{"id":4751,"date":"2026-04-26T20:06:59","date_gmt":"2026-04-26T18:06:59","guid":{"rendered":"http:\/\/www.internalmed-journal.in.ua\/?p=4751"},"modified":"2026-05-15T22:05:34","modified_gmt":"2026-05-15T20:05:34","slug":"%d1%80%d0%be%d0%bb%d1%8c-%d1%81%d1%96%d0%bc%d0%b5%d0%b9%d0%bd%d0%be%d0%b3%d0%be-%d0%bb%d1%96%d0%ba%d0%b0%d1%80%d1%8f-%d1%83-%d1%80%d0%b0%d0%bd%d0%bd%d1%8c%d0%be%d0%bc%d1%83-%d0%b2%d0%b8%d1%8f%d0%b2","status":"publish","type":"post","link":"http:\/\/www.internalmed-journal.in.ua\/en\/archives\/4751","title":{"rendered":"The role of the family doctor in the early detection and management of prediabetes"},"content":{"rendered":"

Prof. O.M. Korzh, prof. L.V. Cherkashyna, assoc. prof. L.M. Tsogoeva <\/b><\/strong><\/p>\n

Kharkiv <\/b><\/strong>National Medical University, Department of general practice-family medic<\/b><\/strong><\/p>\n

Prediabetes is a common metabolic condition that often remains undiagnosed and significantly increases the risk of developing type 2 diabetes and cardiovascular complications.<\/p>\n

This article examines the role of the family physician in the early detection and management of prediabetes within primary healthcare.<\/p>\n

Particular attention is given to screening strategies, diagnostic criteria, and the identification of individuals at increased risk.<\/p>\n

Lifestyle modification, including dietary changes, increased physical activity, and behavioral interventions, is highlighted as the cornerstone of prevention, while pharmacological approaches such as metformin may be considered for selected high-risk patients.<\/p>\n

The paper also emphasizes the importance of a multidisciplinary approach, patient education, and addressing organizational barriers to improve the effectiveness of prevention in primary care.<\/p>\n

Key words:<\/b><\/strong>\u00a0prediabetes, family physician, primary care, screening, type 2 diabetes prevention<\/p>\n

https:\/\/doi.org\/10.15407\/internalmed2026.01.082<\/strong><\/p>\n

Download.PDF (ukr)<\/a><\/strong><\/p>\n

Cite:<\/strong><\/p>\n

\u041a\u043e\u0440\u0436, \u041e.\u041c. \u0420\u043e\u043b\u044c \u0441\u0456\u043c\u0435\u0439\u043d\u043e\u0433\u043e \u043b\u0456\u043a\u0430\u0440\u044f \u0443 \u0440\u0430\u043d\u043d\u044c\u043e\u043c\u0443 \u0432\u0438\u044f\u0432\u043b\u0435\u043d\u043d\u0456 \u0442\u0430 \u0443\u043f\u0440\u0430\u0432\u043b\u0456\u043d\u043d\u0456 \u043f\u0440\u0435\u0434\u0456\u0430\u0431\u0435\u0442\u043e\u043c \/ \u041e.\u041c. \u041a\u043e\u0440\u0436, \u041b.\u0412. \u0427\u0435\u0440\u043a\u0430\u0448\u0438\u043d\u0430, \u041b.\u041c. \u0426\u043e\u0433\u043e\u0454\u0432\u0430 \/\/ \u0421\u0445\u0456\u0434\u043d\u043e\u0454\u0432\u0440\u043e\u043f\u0435\u0439\u0441\u044c\u043a\u0438\u0439 \u0436\u0443\u0440\u043d\u0430\u043b \u0432\u043d\u0443\u0442\u0440\u0456\u0448\u043d\u044c\u043e\u0457 \u0442\u0430 \u0441\u0456\u043c\u0435\u0439\u043d\u043e\u0457 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0438. \u2014 2026. \u2014 \u2116 1. \u2014 \u0421. 82-86. doi: 10.15407\/internalmed2026.01.082<\/p>\n

