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The prevalence of Prediabetes in Colombia is high, and despite being recognized and categorized in the main Medical Guidelines and included in the International Classification of Diseases in Colombia, knowledge and awareness of it is limited amongst healthcare professionals and in the community. Our expert group recommends that educational programs emphasize a global approach to risk which includes a recognition of the importance of prediabetes and its evaluation along with and other risk factors such as a family history of DM2, overweight and obesity, dislipidemia and hypertension. Studies conducted in Colombia demonstrate the value of the FINDRIS questionnaire as a tool to identify subjects at risk of prediabetes and DM2, and we recommend that it should be systematic applied throughout the country as part of government policy.Prediabetes progresses to DM2 at an annual rate of 10%, but it has also been shown that prediabetes is an independent risk factor for cardiovascular outcomes. On this basis, the Committee recommends that once prediabetes is detected and diagnosed, immediate management of the disease begins through lifestyle changes, with follow up assessments performed at 3 and 6 months. If the patient does not respond with a weight loss of at least 5% and if the HbA1C values ​​are not normalized, pharmacological management should be initiated with a metformin dose of 500 mg / day, increasing up to 1,500 - 1,700 mg / day, according to tolerance.

Patricio López-Jaramillo, -Clínica de Síndrome Metabólico, Prediabetes y Diabetes, Bucaramanga, Colombia -Fundación Oftalmológica de Santander (FOSCAL), Bucaramanga, Colombia

Director de Investigación, Desarrollo e Innovación Tecnológica, Clínica de Síndrome Metabólico, Prediabetes y Diabetes, Bucaramanga, Colombia

Carlos Calderón, -Federación Diabetológica Colombiana (FDC), Bogotá, Colombia -Fundación Santandereana de Diabetes (FUSANDE), Bucaramanga, Colombia.

-Federación Diabetológica Colombiana (FDC), Bogotá, Colombia

-Fundación Santandereana de Diabetes (FUSANDE), Bucaramanga, Colombia.

Jorge Castillo, - Sociedad Colombiana de Sarcopenia (SCS), Bogotá, Colombia. - Federación Diabetológica Colombiana (FDC), Bogota, Colombia.

- Presidente de la Sociedad Colombiana de Sarcopenia (SCS), Bogotá, Colombia.

- Vicepresidente de la Federación Diabetológica Colombiana (FDC), Bogota, Colombia.

Iván Darío Escobar, - Fundación Colombiana de Obesidad (FUNCOBES), Bogotá, Colombia. - Asociación Colombiana de Endocrinología (ACE), Bogota, Colombia

- Ex Presidente de la Fundación Colombiana de Obesidad (FUNCOBES), Bogotá, Colombia.

- Delegado de la Asociación Colombiana de Endocrinología (ACE), Bogota, Colombia

Enrique Melgarejo, -Sociedad Colombiana de Cardiología y Cirugía Cardiovascular (SCC), Bogotá, Colombia. -Colegio Panamericano del Endotelio (CPE), Bogotá, Colombia.

- Presidente de la Sociedad Colombiana de Cardiología y Cirugía Cardiovascular (SCC), Bogotá, Colombia.

-Presidente Honorario del Colegio Panamericano del Endotelio (CPE), Bogotá, Colombia.

Gustavo Adolfo Parra, -Asociación Colombiana de Medicina Interna (ACMI), Bogotá, Colombia. -Universidad Autonoma de Bucaramanga (UNAB), Bucaramanga, Colombia

- Presidente de la Asociación Colombiana de Medicina Interna (ACMI), Bogotá, Colombia.

-Universidad Autonoma de Bucaramanga (UNAB), Bucaramanga, Colombia

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Received 2017-11-28
Accepted 2018-01-09
Published 2024-06-05