We Need to Heighten the Treatment of Prediabetes in the Primary Care Setting
A person with prediabetes is at a high risk of
developing type 2 diabetes. Kidney difficulties,
cardiac problems, strokes, and other comorbidities
can all be caused by type 2 diabetes. As a result,
both healthcare and community organizations are
developing programs to fight prediabetes in the
hopes of delaying or preventing type 2 diabetes.
However, primary care organizations must play a
larger role in the treatment of prediabetes. And, at
the moment, these groups are not engaged in the
treatment to the extent that they could.
In a recent
study, researchers looked at 3888 patients who
were diagnosed with prediabetes based on lab
results. The diagnoses were later confirmed.
However, only 10.4% of the patients were coded as
having prediabetes. Only 5.4% received a
prescription for metformin, and only 1.0% of the
patients received a nutrition-services referral.
Few individuals with untreated prediabetes are ever
notified that they are at high risk for diabetes,
according to
one study. Furthermore, the study concluded
that better patient-centered treatment is required
for diabetes prevention, which begins by giving the
patients more information.
Primary care organizations, on the other hand, are
reticent to diagnose and treat prediabetes for a
variety of reasons. There is only a vague
understanding of what prediabetes is, and some
people do not believe it is a disease. Some argue
that because the patient already has enough to worry
about, it's not a good idea to give him or her
more issues to be concerned about.
Other factors contribute to primary care
organizations' refusal to provide prediabetes
therapy. According to one study,
clinicians may be unaware of how successful
interventions are at reducing diabetes risk. There
may also be a "lack of access to providers of
dietary and exercise advice."
In any case, in order to avoid or delay type 2
diabetes, more attention should be paid to the
diagnosis and treatment of prediabetes.
And the CDC's National Diabetes Prevention Program
(DPP) is a terrific place to start.
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