Characteristics and Management Effectiveness of Prediabetic Patients in Vinmec Times City International Hospital, Vietnam: A Retrospective Observational Study

Abstract

Background Prediabetes is a global health concern, the American Diabetes Association (ADA) guidelines for prediabetes was adopted worldwide, however, implementing these guidelines and their outcomes vary based on regions and ethnic backgrounds. This study aims to address the gap in research regarding the management efficiency of prediabetic patients in a hospital in Vietnam. Method The study included 418 prediabetic patients who visited Vinmec Times City Hospital in Vietnam from June 2020 to June 2022. The data was collected from detailed medical records to describe the characteristics of prediabetic patients and evaluate the management effectiveness of these patients. Results The average age of the participants was 53 years, with a balanced sex distribution. The mean BMI of our population was 24.4 kg/m². Dyslipidemia was significantly common (92.7%), other comorbidities and complications had lower rates. Weight loss was challenging with 10.5% achieved 5% weight loss. 7.6% developed diabetes in one year and the same number achieved remission. Lipid panel improved significantly, still, only 18.5% achieved Low-density lipoprotein (LDL-C) goal. Baseline high fasting blood glucose (FBG) and HbA1C were associated with a higher risk of developing diabetes. Conclusion This study provides insights into the characteristics of prediabetic patients and the effectiveness of their management at Vinmec Times City Hospital in Vietnam. It highlights the need for a well-designed lifestyle change program and enhanced dyslipidemia management.