RT Journal Article
SR Electronic
T1 Dichotomising the risk of hyperglycaemia into diabetes and prediabetes may render a disservice to patient care
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 188
OP 189
DO 10.7861/clinmed.2022-0544
VO 23
IS 2
A1 George Siopis
A1 Renza Scibilia
A1 Hosen Kiat
YR 2023
UL http://www.rcpjournals.org/content/23/2/188.abstract
AB Cardiovascular 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.