Prevention and delay of developing diabetes

 • Patients with prediabetes should be referred to Diabetes Prevention Program (DPP): –

an intensive diet loss of 7% of body weight

 – physical activity increase their moderate intensity physical activity (such as brisk walking) to at least 150 min/week. A –

 behavioral counseling program

• Follow-up counseling and maintenance programs should be offered for long-term success in preventing diabetes. B

• Based on the cost-effectiveness of diabetes prevention, such programs should be covered by third-party payers. B

• Metformin for prevention of type 2 diabetes should be considered in those with prediabetes, especially with: A – BMI > 35 kg/m

2, – aged < 60 years, – women with prior gestational diabetes mellitus. • At least annual monitoring

for the development of diabetes in those with prediabetes. E

Screening for and treatment of modifiable risk factors for cardiovascular disease is suggested. B • Diabetes self-management education and support programs can prevent or delay the onset of diabetes. B

• Technology-assisted tools (Internet-based social networks, distance learning, DVD-based content,

and mobile applications) can be useful for effective lifestyle modification to prevent diabetes. B