The incidence of diabetes has substantially increased over the past few decades. Prediabetes is an intermediate metabolic state between normal glycemic levels and proven diabetes. Incidence of Prediabetes has also increased considerably in the past few years. The Incidence of prediabetes is increasing in younger adults and this is more concerning and worrisome. Those who develop diabetes early or are prediabetic at younger age group will be subjected to a prolonged duration of the illness and are also at high risk for development of acute and chronic diabetic complications. This early onset of the illness also projects a concern on the escalating medical cost and burden thereby caused on the community by this illness.
In addition to significant clinical and other public health selected issues, it may also lead to high risk of Cardiovascular diseases. Longer the duration of the disease, the patient is at risk for long and prolonged exposure to continuous hyperglycemia. Many studies have shown that the longer duration of diabetes leads to subclinical and clinical coronary vascular diseases.
It was also noticed in several studies that longer duration of diabetes and prediabetes during early adulthood were each independently associated with subclinical atherosclerosis, which leads to systolic and diastolic dysfunctions in later life. It also suggests that the cumulative exposure to continuously elevated blood sugar even in the prediabetes range may lead to increased risk of atherosclerosis and impaired cardiac function. Thereby much emphasis is given towards the significance of early detection and management of those at risk for diabetes and prediabetes in order to control the occurrence of cardiovascular disease at an early age in these younger individuals.