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Appropriate Care Guide

Managing pre-diabetes — a growing health concern Published on 3 July 2017 [under review]


This Appropriate Care Guide (ACG) recommends the systematic management of pre-diabetes, through both lifestyle intervention and pharmacological measures.

This ACG is currently under review to be updated based on the latest evidence where relevant.

Download the PDF below to access the full ACG.

Key Messages
1. Pre-diabetes is asymptomatic but puts a person at high risk for developing type 2 diabetes mellitus (T2DM) and cardiovascular disease.
2. Early diagnosis, appropriate management and follow-up help to prevent or delay T2DM in persons with pre-diabetes.
3. Recommend lifestyle intervention to achieve or maintain a body mass index (BMI) of < 23 kg/m2 to all persons with pre-diabetes.
4. Tailor lifestyle intervention, such as healthy diet and increased physical activity, to individual needs for sustained behavioural changes.
5. Consider metformin for persons with pre-diabetes and BMI of ≥ 23 kg/m2 if
  • glycaemic status worsens despite lifestyle intervention OR
  • they are unable to adopt lifestyle intervention due to health reasons.


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