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Current and emerging pharmacotherapy for prediabetes: are we moving forward?
Aisling Mangan1, Neil G Docherty1, Carel W Le Roux1,2
1a Diabetes Complications Research Centre, Conway Institute, School of Medicine and Medical Sciences , University College Dublin , Dublin , Ireland.
Prediabetes, a precursor to type 2 diabetes, often goes undiagnosed. While lifestyle changes are key, metformin is the primary drug, though combination therapies are being explored for better outcomes.
Area of Science:
- Endocrinology
- Metabolic Disorders
- Pharmacology
Background:
- Prediabetes is characterized by elevated blood glucose levels, falling short of a diabetes diagnosis.
- A significant majority (70%) of individuals with prediabetes progress to type 2 diabetes.
- Prediabetes is frequently underdiagnosed, limiting timely intervention.
Purpose of the Study:
- To review the pharmacological treatment of prediabetes.
- To explore strategies for preventing the progression from prediabetes to type 2 diabetes.
- To discuss emerging pharmacological therapies for prediabetes management.
Main Methods:
- A comprehensive literature search was conducted using PubMed and Embase.
- The review focused on randomized controlled trials investigating prediabetes treatments.
- Emerging pharmacological therapies with potential benefits were analyzed.
Main Results:
- Lifestyle intervention is the primary strategy for preventing diabetes progression.
- Metformin is established as the first-line pharmacological treatment for prediabetes.
- The additive benefit of combining metformin with lifestyle changes appears minimal.
Conclusions:
- Combination pharmacological approaches, with or without lifestyle interventions, warrant further investigation for additive benefits.
- Despite available evidence, the low penetrance of interventions is partly due to the prodromal nature of prediabetes.
- Further research into effective and accessible interventions for prediabetes is crucial.
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