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DiabetesIndia 2022: Update on Diabetes Prevention

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Dr Anil Kumar Virmani, Jamshedpur    07 June 2022

  • Awareness and education of all (right from schools) are very important.
  • Strategies to screen for prediabetes and assessment of individual risk factors are the need of the hour.
  • Prediabetes needs to be further classified for risk stratification - Not all patients behave similarly.
  • All patients with prediabetes should be counseled for intensive lifestyle modification.
  • Clustering of prediabetes is a novel and emerging concept.
  • Recognizing the heterogeneity of treatment effects, metformin therapy should also be limited to individuals who are at the highest risk and most likely to benefit, including those who are younger, more obese, more hyperglycemic or who have histories of GDM and cluster 3 and 5.
  • Looking beyond guidelines - Pioglitazone and SGLT2 inhibitors, appear to be of immense benefit in clusters 3, 5 and 6.

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