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Abstract
[2] These two large-sample studies although by different diagnostic criteria together indicate that the prevalence of prediabetes is high in China and that one major problem is postload hyperglycemia. Since prediabetes itself causes no obvious clinical manifestations, proactive efforts must be made to spotlight it. [...]the Chinese Society of Endocrinology (CSE) has developed a consensus regarding the prevention of type 2 diabetes in Chinese adults. Inclusion criteria: (1) age >40 years; (2) history of prediabetes; (3) overweight status or obesity (body mass index [BMI] >24 kg/m 2), male waist circumference >90 cm, female waist circumference >85 cm; (4) sedentary lifestyle; (5) family history of T2DM among first-degree relatives; (6) women with history of delivering large babies (macrosomia, birth weight >4 kg), overt diabetes in pregnancy or gestational diabetes mellitus; (7) hypertension (systolic blood pressure >140 mmHg and/or diastolic blood pressure >90 mmHg) or antihypertensive therapy; (8) dyslipidemia (high-density lipoprotein cholesterol <0.91 mmol and triglyceride >2.22 mmol/L or receiving lipid-lowering therapy); (9) ASCCVD; (10) history of steroid diabetes; (11) polycystic ovary syndrome; (12) long-term use of special medications such as glucosteroids and antidepressants. For this reason, OGTT is recommended to assess glucose metabolism for these aged and other high-risk individuals (such as those diagnosed with coronary heart disease or additional risk factors). The content of educational materials includes at least relevant information regarding prediabetes and diabetes (e.g., definitions of prediabetes and diabetes, medical nutrition therapy, exercise, and smoking cessation). Lifestyle intervention includes medical and nutrition therapy and exercise to reduce the...