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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.

Reduced GLP-1 Precedes Type 2 Diabetes

This might be a reason not to use a DPP-4 for those with long standing diabetes… Reduction in the glucose-regulating hormone glucagon-like peptide-1 (GLP-1) appears to occur before the development of type 2 diabetes and obesity, according to new published research. Investigator Kristine Færch, PhD, senior research fellow at the …

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Diabetes Screening at the Dentist

Dental visits may allow for diabetes screening and monitoring glucose control in at-risk patients… A new study suggests that using gingival crevicular blood, collected during dental visits, for HbA1c testing produced values that were nearly identical to those obtained using finger stick blood. Correlation was 0.991 between the HbA1c values …

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Effects of Prediabetes on Subsequent Cardiovascular Disease and Diabetes

In this longitudinal population-based study, 1609 patients were followed between 2002 and 2014 (mean, 10.9 years) to determine whether prediabetes affected risk for cardiovascular disease (CVD) or diabetes mellitus (DM)… No association was found between prediabetes and the development of cardiovascular disease using models that were adjusted for several factors …

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Eye Scan Predicts Peripheral Neuropathy in Type 1 Diabetes

Corneal confocal microscopy (CCM) can predict incipient peripheral neuropathy in patients with type 1 diabetes… The technique involves the examination of unmyelinated nerve fibers at high magnification using a laser-scanning corneal confocal microscope to image the subbasal nerve plexus of the patient’s cornea. Increased severity of diabetic peripheral neuropathy is …

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Two MicroRNAs Identify Prediabetes

Serum levels of 2 microRNAs, miR-192 and miR-193b, can be used to identify individuals with prediabetes, researchers report… The uncontrolled hyperglycemic excursions associated with prediabetes are stressful for the body, and miRNAs are thought to be critical regulators of stress. Dr. Marcelina Párrizas from Diabetes and Obesity Research Laboratory, Barcelona, …

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