Identification and management of prediabetes: results of the Latin America Strategic Prediabetes Meeting/Identificacion y manejo de la prediabetes: resultados del Encuentro Estrategico de Prediabetes de America Latina/Identificacao e gerenciamento de prediabetes: resultados da Reuniao Estrategica de Prediabetes da America Latina.(Special report texto en ingles)

To understand the status of prediabetes diagnosis and treatment in Latin America and to evaluate the use of metformin for diabetes prevention in this context. A panel of 15 diabetes experts from seven countries in Latin America met on 14 - 15 August 2014 in Lima, Peru, to review the available literature, discuss the role of prediabetes in type 2 diabetes mellitus and cardiovascular disease, analyze collected information, and make conclusions for prediabetes diagnosis and treatment in Latin America. Prediabetes diagnosis, screening, and treatment, including lifestyle changes, pharmacological treatment, and cost-effectiveness were discussed. Five resulting statements were issued for Latin America: prediabetes is a clinical and public health problem; health care systems do not currently diagnose/treat prediabetes; use of prediabetes risk detection tools are needed region-wide; treatment includes lifestyle changes, multidisciplinary education, and metformin; and registries of patient records and further studies should be supported. The expert panel concluded that in Latin America, preventive treatment through lifestyle changes and metformin are cost-effective interventions. It is important to improve prediabetes identification and management at the primary care level. Keywords Prediabetic state; diabetes mellitus, type 2; diabetes, prevention & control; Latin America. Comprender el estado del diagnostico y el tratamiento de la prediabetes en America Latina y evaluar el uso de la metformina para la prevencion de la diabetes en este contexto. Un panel de 15 expertos en diabetes de siete paises de America Latina se reunio del 14 al 15 de agosto de 2014 en Lima, Peru, para revisar la literatura disponible, discutir el papel de la prediabetes en la diabetes mellitus tipo 2 y la enfermedad cardiovascular, analizar la informacion recolectada y formular conclusiones para el diagnostico y el tratamiento de la prediabetes en America Latina. Se analizaron el diagnostico, el tamizaje y el tratamiento de la prediabetes, inclusive los cambios en el estilo de vida, el tratamiento farmacologico y la relacion costo-eficacia. Se emitieron cinco conclusiones para America Latina: la prediabetes es un problema clinico y de salud publica; los sistemas de atencion de la salud actualmente no diagnostican o no tratan la prediabetes; el uso de herramientas de deteccion del riesgo de prediabetes es necesario en toda la region; el tratamiento incluye cambios en el estilo de vida, educaci