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Summary of recommendations
Defi nition, natural history, diagnostic criteria and DM 2 screening
B
D
C
The use of HbA 1
c is not recommended as a diagnostic criteria in patients with impaired
fasting glucose.
The development of studies within our field is recommended to assess the diagnostic validity
of HbA 1
c in these situations.
Annual screening of diabetes through fasting plasma glucose in the population at risk,
defined by hypertension, hyperlipemia, obesity, gestational diabetes or obstetric pathology
( macrosomia, repeated miscarriages, malformations), impaired blood glucose, and
impaired glucose tolerance at any age; and every three years in patients aged 45 or more,
within a structured program on cardiovascular prevention.
Capillary blood glucose is not recommended as diagnosis test in population at risk.
Prevention of diabetes in patients with intermediate hyperglycaemia
A
A
In patients with impaired glucose tolerance or impaired fasting glucose, the structured
programs recommended are those, which foster physical exercise and diet.
The use of pharmacological treatments is not recommended for patients with impaired
glucose tolerance or impaired fasting glucose.
Diet and exercise
Diet
D
A
B
B
B
The distribution of the intake of carbohydrates during the day to enable glycemic control,
adjusting this to pharmacological treatment is recommended.
The use of phaStructured programs which combine physical exercise and dietary advice,
reducing the intake of fat (