Diabetes Mellitus

Terminology

• Diabetes UK currently recommend using the term prediabetes when talking to patients and impaired glucose regulation when talking to other healthcare professionals
• research has shown that the term 'prediabetes' has the most impact and is most easily understood

Diabetes risk factors in adults with BMI >25 kg/m²

• Physical inactivity
• First-degree relative with diabetes
• High-risk race/ethnicity (eg, African American, Latino, Native American, Asian, Pacific Islander)
• Women whose children's birth weight ≥9 lb
• History of gestational diabetes mellitus
• Hypertension or prior cardiovascular disease
• Dyslipidemia (low HDL & high triglyceride level)
• History of polycystic ovarian syndrome
• History of glucose intolerance

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Identification of patients with prediabetes

• NICE recommend using a validated computer based risk assessment tool for all adults aged 40 and over, people of South Asian and Chinese descent aged 25-39, and adults with conditions that increase the risk of type 2 diabetes (particularly those with HTN & hyperlipidemia)