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Experts’ opinion on the detection and management of prediabetes in Lebanon
Given that the complications of type 2 diabetes can start at an early stage, early detection and appropriate management of prediabetes are essential. We aimed to develop an expert opinion on prediabetes in Lebanon to pave the way for national guidelines tailored for the Lebanese population in the ne...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10306136/ https://www.ncbi.nlm.nih.gov/pubmed/34261386 http://dx.doi.org/10.1177/00368504211029439 |
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author | Andari, Emile Atallah, Paola Azar, Sami Echtay, Akram Jambart, Selim Saab, Charles Howlett, Harry CS Al-Naqshbandi, Murad |
author_facet | Andari, Emile Atallah, Paola Azar, Sami Echtay, Akram Jambart, Selim Saab, Charles Howlett, Harry CS Al-Naqshbandi, Murad |
author_sort | Andari, Emile |
collection | PubMed |
description | Given that the complications of type 2 diabetes can start at an early stage, early detection and appropriate management of prediabetes are essential. We aimed to develop an expert opinion on prediabetes in Lebanon to pave the way for national guidelines tailored for the Lebanese population in the near future. A panel of seven diabetes experts conducted a thorough literature review and discussed their opinions and experiences before coming up with a set of preliminary recommendations for the detection and management of prediabetes in Lebanon. Lebanese physicians employ multiple tests for the diagnosis of prediabetes and no national cut-off values exist. The panel agreed that prediabetes screening should be focused on patients exceeding 45 years of age with otherwise no risk factors and on adults with risk factors. The panel reached that fasting plasma glucose (FPG) and HbA1c should be used for prediabetes diagnosis in Lebanon. FPG values of 100–125 mg/dL or HbA1c values of 5.7%–6.4% were agreed upon as indicative of prediabetes. For the management of prediabetes, a three-step approach constituting lifestyle modifications, pharmacological treatment and bariatric surgery is recommended. There should be more focus on research on prediabetes in Lebanon. This preliminary report will be further discussed with the Lebanese Society of Endocrinology, Diabetes and Lipids in 2021 in order to come up with the first Lebanese national guidelines for the detection and management of prediabetes in Lebanon. |
format | Online Article Text |
id | pubmed-10306136 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-103061362023-08-09 Experts’ opinion on the detection and management of prediabetes in Lebanon Andari, Emile Atallah, Paola Azar, Sami Echtay, Akram Jambart, Selim Saab, Charles Howlett, Harry CS Al-Naqshbandi, Murad Sci Prog Article Given that the complications of type 2 diabetes can start at an early stage, early detection and appropriate management of prediabetes are essential. We aimed to develop an expert opinion on prediabetes in Lebanon to pave the way for national guidelines tailored for the Lebanese population in the near future. A panel of seven diabetes experts conducted a thorough literature review and discussed their opinions and experiences before coming up with a set of preliminary recommendations for the detection and management of prediabetes in Lebanon. Lebanese physicians employ multiple tests for the diagnosis of prediabetes and no national cut-off values exist. The panel agreed that prediabetes screening should be focused on patients exceeding 45 years of age with otherwise no risk factors and on adults with risk factors. The panel reached that fasting plasma glucose (FPG) and HbA1c should be used for prediabetes diagnosis in Lebanon. FPG values of 100–125 mg/dL or HbA1c values of 5.7%–6.4% were agreed upon as indicative of prediabetes. For the management of prediabetes, a three-step approach constituting lifestyle modifications, pharmacological treatment and bariatric surgery is recommended. There should be more focus on research on prediabetes in Lebanon. This preliminary report will be further discussed with the Lebanese Society of Endocrinology, Diabetes and Lipids in 2021 in order to come up with the first Lebanese national guidelines for the detection and management of prediabetes in Lebanon. SAGE Publications 2021-07-14 /pmc/articles/PMC10306136/ /pubmed/34261386 http://dx.doi.org/10.1177/00368504211029439 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Article Andari, Emile Atallah, Paola Azar, Sami Echtay, Akram Jambart, Selim Saab, Charles Howlett, Harry CS Al-Naqshbandi, Murad Experts’ opinion on the detection and management of prediabetes in Lebanon |
title | Experts’ opinion on the detection and management of prediabetes in
Lebanon |
title_full | Experts’ opinion on the detection and management of prediabetes in
Lebanon |
title_fullStr | Experts’ opinion on the detection and management of prediabetes in
Lebanon |
title_full_unstemmed | Experts’ opinion on the detection and management of prediabetes in
Lebanon |
title_short | Experts’ opinion on the detection and management of prediabetes in
Lebanon |
title_sort | experts’ opinion on the detection and management of prediabetes in
lebanon |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10306136/ https://www.ncbi.nlm.nih.gov/pubmed/34261386 http://dx.doi.org/10.1177/00368504211029439 |
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