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Dr. Jeffrey Mechanick Part 4, Influx of Prediabetes Patients

Dr. Jeffrey Mechanick talks with Diabetes in Control Publisher Steve Freed at the 2016 AACE Meeting. In part 4 of this Exclusive Interview, Dr. Mechanick explains the improved understanding of the need for the expertise of an endocrinologist in helping the prediabetes patient.

Dr. Jeffrey Mechanick, MD, FACP, FACE, FNLA is the Clinical Professor of Medicine and Director of Metabolic Support in the Division of Endocrinology, Diabetes and Bone Disease at the Icahn School of Medicine at Mount Sinai, NY. Dr. Mechanick was chosen president of the American College of Endocrinology (ACE) in May 2016, an office he will hold for one year. His current research interests are in nutrition and metabolic support, lifestyle and obesity medicine, and network analysis of complex systems.

Transcript of this video segment:

Steve Freed: Being an endocrinologist, I presume you don’t get a lot of patients with prediabetes. I would imagine that a lot of your patient base comes from other medical professionals that threw up their hands and say this is too much for me, you need an expert. Do you get to see any patients with prediabetes?

Dr. Mechanick: The answer is yes. In Manhattan, in New York City, we get quite a bit of patients who are being referred over with prediabetes. You may say the next question is well, then how are they screened? How is the aggressive case finding done? There is an awareness and that awareness really is a result from terrific education that you see from conferences like at AACE, where AACE was really in the forefront of establishing insulin resistance syndrome and prediabetes as a necessary part within a preventive care paradigm, focusing on primary prevention. It’s part of our diabetes algorithm, it’s part of our diabetes guidelines. How do patients come to me? They’re screened with A1Cs. There may have been an A1C that’s somewhere between 5.7 and 6.4 inclusive. They’re sent over to the endocrinologists because there is an awareness, a confidence that really the expert, the person who’s going to be able to manage this situation the best, is going to be a clinical endocrinologist. So yes, we do see them a lot more now, those patients with prediabetes.

To view other segments in this video series:

Part 1: Nutrition and Lifestyle
Part 2: Effective Diet Discussions
Part 3: Simplifying Aspects of Diabetes Care