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TUESDAY, Nov. 8, 2016 (HealthDay News) Only about half of U.S. family doctors follow guidelines on screening patients for prediabetes, a new study finds. More than one-third of American adults have prediabetes, and most don’t know it.

Prediabetes means that blood sugar levels are higher than normal but not high enough to be diabetes. TUESDAY, Nov. 8, 2016 Only about half of U.S. family doctors follow guidelines on screening patients for prediabetes, a new study finds. Advertisement More than one-third of American adults. TUESDAY, Nov.

8, 2016 (HealthDay News) Only about half of U.S. family doctors follow guidelines on screening patients for prediabetes, a new study finds. More than one-third of American adults. (HealthDay)—Only about half of U.S. family doctors follow guidelines on screening patients for prediabetes, a new study finds.

More than one-third of American adults have prediabetes. TUESDAY, Nov. 8, 2016 (HealthDay News)—Only about half of U.S. family doctors follow guidelines on screening patients for prediabetes, a new study finds. More than one-third of American adults have prediabetes, and most don’t know it. Prediabetes means that blood sugar levels are higher than normal but not high enough to be diabetes.

HealthDay News — Only about half of US family doctors follow guidelines on screening patients for prediabetes, according to a study published in the Journal of the American Board of Family Medicine.. Noting that more than one-third of American adults have prediabetes, and most do not know it, University of Florida researchers surveyed 1248 family doctors in academic medical. (HealthDay News) — Only about half of U.S. family doctors follow guidelines on screening patients for prediabetes, according to a study. *A1C should be used only for screening prediabetes. The diagnosis of prediabetes, which may manifest as either IFG or IGT, should be confirmed with glucose testing. †Glucose criteria are preferred for the diagnosis of DM.

In all cases, the diagnosis should be confirmed on a separate day by repeating glucose or A1C testing. Most primary care physicians can’t identify all risk factors for prediabetes Researchers say findings may be a wake-up call for primary care providers Researchers who distributed a survey at a retreat and medical update for primary care physicians (PCPs) report that the vast majority of the 140 doctors who responded could not identify all 11 risk factors that experts say qualify patients for prediabetes screening. Screening involves the testing of asymptomatic, high-risk individuals to assess whether they meet the criteria for either prediabetes or type 2 diabetes.

Screening recommendations have been made by different groups, including the American Diabetes Association and the.

List of related literature:

If a patient is diagnosed with prediabetes, testing is indicated at least every 1–2 years.

“Clinical Handbook of Schizophrenia” by Kim T. Mueser, Dilip V. Jeste
from Clinical Handbook of Schizophrenia
by Kim T. Mueser, Dilip V. Jeste
Guilford Publications, 2008

Also, for those with prediabetes, screening can occur every 6 months; and patients with diabetes can receive outpatient self-management training that includes nutrition and exercise education.

“Health Promotion and Aging: Practical Applications for Health Professionals” by David Haber, PhD
from Health Promotion and Aging: Practical Applications for Health Professionals
by David Haber, PhD
Springer Publishing Company, 2013

Among the American adults who are simply overweight, more than 70 percent already have prediabetes because of undiagnosed and untreated insulin resistance, with significant increased risk of cardiovascular disease and death.

“Integrative and Functional Medical Nutrition Therapy: Principles and Practices” by Diana Noland, Jeanne A. Drisko, Leigh Wagner
from Integrative and Functional Medical Nutrition Therapy: Principles and Practices
by Diana Noland, Jeanne A. Drisko, Leigh Wagner
Springer International Publishing, 2020

♦ Screening in asymptomatic adults is recommended for prediabetes and type 2 diabetes.

“Wilkins' Clinical Practice of the Dental Hygienist” by Linda D. Boyd, Lisa F. Mallonee, Charlotte J. Wyche, Jane F. Halaris
from Wilkins’ Clinical Practice of the Dental Hygienist
by Linda D. Boyd, Lisa F. Mallonee, et. al.
Jones & Bartlett Learning, 2019

• Screening for prediabetes and diabetes in asymptomatic patients (see Table 3): 1.

