Given that the complications of type 2 diabetes can start at an early stage, early detection and appropriate management of prediabetes are essential. We aimed to develop an expert opinion on prediabetes in Lebanon to pave the way for national guidelines tailored for the Lebanese population in the near future. A panel of seven diabetes experts conducted a thorough literature review and discussed their opinions and experiences before coming up with a set of preliminary recommendations for the detection and management of prediabetes in Lebanon. Lebanese physicians employ multiple tests for the diagnosis of prediabetes and no national cut-off values exist. The panel agreed that prediabetes screening should be focused on patients exceeding 45 years of age with otherwise no risk factors and on adults with risk factors. The panel reached that fasting plasma glucose (FPG) and HbA1c should be used for prediabetes diagnosis in Lebanon. FPG values of 100–125 mg/dL or HbA1c values of 5.7%–6.4% were agreed upon as indicative of prediabetes. For the management of prediabetes, a three-step approach constituting lifestyle modifications, pharmacological treatment and bariatric surgery is recommended. There should be more focus on research on prediabetes in Lebanon. This preliminary report will be further discussed with the Lebanese Society of Endocrinology, Diabetes and Lipids in 2021 in order to come up with the first Lebanese national guidelines for the detection and management of prediabetes in Lebanon.

鉴于 2 型糖尿病的并发症可以在早期阶段出现，因此糖尿病前期的早期检测和适当管理至关重要。我们的目标是就黎巴嫩糖尿病前期制定专家意见，为不久的将来为黎巴嫩人口量身定制国家指南铺平道路。由七名糖尿病专家组成的小组进行了彻底的文献综述，并讨论了他们的观点和经验，然后提出了一套用于黎巴嫩糖尿病前期检测和管理的初步建议。黎巴嫩医生采用多种测试来诊断糖尿病前期，并且不存在全国范围的临界值。专家组一致认为，糖尿病前期筛查应重点关注年龄超过 45 岁、没有其他危险因素的患者以及有危险因素的成年人。专家组一致认为，黎巴嫩应使用空腹血糖 (FPG) 和 HbA1c 来诊断糖尿病前期。FPG 值为 100–125 mg/dL 或 HbA1c 值为 5.7%–6.4% 被认为是糖尿病前期的指标。对于糖尿病前期的管理，建议采用三步法，包括生活方式改变、药物治疗和减肥手术。应更加关注黎巴嫩糖尿病前期的研究。这份初步报告将于 2021 年与黎巴嫩内分泌、糖尿病和血脂学会进一步讨论，以制定第一个黎巴嫩国家糖尿病前期检测和管理指南。