Treatment of Prediabetes IGTIFG

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Intensive lifestyle behavior change programs that include monitoring of regular physical activity recommendations and nutrition counseling can reduce the risk of type 2 diabetes in this population by about 50%.

The following treatments are recommended for people with prediabetes (IGT or IFG):

• Intensive lifestyle behavioral change including a nutrition and activity plan by a registered dietitian, health educator, or other qualified health professional. Ongoing support of behavioral change is necessary.

Cardiovascular risk reduction appropriate to the needs of the individual.

• Regular follow-up and reassessment of risks including re-screening for diabetes every 1-3 years (American Diabetes Association, 2003i; Chiasson, 2002; Eriksson, 1999; HOPE Study Investigators, 2002; Kelly, 2002; Miles, 2002).

• There is some evidence of prevention of diabetes through pharmacotherapy with biguanides, alpha glucosidase inhibitors, ACE inhibitors, and thiazolidinediones. However, none of these treatments have proven to be as effective as lifestyle change.

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