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Review: Type 2 diabetes screening does not reduce mortality but treating dysglycemia delays onset of diabetes

Ann Intern Med. 2015;163(6):JC2. doi:10.7326/ACPJC-2015-163-6-002
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Earliest screening for dysglycemia is vital to prevent hyperglycemia associated comorbidities
Posted on September 19, 2015
Gauranga Dhar
Bangladesh Institute of Family Medicine and Research
Conflict of Interest: None Declared
Lifestyle modification with or without drug obviously prevent progression of pre-diabetes to over type 2 diabetes. For this prevention, we need to detect dysglycemia first and for this we need screening at least high risk population. Hyperglycemia related death; either due to ketoacidosis or hyperosmolar state is very rare compared to death due to vascular and neurological dysfunction. Retinopathy, neuropathy, nephropathy even cardiovascular events may occur in patients even at pre-diabetic state. So, routine screening of high risk population as well as all adult population is required to detect pre-diabetes and implement necessary measurement both to prevent progression to overt type 2 diabetes and vascular complications.
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