n CME : Your SA Journal of CPD - Pre-diabetes and the metabolic syndrome : more about




The American Diabetes Association (ADA) defines pre-diabetes as a fasting plasma glucose (FPG) ≥5.6 mmol/l but <7.0 mmol/l, which is termed impaired fasting glycaemia (IFG), or an abnormal 2-hour response to a 75 g oral glucose tolerance test (OGTT) of at least 7.8 mmol/l and <11.1 mmol/l, which is termed impaired glucose tolerance (IGT), or an HbA of 5.7 - 6.4%. It is used to identify individuals with a greater risk of developing overt type 2 diabetes and also those at increased cardiovascular risk. Pre-diabetes represents a continuum in the spectrum between normoglycaemia and overt hyperglycaemia.


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