Is conversion to type 2 diabetes inevitable? What are intervention strategies for preventing or delaying the conversion of prediabetes to diabetes?
Interventions to prevent or delay prediabetes from progressing to type 2 diabetes can be feasible and cost-effective, and many individuals in the United States could benefit from them, particularly those who are overweight or obese.16 Developing type 2 diabetes is not inevitable. A variety of clinical trials demonstrate that individuals with prediabetes can prevent or delay the progression to diabetes through lifestyle and some pharmaceutical interventions. These studies demonstrate that persons at risk for diabetes can be identified early in the disease progression, before exhibiting blood glucose values indicative of diabetes. Those individuals who lose weight and increase their physical activity can prevent or delay the development of diabetes. Moderate-intensity lifestyle interventions can delay development of type 2 diabetes by an average of 11 years and reduce the number of new cases of type 2 diabetes by 20%. Pharmacological interventions has shown to delay the onset of type 2 d