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Patient Perceptions About Prediabetes and Preferences for Diabetes Prevention
Matthew J O'Brien1,2, Margaret R Moran2, Joyce W Tang3
1Division of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA (Dr O'Brien, Ms Vargas, Dr Zimmermann, Dr Ackermann, Dr Kandula)
The Diabetes Educator
|September 14, 2016
Summary
Adults with prediabetes often overestimate their risk and lack knowledge of prevention. Providing clear information on diabetes risk and evidence-based treatments like lifestyle changes or metformin can motivate action.
Area of Science:
- Primary Care
- Public Health
- Endocrinology
Background:
- Prediabetes affects a significant portion of the adult population.
- Effective interventions are crucial to prevent progression to type 2 diabetes.
Purpose of the Study:
- To understand how adults with prediabetes perceive their diabetes risk.
- To explore patient preferences for evidence-based diabetes prevention treatments.
Main Methods:
- Qualitative study design.
- In-depth, semistructured interviews with 35 adult patients diagnosed with prediabetes.
- Conducted in two large primary care practices in the Midwest.
Main Results:
- Most patients overestimated their risk of developing diabetes and had knowledge gaps regarding management.
- Intensive lifestyle intervention and metformin were considered acceptable treatments.
- Patients preferred lifestyle changes initially but would consider metformin if lifestyle efforts failed.
Conclusions:
- Patient-centered dialogue in primary care can improve prediabetes management.
- Providing specific information on risks and evidence-based treatments can motivate patients.
- Physicians should consider patient preferences for lifestyle interventions and metformin when counseling.
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