Prediabetes: a must to recognise disease state

@article{Eldin2008PrediabetesAM,
  title={Prediabetes: a must to recognise disease state},
  author={Walid Shehab Eldin and Mahmoud Emara and Ahmed Shoker},
  journal={International Journal of Clinical Practice},
  year={2008},
  volume={62}
}
Prediabetes mellitus (PDM) is defined as a state of abnormal glucose homeostasis in which deficiency or resistance to insulin is the hallmark. PDM precedes the development of overt type 2 DM. It is associated with increased mortality and morbidity and thus fits well with the criteria of a disease condition. Framing PDM as a disease and not a risk or a ‘pre’ stage for diabetes is needed to facilitate early management. 
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Higher fast glucose determinations and greater BMI are the main determinants for DM2 development in a Mexican pre-diabetic population.
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Preferred terminologies such as “prediabetes” and “at high risk for diabetes” have entered the clinical lexicon and are felt to be simple enough to be understood by the average patient and also sufficiently motivating to encourage lifestyle change to prevent further deterioration to type 2 diabetes.
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TLDR
Findings suggest that abnormal fasting glucose, which is a predisposing factor for diabetes mellitus, does not appear to be a risk indicator for periodontal disease, and patients with prediabetes need to undergo continuous examinations and management of periodontAL disease.
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TLDR
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University of Minnesota Ph.D. dissertation. October 2011. Major: Epidemiology. Advisor:James S. Pankow. 1 computer file (PDF); ix, 184 pages, appendix I.
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