Korzh OM, Cherkashyna LV, Tsogoeva LM. Rol simeinoho likaria u rannomu vyiavlenni ta upravlinni prediabetom [The role of the family doctor in the early detection and management of prediabetes]. Shidnoevr. z. vnutr. simejnoi med. 2026;1:82-86. Ukrainian. doi: 10.15407\/internalmed2026.01.082<\/p>\n

References:<\/strong><\/p>\n

    \n
  1. Aljahdali ROS. Integrated Laboratory Diagnostics, Oral Health-Dentistry Screening, And Primary Care Approaches For Early Detection And Comprehensive Management Of Diabetes. The Review of Diabetic Studies. 2024;20:246-259. https:\/\/doi.org\/10.70082\/tfrtmq26<\/a><\/li>\n
  2. Alnissayan AIA, Almasaari FH, Alothman NH, et al. A Literature Review on the Role of Family Medicine in the Early Detection and Management of Type 2 Diabetes. JoPH. 2024;4(3):1831-1840. https:\/\/doi.org\/10.63332\/joph.v4i3.3413<\/a><\/li>\n
  3. Alyahya AK, Rabbani U. Assessment of the Knowledge, Attitudes, and Practices of Primary Care Physicians Toward Prediabetes in Qassim, Saudi Arabia. Cureus. 2025;17(7):e87454. https:\/\/doi.org\/10.7759\/cureus.87454<\/a><\/li>\n
  4. Bell K, Shaw JE, Maple-Brown L, et al. A position statement on screening and management of prediabetes in adults in primary care in Australia. Diabetes Res Clin Pract. 2020;164:108188. https:\/\/doi.org\/10.1016\/j.diabres.2020.108188<\/a><\/li>\n
  5. Gupta A, Ogundele OJ, Rabet R, et al. Understanding the role and organization of health workers delivering non-communicable disease management in primary care in low- and middle-income countries: a scoping review. BMC Prim Care. 2025;26(1):365. https:\/\/doi.org\/10.1186\/s12875-025-03033-3<\/a><\/li>\n
  6. Jain S. ‘Prediabetes’ as a practical distinctive window for workable fruitful wonders: Prevention and progression alert as advanced professionalism. World J Clin Pediatr. 2024;13(1):89201. https:\/\/doi.org\/10.5409\/wjcp.v13.i1.89201<\/a><\/li>\n
  7. Ibrahim N, Ming Moy F, Awalludin IA, Mohd Ali Z, Ismail IS. Effects of a Community-Based Healthy Lifestyle Intervention Program (Co-HELP) among Adults with Prediabetes in a Developing Country: A Quasi-Experimental Study. PLoS One. 2016;11(12):e0167123. https:\/\/doi.org\/10.1371\/journal.pone.0167123<\/a><\/li>\n
  8. Evans PC, Vilahur G, Kleinbongard P, et al. Novel cardiovascular metabolic risk factor mechanisms and therapeutic opportunities. Eur Heart J. Published online March 6, 2026. https:\/\/doi.org\/10.1093\/eurheartj\/ehag116<\/a><\/li>\n
  9. Mathews E, Nair Anand TN, Joseph A, et al. Effectiveness of lifestyle modification in prediabetes remission among women with isolated impaired fasting glucose: A community-based, randomised controlled trial in India. Diabetes Res Clin Pract. 2026;232:113106. https:\/\/doi.org\/10.1016\/j.diabres.2026.113106<\/a><\/li>\n
  10. Zhang L, Cheng X, Yang Y, Li X, Yuan Y. Optimal dosage and modality of exercise on glycemic control in people with prediabetes: a systematic review and network meta-analysis. Front Endocrinol (Lausanne). 2025;16:1560676. https:\/\/doi.org\/10.3389\/fendo.2025.1560676<\/a><\/li>\n
  11. Saboo N, Kacker S. A Study on Yoga-Based Lifestyle Intervention versus Dietary Intervention Alone on Cardiometabolic Risk Factors among People with Prediabetes. Ann Afr Med. 2024;23(2):202-212. https:\/\/doi.org\/10.4103\/aam.aam_56_23<\/a><\/li>\n
  12. Amer BE, Abdelgalil MS, Hamad AA, et al. Metformin plus lifestyle interventions versus lifestyle interventions alone for the delay or prevention of type 2 diabetes in individuals with prediabetes: a meta-analysis of randomized controlled trials. Diabetol Metab Syndr. 2024;16(1):273. https:\/\/doi.org\/10.1186\/s13098-024-01504-8<\/a><\/li>\n
