Case Study Of Prediabetes

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What is prediabetes? Prediabetes" is a term used to describe a condition of altered glucose metabolism which falls short of a formal definition of diabetes yet confers an increased risk of progression to diabetes and/or vascular disease. The word itself has been used intermittently for most of a century, reflecting contemporary notions of diabetes, and remains controversial. Modern understanding began with the 1980 definition of diabetes which recognised the category of impaired glucose tolerance (IGT) as intermediate between diabetes and normoglycaemia, and associated with an increased risk of cardiovascular events. Since IGT could only be diagnosed by OGTT, it had limited clinical application until the introduction of a single impaired fasting glucose (IFG) criterion by the ADA in 1997; the term prediabetes was reintroduced in the USA at that time. An HbA1c criterion for prediabetes was subsequently introduced, allowing three different routes to diagnosis. (yudkin 2014) Criteria for IFG and IGT? According to WHO 2006 It is said to be diabetes when FBS is>7 mmol/L and PPBS >11.0 mmol/L It is said to be IFG …show more content…

Management of common prediabetes comorbidities such as obesity, hypertension, dyslipidemia, cardiovascular disease, and chronic kidney disease is essential. Therapeutic lifestyle management should be discussed with all patients with prediabetes at the time of diagnosis and throughout their lifetimes. Therapeutic lifestyle management includes medical nutrition therapy (MNT; the reduction and modification of caloric and saturated/hydrogenated fat intake to achieve weight loss in individuals who are overweight or obese), appropriately prescribed physical activity, avoidance of tobacco products, adequate quantity and quality of sleep, limited alcohol consumption, and stress reduction. (Handelsman

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