As part of the clinician school at the MSE on PVC “Uspen DH” on December 2, 2024, a seminar on the topic “Prediabetes in the practice of GP” was held among the medical staff under the guidance of the academic mentor, PhD, Acting Associate Professor S.M. Adilgozhina, for the attached population.

Prediabetes is a condition where blood glucose levels are higher than normal but do not reach the threshold for diagnosing type 2 diabetes. Typically, the diagnosis of prediabetes is made using a fasting glucose test (glucose level from 5.6 to 6.9 mmol/L) or an oral glucose tolerance test (glucose level 2 hours after a glucose load from 7.8 to 11.0 mmol/L). Another diagnostic tool is the determination of glycated hemoglobin (HbA1c), which in prediabetes ranges from 5.7% to 6.4%.
The role of the general practitioner is in the early detection and prevention of diabetes development in patients with prediabetes. Prediabetes prevention includes several key aspects. First, it is important to maintain a balanced diet by limiting sugar and simple carbohydrate consumption while increasing the intake of vegetables, fruits, and whole-grain products. Regular physical activity helps improve insulin sensitivity and maintain normal blood sugar levels. Weight control also plays an important role: losing 5-10% of total body weight can significantly reduce the risk of developing diabetes. Regular monitoring of blood sugar, blood pressure, and cholesterol levels helps detect changes early and prevent complications. It is also important to quit smoking and limit alcohol consumption, as they can worsen metabolic issues. Managing stress also helps reduce risks.