TY - JOUR T1 - Prediabetes: An Update and a Rational for Diagnostic Confusion AU - Özşahin, Akatlı Kürşad AU - Bakiner, Okan Sefa AU - Bozkırlı, Emre AU - Aksöyek, Aydan PY - 2019 DA - March DO - 10.21763/tjfmpc.528045 JF - Turkish Journal of Family Medicine and Primary Care JO - TJFMPC PB - Aile Hekimliği Akademisi Derneği WT - DergiPark SN - 1307-2048 SP - 85 EP - 94 VL - 13 IS - 1 LA - en AB - The aim of this review isto increase awareness for prediabetes and help diagnose maximum number ofprediabetic patients with minimum number of tests for physicians and healthcare workers. Prediabetes is a significant health problem because it can causemicrovascular and macrovascular complications, accompany metabolic syndrome andpredict the development of diabetes. It is common worldwide; however, mostpatients cannot be diagnosed because single tests used for scanning it have lowdiagnostic value alone. In addition; different definitions released bydifferent organizations increase the clinicians’ concept of confusion. As aresult; developing complications in initially undiagnosed patients call forgreater efforts and costs. Therefore: an early and correct diagnosis ofprediabetes is important. It is not rational to increase the number of testsfor every case considering increased costs. According to this; classificationof cases depending on risk status would be correct to assess the tests forscanning. The risk stratification is also discussed. Primary care physiciansneed to have a good understanding of screening for prediabetes as a corecompetency and to serve proactively.Bu derlemenin amacıhekimlerin prediyabet farkındalığını artırmak ve en az sayıda test ile en fazlasayıda prediyabetik hastanın teşhis edilmesine yardımcı olmaktır. Prediyabetmikrovasküler ve makrovasküler komplikasyonlar oluşturması, metabolik sendromaeşlik etmesi ve diyabet gelişimini öngürdürmesi açısından önemli bir sağlık sorunudur.Dünyada oldukça yaygın olup tek bir testle tanısal değeri düşük olduğu içinhastaların çoğu teşhis alamamaktadır. Ek olarak değişik çalışma gruplarınınortaya koyduğu değişik yaklaşımlar klinisyenlerin konsept karmaşasınıartırmaktadır. Sonuç olarak erken dönemde teşhis edilememiş hastalarda gelişenkomplikasyonlar daha fazla çaba ve maliyete sebep olur. Bu yüzden prediyabetinerken ve doğru teşhisi gereklidir. Maliyetler gözönüne alındığında prediyabetteşhisine yönelik her hasta için çok sayıda test istenmesi de akla yakıngözükmemektedir. Buna göre; tanı için gerekli testlerin belirlenmesindevakaların sahip olduları risk durumuna göre sınıflandırılması doğru olacaktır.Risk belirlenmesi konu içinde tartışılmıştır. 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American association of clinical endocrinologists and american college of endocrinology - clinical practice guidelines for developing a diabetes mellitus comprehensive care plan - 2015.Endocr Pract. 2015 April ; 21(Suppl 1): 1–87 UR - https://doi.org/10.21763/tjfmpc.528045 L1 - https://dergipark.org.tr/tr/download/article-file/650693 ER -