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Manuscript Reader Comments
Li YY, Tong LP, Wu XD, Lin D, Lin Y, Lin XY. Analysis of influencing factors and interaction of body weight and disease outcome in patients with prediabetes. World J Diabetes 2023; 14(10): 1551-1561 [PMID: 37970128 DOI: 10.4239/wjd.v14.i10.1551]
Reader's ID:
06546141
Submitted on:
October 18, 2023, 16:21
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Reader Comments:
In this manuscript, the authors have conducted a significant study on prediabetes and its progression to Type 2 diabetes mellitus (T2DM), with a particular focus on the impact of body weight. The study's findings are relevant in the context of the growing global prevalence of T2DM and its associated complications. The study has several strengths, including a well-defined selection of patients with prediabetes based on Chinese diagnostic criteria. The research demonstrates the importance of early intervention in preventing the progression of prediabetes to T2DM. Furthermore, the study identifies specific factors, such as body weight, glycosylated hemoglobin, uric acid, fasting insulin (FINS), and homeostatic model assessment for insulin resistance (HOMA-IR), as independent factors influencing this progression. The discovery of a multiplicative interaction between body weight and uric acid adds a valuable dimension to the understanding of this process. However, it's essential to consider and address the differences in diagnostic criteria between the Chinese guidelines used in this study and the American Diabetes Association (ADA) guidelines. The ADA guidelines emphasize the A1C test, fasting plasma glucose (FPG) test, and oral glucose tolerance test (OGTT) to diagnose prediabetes and diabetes. This variation in criteria should be acknowledged to provide context for interpreting the study's findings in an international context. The study's conclusion underscores the importance of weight management and the potential risks associated with high body weight and elevated uric acid levels in prediabetic patients. The recommendation for clinical vigilance and timely intervention for patients with these risk factors is valuable.
Reply from the Editorial Office:
First, thank you very much for your professional comments on the article published in World Journal of Diabetes. Second, we read your comments with great interest. You are welcome to format your valuable comments into a Letter to the Editor and submit it online to World Journal of Diabetes at https://www.f6publishing.com. There are no restrictions on the number of words, figures (color, B/W) or authors for a Letter to the Editor. In addition, the article processing charge will be exempted for this Letter to the Editor. As with all articles published by the Baishideng Publishing Group, the Letter to the Editor will be published online after completing peer review. The guidelines for a Letter to the Editor can be found at: https://www.wjgnet.com/bpg/GerInfo/219. Finally, we look forward to receiving your high-quality Letter to the Editor, which will promote academic communication and lead the development of this discipline.