This Appropriate Care Guide (ACG) covers diagnosis and management of pre-diabetes, with a focus on lifestyle intervention (including diet and physical activity) and pharmacotherapy.
First published in 2017, this ACG has been updated in 2021 to incorporate the latest evidence where relevant.
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Managing Pre-diabetes (Updated on 27 Jul 2021)
Pre-diabetes Management References (Jul 2021)
||Pre-diabetes is asymptomatic but puts a person at high risk of developing type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD).
||Early diagnosis, appropriate management and follow-up help to prevent or delay T2DM in persons with pre-diabetes.
||Recommend lifestyle intervention to all persons with pre-diabetes.
||Tailor lifestyle intervention to individual needs for sustained behavioural changes.
||Consider metformin for persons with pre-diabetes when
especially if the persons outlined in the two points above have a body mass index (BMI) of ≥ 23 kg/m2, are younger than 60 years of age, or are women with a history of gestational diabetes.
- glycaemic status does not improve despite lifestyle intervention OR
- they are unable to adopt lifestyle intervention,
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