• Clin Med (Lond) · Mar 2023

    Dichotomising the risk of hyperglycaemia into diabetes and prediabetes may render a disservice to patient care.

    • George Siopis, Renza Scibilia, and Hosen Kiat.
    • Deakin University, Geelong, Australia george.siopis@deakin.edu.au.
    • Clin Med (Lond). 2023 Mar 1; 23 (2): 188189188-189.

    AbstractCardiovascular diseases (CVDs) are the leading cause of death worldwide, accounting for one-third of global mortality. Prediabetes increases the risk of CVDs as well as several other conditions, yet people with prediabetes may not seek intervention, thinking that they do not have diabetes, as the risk of progression may have not been emphasised by the healthcare professional. Accumulating evidence indicates that hyperglycaemia represents a continuum of CVD risk and dichotomising the risk into type 2 diabetes and prediabetes may deter early clinical intervention. It is proffered that the term 'prediabetes' is a misnomer that may disguise a serious condition, fostering complacency and undermining its prognostic significance.© Royal College of Physicians 2023. All rights reserved.

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