TherapyTherapyТерапия2412-40362713-1823Bionika Media62616110.18565/therapy.2023.9.108-116REVIEWSОБЗОРЫReview ArticleModern viewpoint at prediabetes: Prevalence, diagnostic criteria, risk groups, screeningСовременный взгляд на предиабет: встречаемость, критерии диагностики, группы риска, скринингhttps://orcid.org/0000-0001-7825-55973674-9620LarinaVera N.ЛаринаВера Николаевна
Russian Federation

MD, Professor, Head of the Department of Polyclinic Therapy of the Faculty of General Medicine

д.м.н., профессор, зав. кафедрой поликлинической терапии лечебного факультета

larinav@mail.ruhttps://orcid.org/0000-0001-7922-38968731-5610LankinAnton O.ЛанкинАнтон Олегович
Russian Federation

Resident of the Department of Outpatient Therapy of the Faculty of General Medicine

ординатор каф. поликлинической терапии лечебного факультета

lankin99_99@mail.ruhttps://orcid.org/0000-0002-3177-34079394-2871LarinVladimir G.ЛаринВладимир Геннадьевич
Russian Federation

PhD in Medical Sciences, Associate Professor, Associate Professor of the Department of Polyclinic Therapy of the Faculty of General Medicine

к.м.н., доцент, доцент кафедры поликлинической терапии лечебного факультета

larinvladimir@mail.ruhttps://orcid.org/0000-0003-2196-67392329-0384GolovkoMilada G.ГоловкоМилада Геннадиевна
Russian Federation

PhD in Medical Sciences, Associate Professor, Associate Professor of the Department of Polyclinic Therapy of the Faculty of General Medicine

к.м.н., доцент, доцент кафедры поликлинической терапии лечебного факультета

larinav@mail.ruN.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of RussiaФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава России15092023991081162801202428012024Copyright ©; 2023, Bionika MediaCopyright ©; 2023, ООО «Бионика Медиа»2023Bionika MediaООО «Бионика Медиа»https://journals.eco-vector.com/2412-4036/article/view/626161

Prediabetes is an important problem of our time, as it is not only a metabolic condition associated with a high risk of type 2 diabetes mellitus developing, but also has a role of independent predictor of the development of cardiovascular diseases and other complications. Quite often diabetes it is proceeding asymptomatic, and therefore current review considers the risk factors associated with prediabetes, basing on which the primary care physician will be able to examine the relevant group of patients more specifically. Despite existing generally accepted criteria, diagnosing prediabetes remains to be a quite complicated task, since the world’s leading experts do not agree on the threshold values for this condition. Use of comprehensive screening and lower glycemic values may lead to earlier detection of prediabetes and slow its further progression.

Предиабет является важной проблемой современности, так как представляет собой не только метаболическое состояние, сопряженное с высоким риском развития сахарного диабета 2-го типа, но и выступает самостоятельным предиктором развития сердечно-сосудистых заболеваний и других осложнений. Довольно часто он протекает бессимптомно, в связи с чем в представленном обзоре рассматриваются факторы риска, ассоциированные с предиабетом, ориентируясь на которые врач первичного звена сможет более прицельно исследовать соответствующую группу пациентов. Несмотря на существующие общепринятые критерии, диагностика предиабета остается сложной задачей, поскольку у ведущих мировых экспертов нет единой точки зрения относительно пороговых значений этого состояния. Применение комплексного скрининга и более низкие значения гликемии могут способствовать более раннему выявлению предиабета и замедлению его дальнейшего прогрессирования.

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