A position statement on screening and management of prediabetes in adults in primary care in Australia.

Bell, K; Shaw, JE; Maple-Brown, L; Ferris, W; Gray, S; Murfet, G; Flavel, R; Maynard, B; Ryrie, H; Pritchard, B; Freeman, R; Gordon, BA

A position statement on screening and management of prediabetes in adults in primary care in Australia.

Bell, K Shaw, JE Maple-Brown, L Ferris, W Gray, S Murfet, G

Flavel, R Maynard, B Ryrie, H Pritchard, B Freeman, R Gordon, BA

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Publisher:: ELSEVIER IRELAND LTD
Publication Type:: Journal Article
Citation:: Diabetes Res Clin Pract, 2020, 164, pp. 108188
Issue Date:: 2020-06

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Field	Value	Language
dc.contributor.author	Bell, K
dc.contributor.author	Shaw, JE
dc.contributor.author	Maple-Brown, L
dc.contributor.author	Ferris, W
dc.contributor.author	Gray, S
dc.contributor.author	Murfet, G https://orcid.org/0000-0003-4486-388X
dc.contributor.author	Flavel, R
dc.contributor.author	Maynard, B
dc.contributor.author	Ryrie, H
dc.contributor.author	Pritchard, B
dc.contributor.author	Freeman, R
dc.contributor.author	Gordon, BA
dc.date.accessioned	2022-08-22T00:48:49Z
dc.date.available	2020-04-27
dc.date.available	2022-08-22T00:48:49Z
dc.date.issued	2020-06
dc.identifier.citation	Diabetes Res Clin Pract, 2020, 164, pp. 108188
dc.identifier.issn	0168-8227
dc.identifier.issn	1872-8227
dc.identifier.uri	http://hdl.handle.net/10453/160655
dc.description.abstract	Prediabetes has a high prevalence, with early detection essential to facilitate optimal management to prevent the development of conditions such as type 2 diabetes and cardiovascular disease. Prediabetes can include impaired fasting glucose, impaired glucose tolerance and elevated HbA1c. This position statement outlines the approaches to screening and management of prediabetes in primary care. There is good evidence to implement intensive, structured lifestyle interventions for individuals with impaired glucose tolerance. The evidence for those with impaired fasting glucose or elevated HbA1c is less clear, but individuals should still be provided with generalised healthy lifestyle strategies. A multidisciplinary approach is recommended to implement healthy lifestyle changes through education, nutrition and physical activity. Individuals should aim to lose weight (5-10% of body mass) using realistic and sustainable dietary approaches supported by an accredited practising dietitian, where possible. Physical activity and exercise should be used to facilitate weight maintenance and reduce blood glucose. Moderate-vigorous intensity aerobic exercise and resistance training should be prescribed by an accredited exercise physiologist, where possible. When indicated, pharmacotherapy, metabolic surgery and psychosocial care should be considered, in order to enhance the outcomes associated with lifestyle change. Individuals with prediabetes should generally be evaluated annually for their diabetes status.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	ELSEVIER IRELAND LTD
dc.relation.ispartof	Diabetes Res Clin Pract
dc.relation.isbasedon	10.1016/j.diabres.2020.108188
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences, 1117 Public Health and Health Services, 1701 Psychology
dc.subject.classification	Endocrinology & Metabolism
dc.subject.mesh	Adult
dc.subject.mesh	Australia
dc.subject.mesh	Blood Glucose
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Mass Screening
dc.subject.mesh	Middle Aged
dc.subject.mesh	Prediabetic State
dc.subject.mesh	Primary Health Care
dc.subject.mesh	Humans
dc.subject.mesh	Prediabetic State
dc.subject.mesh	Blood Glucose
dc.subject.mesh	Mass Screening
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Primary Health Care
dc.subject.mesh	Australia
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.title	A position statement on screening and management of prediabetes in adults in primary care in Australia.
dc.type	Journal Article
utslib.citation.volume	164
utslib.location.activity	Ireland
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	open_access	*
dc.date.updated	2022-08-22T00:48:47Z
pubs.publication-status	Published
pubs.volume	164

Abstract:

Prediabetes has a high prevalence, with early detection essential to facilitate optimal management to prevent the development of conditions such as type 2 diabetes and cardiovascular disease. Prediabetes can include impaired fasting glucose, impaired glucose tolerance and elevated HbA1c. This position statement outlines the approaches to screening and management of prediabetes in primary care. There is good evidence to implement intensive, structured lifestyle interventions for individuals with impaired glucose tolerance. The evidence for those with impaired fasting glucose or elevated HbA1c is less clear, but individuals should still be provided with generalised healthy lifestyle strategies. A multidisciplinary approach is recommended to implement healthy lifestyle changes through education, nutrition and physical activity. Individuals should aim to lose weight (5-10% of body mass) using realistic and sustainable dietary approaches supported by an accredited practising dietitian, where possible. Physical activity and exercise should be used to facilitate weight maintenance and reduce blood glucose. Moderate-vigorous intensity aerobic exercise and resistance training should be prescribed by an accredited exercise physiologist, where possible. When indicated, pharmacotherapy, metabolic surgery and psychosocial care should be considered, in order to enhance the outcomes associated with lifestyle change. Individuals with prediabetes should generally be evaluated annually for their diabetes status.

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http://hdl.handle.net/10453/160655