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Screening for Prediabetes and Type 2 Diabetes: US Preventive Services Task Force Recommendation Statement.

, Karina W Davidson¹, Michael J Barry²

¹Feinstein Institutes for Medical Research at Northwell Health, Manhasset, New York.

|August 24, 2021

Summary

Screening for prediabetes and type 2 diabetes in adults aged 35-70 with overweight or obesity is recommended. Early detection and preventive interventions offer moderate benefits for improving health outcomes.

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Area of Science:

Endocrinology
Preventive Medicine
Public Health

Background:

Diabetes affects 13% of US adults, with higher rates in older populations.
Prediabetes affects 34.5% of US adults, with varying progression rates to diabetes.
Diabetes is a leading cause of kidney failure, blindness, and cardiovascular disease.

Purpose of the Study:

To update recommendations on screening for prediabetes and type 2 diabetes.
To evaluate preventive interventions for individuals with prediabetes.

Main Methods:

Systematic review commissioned by the USPSTF.
Included asymptomatic, nonpregnant adults aged 35-70 with overweight or obesity.

Main Results:

Screening for prediabetes and type 2 diabetes shows moderate net benefit.
Effective preventive interventions for prediabetes offer moderate net benefit.

Conclusions:

USPSTF recommends screening for prediabetes and type 2 diabetes in adults 35-70 with overweight or obesity.
Clinicians should offer or refer patients with prediabetes to effective preventive interventions.