  13. Bee YM, Awasthi N, Gandhi M, et al. Effectiveness of an Incentives-Enhanced Stepped Care Intervention Program in Diabetes Prevention in a Multiethnic Asian Prediabetes Cohort: Results From the Pre-DICTED Randomized Controlled Trial. Diabetes Care. 2025;48(11):1951-1959. https:\/\/doi.org\/10.2337\/dc25-1555<\/a><\/li>\n
  14. Aljehani F, Alsulaiman A, Alqarni A, Almutairi F, Samkari M. Survey of Primary Care Physicians’ Screening and Treatment Practices for Prediabetes in Saudi Arabia. Cureus. 2022;14(1):e21475. https:\/\/doi.org\/10.7759\/cureus.21475<\/a><\/li>\n
  15. Silva LPD, Batalha APDB, Ghisi GLM, et al. Effects of an Exercise and Lifestyle Education Program in Brazilians living with prediabetes or diabetes: study protocol for a multicenter randomized controlled trial. Trials. 2024;25(1):701. https:\/\/doi.org\/10.1186\/s13063-024-08535-6<\/a><\/li>\n
  16. Ahmed A, Ahmed S, Shah WH, et al. Impact of lifestyle changes on prediabetes remission: Results from the Pakistan diabetes prevention trial. Diabetes Res Clin Pract. 2026;231:113019. https:\/\/doi.org\/10.1016\/j.diabres.2025.113019<\/a><\/li>\n
  17. Viswanathan V, Murugan P, Kumpatla S, Parveen R, Devarajan A. Prevention of diabetes from prediabetes in real world setting in South India. Diabetes Metab Syndr. 2024;18(5):103041. https:\/\/doi.org\/10.1016\/j.dsx.2024.103041<\/a><\/li>\n
  18. Jiang Q, Li JT, Sun P, Wang LL, Sun LZ, Pang SG. Effects of lifestyle interventions on glucose regulation and diabetes risk in adults with impaired glucose tolerance or prediabetes: a meta-analysis. Arch Endocrinol Metab. 2022;66(2):157-167. https:\/\/doi.org\/10.20945\/2359-3997000000441<\/a><\/li>\n
  19. Babu MS, Gowdappa HB, Kalpana T, Vidyalaxmi K, Nikhil B, Chakravarthy T. Knowledge, Attitude and Practices of Diabetic Patients – A Cross Sectional Study in a Tertiary Care Hospital in Mysore. J Assoc Physicians India. 2015;63(8):96.<\/li>\n
  20. Park Y, Choi HR, Lee JE, et al. Impact of real-time continuous glucose monitoring and personalized digital health coaching on glycemic control and lifestyle in patients with type 2 diabetes and prediabetes. Prim Care Diabetes. 2026;20(1):61-67. https:\/\/doi.org\/10.1016\/j.pcd.2025.12.002<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    Prof. O.M. Korzh, prof. L.V. Cherkashyna, assoc. prof. L.M. Tsogoeva Kharkiv National Medical University, Department of general practice-family medic Prediabetes is a common metabolic condition that often remains undiagnosed and significantly increases the risk of developing type 2 diabetes and cardiovascular complications. This article examines the role of the family physician in the early detection…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13,43,24,137],"tags":[],"translation":{"provider":"WPGlobus","version":"2.12.2","language":"en","enabled_languages":["uk","en","ru"],"languages":{"uk":{"title":true,"content":true,"excerpt":false},"en":{"title":true,"content":true,"excerpt":false},"ru":{"title":false,"content":false,"excerpt":false}}},"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts\/4751"}],"collection":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/comments?post=4751"}],"version-history":[{"count":4,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts\/4751\/revisions"}],"predecessor-version":[{"id":4820,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/posts\/4751\/revisions\/4820"}],"wp:attachment":[{"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/media?parent=4751"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/categories?post=4751"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.internalmed-journal.in.ua\/en\/wp-json\/wp\/v2\/tags?post=4751"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}