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Pbkp_rediabetes in Colombia: Expert consensus

Abstract:

The prevalence of Pbkp_rediabetes in Colombia is high, and despite being recognized and categorized in the main Medical Guidelines and included in the International Classification of Diseases in Colombia, knowledge and awareness of it is limited amongst healthcare professionals and in the community. Our expert group recommends that educational programs emphasize a global approach to risk which includes a recognition of the importance of pbkp_rediabetes and its evaluation along with and other risk factors such as a family history of DM2, overweight and obesity, dislipidemia and hypertension. Studies conducted in Colombia demonstrate the value of the FINDRIS questionnaire as a tool to identify subjects at risk of pbkp_rediabetes and DM2, and we recommend that it should be systematic applied throughout the country as part of government policy. Pbkp_rediabetes progresses to DM2 at an annual rate of 10%, but it has also been shown that pbkp_rediabetes is an independent risk factor for cardiovascular outcomes. On this basis, the Committee recommends that once pbkp_rediabetes is detected and diagnosed, immediate management of the disease begins through lifestyle changes, with follow up assessments performed at 3 and 6 months. If the patient does not respond with a weight loss of at least 5% and if the HbA1C values are not normalized, pharmacological management should be initiated with a metformin dose of 500 mg/day, increasing up to 1,500-1,700 mg/day, according to tolerance.