PRE-DIABETES: A REVIEW

Recent reports suggested increased prevalence of diabetes in India (40.9 million) and other countries like China (38.9 million), US (19.2 million), Russia (9.6 million), and Germany (7.4 million). Currently, India is the diabetes capital of the world. Between 2010 and 2030, there might be a 69% increase in numbers of adults with diabetes in developing countries and a 20% increase in developed countries. Pre-diabetes is a metabolic disorder in which there will be slight increase in the blood glucose levels from the normal levels but they are not said to be diabetic. If this pre-diabetes is left untreated, it will lead to type II diabetes with complications like Heart disease, Stroke, Kidney disease and Blindness. There is no treatment for pre-diabetes, but by following some preventive measures, like decreasing obesity, BMI, taking healthy diet etc., we can help to prevent or delay diabetes and its complications. So by early detection of this pre-diabetes can help to avoid its complications. Pre-diabetes is more likely to occur in the patients who are obese, at the age group over 45, people who are physically inactive, having family history of diabetes, patients with polycystic ovary syndrome, history of gestational pre-diabetes, giving birth to baby with weight of 4kg and hypertension patients. So the pre-diabetic people should regularly monitor their blood glucose levels. Further understanding of pre-diabetes, its symptoms, diagnostic tests have to be evaluated. Indian epidemiological studies should be conducted in different age groups, in different geographical locations.