Screening for Prediabetes and Type 2 Diabetes

Importance An estimated 13% of all US adults (18 years or older) have diabetes, and 34.5% meet criteria for prediabetes. The prevalences prediabetes diabetes are higher in older adults. Estimates the risk progression from to vary widely, perhaps because differences definition heterogeneity Diabetes is leading cause kidney failure new cases blindness among US. It also associated with increased risks cardiovascular disease, nonalcoholic fatty liver steatohepatitis was be seventh death 2017. Screening asymptomatic type 2 may allow earlier detection, diagnosis, treatment, ultimate goal improving health outcomes. Objective To update its 2015 recommendation, USPSTF commissioned a systematic review evaluate screening asymptomatic, nonpregnant preventive interventions those Population Nonpregnant aged 35 70 seen primary care settings who overweight obesity (defined as body mass index ≥25 ≥30, respectively) no symptoms diabetes. Evidence Assessment concludes moderate certainty that offering referring patients effective has net benefit. Conclusions Recommendation recommends obesity. Clinicians should offer refer interventions. (B recommendation)