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Early Diabetes Test Recommended for Overweight U.S. Adults

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A woman with type 2 diabetes is preparing to inject insulin at her home in Las Vegas. According to national guidelines updated on Tuesday, August 24, 2021, overweight or obese Americans should start screening for diabetes and prediabetes early at age 35 instead of 40. (AP Photo / John Locher)

According to the latest national guidelines released on Tuesday, overweight and obese Americans should start screening for diabetes early at age 35 instead of 40. New advice comes from studies showing an increased incidence of both obesity and type 2 diabetes, and the health benefits of preventative measures and early treatment. Three in four adults in the United States are overweight or obese and are more likely to develop diabetes.

Of adults over the age of 18, 14% have already been diagnosed with diabetes and 33% have already been diagnosed with diabetes. Prediabetes.. We recommend screening up to 70 years old.

NS guidance Published online in the Journal of the American Medical Association by the United States Preventive Services Task Force, an advisory group of the United States Government. Updated Task Force 2015 recommendations that overweight or obese American Indians, blacks, Hispanics, and other groups with disproportionately high diabetes rates should consider earlier screening. Stated.

The American Diabetes Association states that overweight or obese adults of all ages need to be screened.

Screening means a blood test to measure sugar content, and you may drink a high-sugar liquid first. The new guidance suggests that people with successful tests can be screened every three years.

Type 2 diabetes impairs the body’s ability to use insulin to regulate blood sugar levels, leading to high levels that can cause heart problems, organ damage, and blindness. Prediabetes means higher than normal blood sugar levels, which can lead to full-blown diabetes.

The incidence of type 2 diabetes has increased in recent years along with the obesity rate. According to a 2001-17 report in the same journal, the proportion of children aged 10-19 has almost doubled, jumping from 34 per 100,000 children to 67 per 100,000.

According to Task Force guidance, there is evidence that diet and physical activity can prevent or delay diabetes in adults with prediabetes. The diabetes drug metformin has been shown to do the same, but its use has not been approved, the Task Force said. The drug is not risk-free, and some doctors oppose its use, saying that two-thirds of pre-diabetics do not develop the disease.

According to JAMA’s editorial, there is evidence that few US adults with prediabetes are referred to in diabetes prevention or weight loss programs that may help avoid diabetes and its complications. It seeks a broader and more effective preventive program that is covered by insurance and available to those who need them most.

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