Glucose Intolerance

Carl A. Cassel, DO, FAAFP and Amy M. Davis, MD Reviewed 06/2017
 


BASICS

DESCRIPTION

  • Glucose intolerance is a chronic condition defined as blood glucose higher than considered normal, yet does not meet criteria levels for diabetes.

  • Individuals with impaired fasting gl...

DIAGNOSIS

Who to screen 
  • BMI ≥25

  • Age >45 years

  • First-degree relative with diabetes

  • High TG >250 mg/dL

  • HTN: BP >140/90 mm Hg or on treatment

  • Hx of GDM

  • Physical inactivity

  • Hx of cardiovascular disease

  • E...

TREATMENT

  • Therapeutic lifestyle modification to include physical activity focused on weight loss and medical nutrition therapy (preferably via a registered dietitian).

  • Lifestyle intervention reduced 3-...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • At least annual monitoring for development of diabetes with HbA1c, 2-hour OGTT, or fasting glucose

  • BP should be routinely measured.

  • Annual testing...

REFERENCES

American Diabetes Association. 2. Classification and diagnosis of diabetes. Diabetes Care.  2016;(39)(Suppl 1):S13–S22. [View Abstract on OvidInsights]
Centers for Disease Control and...

ADDITIONAL READING

  • Maruthur NM, Ma Y, Delahanty LM, et al. Early response to preventive strategies in the Diabetes Prevention Program. J Gen Intern Med.  2013;28(12):1629–1636.

  • Ramachandran A, R...

CODES

ICD10

  • E74.39 Other disorders of intestinal carbohydrate absorption

  • R73.09 Other abnormal glucose

  • R73.01 Impaired fasting glucose

  • R73.02 Impaired glucose tolerance (oral)

ICD9

  • 271.3 Intestinal disaccha...

CLINICAL PEARLS

  • Lifestyle optimization is essential for all patients with prediabetes.

  • Research shows that you can lower your risk for type 2 diabetes by 58% by losing 7% of your body weight (or 15 lb ...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×