Читать книгу Clinical Dilemmas in Diabetes - Группа авторов - Страница 31

The 2020 ADA guidelines recommend that patients with prediabetes participate in an intensive behavioral lifestyle intervention program modeled on the DPP to achieve and maintain 7% weight loss and to achieve ≥ 150 minutes/week of moderate intensity physical activity (such as brisk walking) [103]. Additionally, the ADA recommends that a variety of eating patterns are acceptable for patients with prediabetes including the Mediterranean diet and a low‐calorie, low‐fat diet. Regarding pharmacologic therapy, the 2020 ADA guidelines state that metformin for prevention of DM should be considered in patients with prediabetes, especially those with BMI ≥ 35 kg/m², those aged < 60 years, and women with prior GDM.