ภาวะก่อนเบาหวานและการป้องกันการเกิดโรคเบาหวานชนิดที่ 2 : การทบทวนวรรณกรรมอย่างเป็นระบบ

Abstract

The purpose of this integrative review was to synthesize knowledge of prediabetes and prevention of type 2 diabetes in prediabetes by using Cooper’s method, key word terms were used to search in database.  15 articles that met the criteria’s study.

The result of the study was found 2 themes. The first prevalence of prediabetes in the normal population and special groups is about 13.6%-27.3%. The second strategy for prevention of type 2 diabetes had 2 methods 1) medical treatment by vitamin D supplementation significantly reduced the risk of T2DM risk ratio (RR) 0.89 (95%CI 0.80-0.99). The benefit was found in nonobese subjects RR 0.73 (95%CI 0.57-0.92)   and 2) non-medical treatment by program for health behavior modification which modified from Diabetes Prevention Program (DPP) and 3 E 2S concept. The most of programs included sessions of education of risk factors of diabetes and self-management of food, exercise, stress, smoking and alcohol consumption. The duration of programs was 4-24 weeks, however lifestyle intervention program duration ≥12 months had significant and consistent result outcomes related to prediabetes than < 12 -month programs.  Monitoring of the program was done through home visits, and telephone visit.  The effectiveness of programmed was assessed by knowledge, behavior, health beliefs, body weight, body mass index, waist circumference, fasting plasma glucose and hemoglobin A1C however, lack of assessed incidence of T2DM in the long term of the programs.

Key word prediabetes , prevention