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Published in: Current Diabetes Reports 11/2018

01-11-2018 | Diabetes Epidemiology (E Selvin and K Foti, Section Editors)

Issues in Defining the Burden of Prediabetes Globally

Authors: Justin B. Echouffo-Tcheugui, Andre P. Kengne, Mohammed K. Ali

Published in: Current Diabetes Reports | Issue 11/2018

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Abstract

Purpose of Review

Using a global perspective, this review collates evidence on the heterogeneity of prediabetes definitions and diagnostic methods, their clinical and public health implications, and discusses possible options for improvement.

Recent Findings

Our review notes that the concept of prediabetes is increasingly recognized worldwide, but against a background of non-uniform definition and diagnostic criteria. This results in widely varying burden estimation.

Summary

Current evidence shows a variety of prediabetes phenotypes. This reflects biological and diagnostic heterogeneity, resulting from the use of different tests (glucose or HbA1C) and thresholds to define prediabetes. The biological and diagnostic variabilities have implications for the characterization of the burden of prediabetes, natural history, prognosis, screening, implementation of lifestyle or drug interventions to mitigate related health risks, and monitoring of the effects of such interventions.
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Metadata
Title
Issues in Defining the Burden of Prediabetes Globally
Authors
Justin B. Echouffo-Tcheugui
Andre P. Kengne
Mohammed K. Ali
Publication date
01-11-2018
Publisher
Springer US
Published in
Current Diabetes Reports / Issue 11/2018
Print ISSN: 1534-4827
Electronic ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-018-1089-y

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