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. 2014 Jul 16;349:g4485. doi: 10.1136/bmj.g4485

Evidence on value of various definitions of sub-diabetes

Diabetes Arterial disease Retinal disease
Predicts Effect of lifestyle interventions Effect of drugs Predicts Effect of lifestyle interventions Effect of drugs Predicts
Impaired glucose tolerance (7.8-11.1 mmol/L)* +++ +++ (delays) +++ (disguises) ? +
+ (prevents) + (prevents)
Impaired fasting glucose (6.1-6.9 mmol/L) ++ ? (+)† + ? ? ?
Expanded impaired fasting glucose (5.6-6.9 mmol/L) + ? ? + ? ? ?
Borderline HbA­1c (6.0-6.4%) ++ ? ? + ? ? ?
Expanded borderline HbA1c (5.7-6.4%) + ? ? + ? ? ?

*Two hours after 75 g glucose load.

† The DREAM Study included 14% of subjects with impaired fasting glucose in whom rosiglitazone showed comparable effects to those with impaired glucose tolerance at the end of the intervention,37 although this group was not reported separately after drug washout.45