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Prediabetes

Prediabetes Research and Treatment Methods: Prediabetes is defined as having an HbA1c between 5.7 and 6.4% or a fasting glucose between 100 and 126 mg/dl. According to the NDEP, approximately 86 million people in the US have prediabetes. These people are subject to many of the same risks as diabetes patients. Prediabetes typically progresses to diabetes if the patient’s lifestyle remains the same. Beta cell destruction occurs, and the patient’s ability to maintain glucose homeostasis is further compromised. For this reason and others, many professionals believe that prediabetes is mislabeled and should be considered diabetes. New tools, techniques and guidance can help you improve outcomes for your prediabetes patients.

Diabetes Information Best Shared By Patients and HCPs Alike

Woman, 58 years of age, history of PCOS, prediabetes, strong family history of type 2 diabetes, cardiovascular disease and obesity. This patient lives a healthy lifestyle, including a lower carb meal plan, is very active, and keeps her weight down. Those interventions did not lower her A1C, so she educated herself and asked her NP/CDE if she should start metformin. This was about 20 years ago. Since starting metformin, A1C is in the 5.1-5.5% range. Patient regularly checks glucose, which was recently rising. A1C rose to prediabetes range again. Started on GLP-1 by NP/CDE. Patient then went to a new PCP who told her she should not be taking metformin or the GLP-1 because she does not have diabetes. Wanted to refer her to an endocrinologist....

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