Tuesday, December 29, 2020

Prediabetes and Cardiac Autonomic Neuropathy

Prediabetes is a condition where an individual has abnormally high blood glucose, while not high enough to be diagnosed as diabetes. Prediabetes can cause heart and kidney problems. Cardiac autonomic neuropathy (CAN) may be defined as “the impairment of autonomic control of the cardiovascular system.” While the condition is frequently not given much focus, CAN is frequently associated with type 1 and type 2 diabetes. CAN may also be associated with heart problems and mortality. Further, at least one recent study has concluded that CAN is also associated with prediabetes.

The investigators involved in the study did a search, electronically, to find individuals, in other studies, with prediabetes, normal glucose and type 2 diabetes. The researchers searched the following databases: Medline, MBASE, Pubmed, Web of science, Scopus and Cochrane.

As a result of the database search, the researchers found 4431 participants who satisfied the analysis’ inclusion criteria. The participants included 1730 individuals with prediabetes. There were 1999 individuals who had normal glucose. And there were 702 individuals with type 2 diabetes. And there was a higher than normal number of individuals experiencing CAN.

Further, the researcher concluded that “There [was] a higher than expected prevalence of CAN in prediabetes. Early detection of CAN in prediabetes through population screening needs careful consideration in view of the excess morbidity and mortality risk associated with this condition.”

The above study underlines the importance of diagnosing prediabetes. And once prediabetes is diagnosed, screening for other known prediabetes comorbidities should then occur -- including screening for CAN. Providers should make it a point to screen for prediabetes. The providers should counsel patients who do have predicates on how to lower the chances of getting type 2 diabetes. The providers should then advise the patients on other prediabetes-associated conditions. This can benefit a patient by potentially improving the patient’s health.


Tags: , , , , bariatric medicine, obesity medicine, medical practice start up, bariatric industry analysis, weight loss industry analysis, weight management industry analysis 


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