PMID- 29665986 OWN - NLM STAT- MEDLINE DCOM- 20190219 LR - 20190320 IS - 1879-3061 (Electronic) IS - 1043-2760 (Linking) VI - 29 IP - 6 DP - 2018 Jun TI - Prevention and Treatment of Type 2 Diabetes: A Pathophysiological-Based Approach. PG - 370-379 LID - S1043-2760(18)30059-6 [pii] LID - 10.1016/j.tem.2018.03.014 [doi] AB - Prediabetes affects approximately 40% of American adults. Randomized trials report that a proportion of individuals with prediabetes develop diabetes despite caloric restriction, physical activity, and/or when treated with metformin, the first-line medication for patients with type 2 diabetes mellitus (T2DM). Currently, there are no valid predictors of the effectiveness of these measures in determining who will and who will not progress to the T2DM state. Few studies have examined the clinical and phenotypic predictors of better and worse glycemic response to lifestyle interventions and metformin in prediabetes and diabetes. Further studies incorporating 'omic' approaches to discover novel markers of phenotypes and treatment effectiveness may pave the way to personalizing the treatment of prediabetes and diabetes. CI - Copyright (c) 2018 Elsevier Ltd. All rights reserved. FAU - Samocha-Bonet, Dorit AU - Samocha-Bonet D AD - Diabetes and Metabolism Division, Garvan Institute of Medical Research, Sydney, NSW 2010, Australia; St Vincent's Clinical School, Faculty of Medicine, University of New South Wales, Sydney, NSW 2010, Australia. Electronic address: d.samochabonet@garvan.org.au. FAU - Debs, Sophie AU - Debs S AD - Diabetes and Metabolism Division, Garvan Institute of Medical Research, Sydney, NSW 2010, Australia. FAU - Greenfield, Jerry R AU - Greenfield JR AD - Diabetes and Metabolism Division, Garvan Institute of Medical Research, Sydney, NSW 2010, Australia; St Vincent's Clinical School, Faculty of Medicine, University of New South Wales, Sydney, NSW 2010, Australia; Department of Endocrinology and Diabetes Services, St Vincent's Hospital, Sydney, NSW 2010, Australia. LA - eng PT - Journal Article PT - Review DEP - 20180414 PL - United States TA - Trends Endocrinol Metab JT - Trends in endocrinology and metabolism: TEM JID - 9001516 RN - 9100L32L2N (Metformin) SB - IM MH - Animals MH - Diabetes Mellitus, Type 2/*drug therapy/genetics/microbiology/*prevention & control MH - Gastrointestinal Microbiome/drug effects MH - Genomics MH - Humans MH - Metformin/*therapeutic use MH - Prediabetic State/drug therapy/genetics/microbiology/prevention & control OTO - NOTNLM OT - genomics OT - gut microbiomics OT - metabolomics OT - metformin OT - personalized management OT - prediabetes EDAT- 2018/04/19 06:00 MHDA- 2019/03/21 06:00 CRDT- 2018/04/19 06:00 PHST- 2017/12/19 00:00 [received] PHST- 2018/03/16 00:00 [revised] PHST- 2018/03/16 00:00 [accepted] PHST- 2018/04/19 06:00 [pubmed] PHST- 2019/03/21 06:00 [medline] PHST- 2018/04/19 06:00 [entrez] AID - S1043-2760(18)30059-6 [pii] AID - 10.1016/j.tem.2018.03.014 [doi] PST - ppublish SO - Trends Endocrinol Metab. 2018 Jun;29(6):370-379. doi: 10.1016/j.tem.2018.03.014. Epub 2018 Apr 14.