The Curbsiders Internal Medicine Podcast #481 Prediabetes and Diabetes Prevention with Dr. Scott Isaacs
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Apr 28, 2025 Join Dr. Scott Isaacs, an endocrinologist and obesity medicine specialist at Emory, as he sheds light on prediabetes and diabetes prevention. He discusses the importance of screening and personalized management, including lifestyle changes and medications. Discover how to navigate patient conversations about prediabetes, the significance of recognizing atypical cases, and explore diagnostic challenges. With insights on insulin resistance and the role of glucose testing, Dr. Isaacs provides essential strategies to combat diabetes risks!
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Prediabetes Is Highly Prevalent
- Over one-third of U.S. adults have prediabetes, yet most are unaware of it, making screening essential.
- Prediabetes prevalence is rising, especially in those with metabolic syndrome features like obesity and hypertension.
Who to Screen for Prediabetes
- Screen adults aged 35-70 with overweight or obesity for diabetes, per USPSTF guidelines.
- Also, consider screening younger adults with risk factors like family history or high-risk ethnicity, as recommended by ADA.
Use Both Fasting Glucose and A1C
- For diabetes screening, use both fasting plasma glucose and A1C simultaneously when possible.
- This dual testing avoids needing a second visit and improves diagnostic accuracy.