Test and Treat for Prediabetes: A Review of the Health Effects of Prediabetes and the Role of Screening and Prevention

IF 21.4 1区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Annual Review of Public Health Pub Date : 2023-12-18 DOI:10.1146/annurev-publhealth-060222-023417

Rosette J. Chakkalakal, Karla I. Galaviz, Thirunavukkarasu Sathish, Megha K. Shah, K.M. Venkat Narayan

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Abstract

The term prediabetes describes blood glucose levels above the normal range but below the threshold to diagnose type 2 diabetes. Several population health initiatives encourage a test and treat approach for prediabetes. In this approach, screening and identification of individuals with prediabetes should be followed by prompt referral to structured lifestyle modification programs or pharmacologic interventions that have been shown to prevent or delay the progression to type 2 diabetes in clinical trials. Here we provide a critical review of evidence for this test and treat approach by examining health outcomes associated with prediabetes and the availability and effectiveness of lifestyle modification approaches that target prediabetes. We also describe current limitations to the reach and uptake of evidence-based treatment options for prediabetes. Finally, we highlight lessons learned from identifying and labeling other preconditions to consider challenges and opportunities that may arise with increasing awareness of prediabetes as part of routine preventive care.Expected final online publication date for the Annual Review of Public Health, Volume 45 is April 2024. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

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检测和治疗糖尿病前期：回顾糖尿病前期对健康的影响以及筛查和预防的作用

糖尿病前期是指血糖水平高于正常范围，但低于诊断 2 型糖尿病的临界值。一些人口健康倡议鼓励对糖尿病前期采取检测和治疗的方法。在这种方法中，对糖尿病前期患者进行筛查和鉴定后，应立即转诊至有组织的生活方式调整项目或药物干预项目，这些项目在临床试验中已被证明可预防或延缓2型糖尿病的发展。在此，我们通过研究与糖尿病前期相关的健康结果，以及针对糖尿病前期的生活方式调整方法的可用性和有效性，对这种检测和治疗方法的证据进行了严格审查。我们还介绍了目前在糖尿病前期循证治疗方案的普及和吸收方面存在的局限性。最后，我们强调了从识别和标记其他先决条件中吸取的经验教训，以考虑将提高对糖尿病前期的认识作为常规预防保健的一部分可能带来的挑战和机遇。《公共卫生年度评论》第 45 卷的最终在线出版日期预计为 2024 年 4 月。有关修订后的预计日期，请参见 http://www.annualreviews.org/page/journal/pubdates。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annual Review of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

26.60

自引率

1.40%

发文量

审稿时长

>12 weeks

期刊介绍： The Annual Review of Public Health has been a trusted publication in the field since its inception in 1980. It provides comprehensive coverage of important advancements in various areas of public health, such as epidemiology, biostatistics, environmental health, occupational health, social environment and behavior, health services, as well as public health practice and policy. In an effort to make the valuable research and information more accessible, the current volume has undergone a transformation. Previously, access to the articles was restricted, but now they are available to everyone through the Annual Reviews' Subscribe to Open program. This open access approach ensures that the knowledge and insights shared in these articles can reach a wider audience. Additionally, all the published articles are licensed under a CC BY license, allowing users to freely use, distribute, and build upon the content, while giving appropriate credit to the original authors.

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