“Ferri's Clinical Advisor 2019 E-Book: 5 Books in 1” by Fred F. Ferri
from Ferri’s Clinical Advisor 2019 E-Book: 5 Books in 1
by Fred F. Ferri
Elsevier Health Sciences, 2018

However, other programs include individuals who are overweight or obese and do not require that participants also have prediabetes.

“Handbook of Obesity Treatment, Second Edition” by Thomas A. Wadden, George A. Bray
from Handbook of Obesity Treatment, Second Edition
by Thomas A. Wadden, George A. Bray
Guilford Publications, 2019

Even if these tests could be conducted weekly, they would still represent only a small sample of a diabetic’s daily metabolism.

“Foods & Nutrition Encyclopedia, Two Volume Set” by Marion Eugene Ensminger, Audrey H. Ensminger
from Foods & Nutrition Encyclopedia, Two Volume Set
by Marion Eugene Ensminger, Audrey H. Ensminger
Taylor & Francis, 1993

Individuals diagnosed with prediabetes also are at higher risk for heart disease, stroke, and eye disease.

“Caring for Older Adults Holistically” by Tamara R Dahlkemper
from Caring for Older Adults Holistically
by Tamara R Dahlkemper
F.A. Davis Company, 2019

• Screening for prediabetes and diabetes in asymptomatic patients (see Table D1-13): 1.

“Ferri's Clinical Advisor 2016 E-Book: 5 Books in 1” by Fred F. Ferri
from Ferri’s Clinical Advisor 2016 E-Book: 5 Books in 1
by Fred F. Ferri
Elsevier Health Sciences, 2015

■ Prediabetes diagnosis represents an opportunity for behavioral and drug interventions.

“Conn's Current Therapy 2010 E-Book: Expert Consult” by Edward T. Bope, Robert E. Rakel, Rick D. Kellerman
from Conn’s Current Therapy 2010 E-Book: Expert Consult
by Edward T. Bope, Robert E. Rakel, Rick D. Kellerman
Elsevier Health Sciences, 2010

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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21 comments

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  • Hello everyone,
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  • diabetes can be controlled by home remedies and regular exercise and walk. #vaidjagjitsingh is an ayurvedic expert more then 30+ years of experience helps in treating diabetes naturally with herbal home remedies and ayurvedic medicines.

  • I find many people would rather not deal with finding out if they may have insulin issues. I think fear is a major factor, and misinformation by our media as well. Thank you for all you do.

  • Looking over “Vαnοjο Fivu” (Google it) will help you to recover from diabetes and get a healthy way of life. My has been following this plan consistently for over Forty five days. It`s been five years since he has been using insulin shots. He`s got been a type 2 diabetes patient for six years. His eating routine have positively changed since he has been an avid reader and follower of this program.

  • Kubler-Ross’s DABDA reaction applies to a lot of stuff BESIDES death; ANY “bad news” scenario can trigger resistance. Believe me, I know! I’ve carried over 100 pounds of “extra baggage” for DECADES before becoming willing to look at the facts of how it’s been impacting my health! And it’s not a static progression of “denial -> anger -> bargaining -> depression -> acceptance”, either! Even with all the info I’m learning here with your videos, Dr. B, I waffle back and forth between being willing to do what needs to be done and conning myself into thinking I can “get away with” harmful behavior for just a little bit longer!! This is MY stuff to deal with and it isn’t fair to blame the medics or anybody else for it! Thank you for all your encouragement, Dr. B you are doing great things every time you post a video! ♥

