K.M. Venkat Narayan, MD; Mary Beth Weber, PhD
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Bangladesh Institute of Family Medicine and Research
May 1, 2015
Do screen for hyperglycemia in all adults, reduce vascular complication burden
This is a good review. Not only in the US, earliest detection of IFG, IGT or asymptomatic overt T2DM is vital universally. We can go for either lifestyle modification alone or added pharmacological intervention in individuals with prediabetes (either IFG or IGT or both) not only to prevent progression to overt T2DM but to prevent vascular complications as well. In screen-detected asymptomatic T2DM patients, both lifestyle intervention and added drug therapy, if required, may reduce both micro and macrovascular complications. Routine screening for hyperglycemia in asymptomatic individuals will not cause too much financial burden but earliest detection may reduce treatment cost due to advanced vascular complications.
K.M. Venkat Narayan, Mary Beth Weber. Screening for Hyperglycemia: The Gateway to Diabetes Prevention and Management for All Americans. Ann Intern Med. 2015;162:795–796. doi: 10.7326/M15-0798
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Published: Ann Intern Med. 2015;162(11):795-796.
Cardiology, Coronary Risk Factors, Diabetes, Endocrine and Metabolism, Prevention/Screening.
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