A consensus of key opinion leaders on the management of pre-diabetes in the Asia-Pacific Region

Roberto Mirasol; Ah Chuan Thai; Aftab Ahmad Salahuddin; Kathryn Tan; Chaicharn Deerochanawong; Mafauzy Mohamed; Made Ratna Saraswati; Bipin Kumar Sethi; Sanjiv Shah; Nanny Natalia Soetedjo; Swangjit Suraamornkul; Rima Tan; Farid Uddin

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A consensus of key opinion leaders on the management of pre-diabetes in the Asia-Pacific Region

Author: Roberto Mirasol ¹ ; Ah Chuan Thai ² ; Aftab Ahmad Salahuddin ³ ; Kathryn Tan ⁴ ; Chaicharn Deerochanawong ⁵ ; Mafauzy Mohamed ⁶ ; Made Ratna Saraswati ⁷ ; Bipin Kumar Sethi ⁸ ; Sanjiv Shah ⁹ ; Nanny Natalia Soetedjo ¹⁰ ; Swangjit Suraamornkul ¹¹ ; Rima Tan ¹² ; Farid Uddin ¹³
Author Information

1. St.Lukes Medical Center, Philippines
2. Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
3. Jinnah Teaching Hospital, Pakistan
4. Department of Medicine, University of Hong Kong, Hong Kong
5. Rajavithi Hospital, Rangsit University, Thailand
6. Universiti Sains Malaysia, Malaysia
7. Division of Endocrinology and Metabolism, Sanglah General Hospital, Department of Internal Medicine,Faculty of Medicine, Udayana University, Denpasar, Bali, Indonesia
8. CARE Hospital, Hyderabad, India
9. Nanavati Superspeciality Hospital, Mumbai, India
10. Division of Endocrinology and Metabolism, Hasan Sadikin General Hospital, Department of Internal Medicine, Faculty of Medicine, University of Pajajaran, Bandung, Indonesia
11. Faculty of Medicine, Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand
12. Institute for Studies on Diabetes Foundation, Inc., Philippines
13. NationalInstitute of Diabetes and Endocrinology, Dow University of Health Sciences, Pakistan
Publication Type:Journal Article
Keywords: Pre-diabetes
MeSH: Glucose Intolerance; Asia
From: Journal of the ASEAN Federation of Endocrine Societies 2016;31(11):6-12
CountryPhilippines
Language:English
Abstract: The Asia-Pacific region carries a high disease burden, with over half of the global diabetic population residing in thisregion. Increasing evidence shows that without targeted intervention, the progression from impaired glucose tolerance(IGT) to type 2 diabetes occurs more frequently in Asians compared with Caucasians. Furthermore, IGT is independently associated with an increased risk of cardiovascular disease, and should be managed as early as possible. Because diabetes is now a major public health issue, strategies aimed at prevention and treatment areurgently required. Lifestyle modification, including weight loss, dietary changes and increased physical activity, play a major role in controlling the disease. Significant evidence also supports the effectiveness of a combination of lifestylemodification and pharmacologic therapy, such as metformin, in delaying the onset of diabetes. Although the importanceof lifestyle interventions is well recognized throughout Asia, many countries do not have formal recommendations to guide the diagnosis and management of individuals at risk of progression to diabetes. At a recent regional meeting,experts from the Asian region convened to develop consensus recommendations to guide clinicians in themanagement of Asian patientswith pre-diabetes. These consensus recommendations provide a clear and conciseapproach to the management of individuals with IGT based on the available evidence and current best clinical practice.
Full text:332-Article Text-4468-1-10-201705271.pdf