  • Thanks for the VDO Dr. Brewer. Indeed I have the same experience. Docs look very strange at you when you ask for an OGTT for checking on pre-diabetes and have not heard about the Kraft-Insulin survey. Question: have you ever done a VDO on how HbA1c is working in a human body. I am asking the because I noticed a very large fluctuation of my HbA1c values within a couple of months. When measuring 4 times in a year, approx. every 3 months, the values differ within a range from 4.7 to 5.7. However my lifestyle as well as my eating patron is rather stable during this whole year. Also I have the feeling that in general my HbA1c is higher than I would expect from my glucose levels. My glucose levels vary from 75 (fasted, which I am 20 hours a day) to 125 (1 hour after a meal) to 100 (2 hours after a meal). Based on these values I would expect my average glucose level to be around 90. This value would correspond with a HbA1c of about 4.7, which is significant lower than the average of my measured range from 4.7 to 5.7. Could it be that the HbA1c value is misleading and actually could for some people not be a good measurement for one’s average glucose level? Is there a better way to determine your average glucose level? For example by measuring your glucose level at home every two hours, except for the sleeping hours, and than calculate the average, doing this for a couple of days?

  • Thank you Dr Brewer,just diagnosed with Prediabetes by my Endocrinologist (Sydney Australia)and prescribed Metformin,i thought just great!!! something else to add to Addisons Disease and Hemochromatosis, i learn something new every time i watch your videos.

  • dear DR Brewer.as you suggested i got OGTT with insulin. fasting BG =78 and insulin =2.3. one hour BG =134 and insulin= 48.4 and two hour BG= 50 and insulin= 25 and A1C= 5.5 and triglyceride over HDL ratio =1.4 with CAC of 380. taking 5mg statin daily and supplementing vitamins K2d3omega3 B6 B12 folic acid magnesium C turmeric garlic appel cider vinegarand the kitchen sink. your thoughts are valued and respected as a good doctor. thank you.

  • Winner of a video, I been tryin to find out about “type 2 insulin dependent diabetes” for a while now, and I think this has helped. Have you ever come across Laniley Kansabella Magic (search on google )? Ive heard some interesting things about it and my colleague got great success with it.

  • By simply selecting “Vαnοjο Fivu” (Google it), you will overcome diabetes and set you to a more good lifestyle. For a time period of 1 ½ months, my husband has been an enthusiastic follower of the plan. It`s been five years since he has been taking insulin shots. He has been a type 2 diabetes patient for 6 years. His dietary habits get positively changed since he has been an avid reader and follower of this program..

  • 18% of US teens have pre-diabetes! It’s pretty clear Metabolic syndrome and diabetes is the greatest epidemic in the history of the Republic! Really the world! Technology has engineered physical activity out of humans as well as socialization!

  • I know your primary audience is in US, but it’s good to always use international units in conjunction with imperial units as posting on YouTube gives you international audience

  • Thanks alot fantastic
    But in lecture you mentioned serum glucose more than 126 for diagnose but you didnt say if it should be fasting

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  • Thanks
    If you are told you will soon die you will something about it…….why not change your lifestyle if you doc says your eating too much sugar

  • I was looking through some medical records (I moved recently, so am changing medical providers.) I was diagnosed with pre-diabetes some time ago, but I don’t recall ever really getting any advice other than “we’d keep an eye on it.” The diagnosis was based on a non-fasting blood sugar level and hbA1c. I think you are right about the finger pointing… The Dr’s office didn’t seem to be much on advising me to change my diet, but at the same time, I probably wasn’t highly motivated to change or ask until recently watching my oldest brother have to inject insulin before eating every time we go out to dinner, and after he had to have a triple bypass. And when a visit of longer than 15 minutes is an “extended visit” and we as individuals get treated statistically as if we’re all equally representative of a population cohort, (for example, being brow-beaten into taking a maintenance drug when the NTT is 77) then I think we have a systemic problem in the health care system, no matter how good our PCP may be.

  • IIRC, Ivor Cummins and Jeffry Gerber, MD. have stated that 60%-70% of adults in the US over 45 are pre-diabetic or diabetic. There are predictions that diabetes will bankrupt our healthcare system. Hopefully, changes will occur before that happens but I’m dubious that it will.

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