia, shows an analysis of the EUROASPIRE IV registry.

​​​​​​​Nat Rev Endocrinol 2017; 14: 45–56. doi: 10.1038/nrendo.2017.127

Thompson HR, Madsen, KA. Curr Obes Rep 2017; 6: 163–167. doi: 10.1007/s13679-017-0259-6

Hafez D et al. BMC Fam Pract 2017; 18: 50. doi: 10.1186/s12875-017-0623-3

Chiefari et al. J Endocrinol Invest 2017; 40: 899–909. doi: 10.1007/s40618-016-0607-5

Screening measures for prediabetes do not accurately identify people at risk for developing diabetes, so preventive interventions will have only a small impact, say the authors of a meta-analysis published in The BMJ.

Glycated hemoglobin is as good as blood glucose measures for predicting type 2 diabetes in children and adolescents, research suggests.

Researchers show that a widely recommended online tool for patients to assess their risk of prediabetes will send almost all older patients to their doctors.