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Epidemiology of prediabetes

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The 2020 National Diabetes Statistics Report published by the Centers for Disease Control and Prevention estimated the prevalence of prediabetes (defined by 2020 ADA criteria) to be 38.0% (95% confidence interval (CI) 35.2–40.8) among adults in the United States (U.S.) [1, 16]. Overall, the prevalence of prediabetes has not changed significantly from 2005–2016. However, the number of U.S. adults who are aware that they have prediabetes increased from 6.5% (95% CI 5.3–7.9) in 2005–2008 to 13.3% (95% CI 11.0–16.0) in 2013–2016. Further, the prevalence of prediabetes increases with age: 29.1% (95% CI 25.2–33.3) of adults 18–44 years of age; 46.3% (95% CI 43.5–49.1) of adults 45–64 years of age; and 51.0% (95% CI 46.5–55.5) of adults ≥ 65 years of age. Prediabetes is also more common in men, whose prevalence is 42.3% (95% CI 38.1–46.5), compared to women, whose prevalence is 33.7% (95% CI 30.7–36.8). The prevalence of prediabetes is similar among racial/ethnic groups and among individuals of different education levels [16].

Clinical Dilemmas in Diabetes

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