DIABETES MELLITUS-PRE DIABETES

SUMMARY

1. Prediabetics have a 6-fold risk of developing overt T2DM, microvascular disease & increases CHD risk by 50%

2. Weight loss of 5-1 0% with maintenance can prevent development of overt DM; so does regular exercise (30-60 minutes, moderate intensity, 5 days/week) and a low-sodium/high-fiber diet (low in saturated and trans fats) with moderation of alcohol.

3. AACE recommends monitoring the prediabetic with an annual OGTT & urine for micro-albuminuria.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].