Dear John,
Warm greetings from Sunny Southend on the east coast of England.
No wonder you get a lot requests for info on IGT. Please see the BMJ paper
below. The authors of the paper concluded "Awareness of impaired glucose
tolerance needs to be raised, and guidelines for management are needed.
General practitioners remain to be convinced that they have a role in
attempting to reduce the incidence of type 2 diabetes by targeting
interventions at patients with impaired glucose tolerance".
Impaired glucose tolerance: qualitative and quantitative study of general
practitioners' knowledge and perceptions
http://bmj.bmjjournals.com/cgi/content/full/324/7347/1190
The following might answer some of your questions and could be a starting
point if you want to put something together on this topic.
In individuals with IGT, a structured program of lifestyle modification
that includes moderate weight loss and regular physical activity should be
implemented to reduce the risk of type 2 diabetes [Grade A, Level 1A
(25,26)
In individuals with IGT, pharmacologic therapy with metformin (biguanide)
[Grade A, Level 1A (26)] or acarbose (alpha-glucosidase inhibitor) [Grade
A, Level 1A (28)] should be considered to reduce the risk of type 2
diabetes
http://www.diabetes.ca/cpg2003/faq.aspx
(Expand Question 4)
Warm regards & very best wishes,
Badri
Dr.P.Badrinath MD BS M.Phil MPH PhD MFPH
SPR in Public Health & Recognised Clinical Teacher,
Southend PCT & University of Cambridge,
Harcourt Avenue, Southend on Sea, UK, SS2 6HE
http://myprofile.cos.com/badrishanthi
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