Considering ,that many workers passing control for a doctor of professional diseases are on the every 2 years, and fr ten years between patient and doctor by hygiene of work happens are 5 contacts.

 And its, like the crime to a not pay attention on the human, which rises weight on every 2 years, if his blood tests on glucose and pressure in norm or on the top border a norm! And a how you are read the latest chapters is not possible to find metabolism destroy just by level of sugar in blood, if he is lead in diabetes of 2nd type.

  Family doctor as and family nurse ,which to see a patient a very often, than doctor are keeping is a most importance chains in the primary diagnosis of these early metabolic destroys.All are having significance:

Minimal or border high blood pressure, as on 135/85 and higher.

Minimal raised glucose level as on an empty stomach on 5.2 mmol/l and higher.

Increasing weight by the ration to growth, as increasing index body mass is higher on 25 and importance is human with large bone.

And by rule a family nurse is checked patient and collecting his health condition for driver for a forming a right defence for one time in 5-10 years.It's ,  a one from critical and importance moments, when a need to do preventing methods:family nurse can to recommend to lost weight or low level sugar in blood.Thus, for this she needs to have a time, and have modern knowledges enough about metabolism, lowering weight and strategies in fight with pre-diabetes.

And next importance chain is family doctor. A  time not enough and poor knowledges as in regions for metabolic destroys, dietology as with including strategies for low carbohydrate diet, and bases for healing starvation and interval meal, about a saturated effect of different products, needing level for physical activity, strategies for normalization stress level, and not allowing timely intervene, that lead, that metabolic destroying finding very late.

 Standard recommendations,  which patient receives from medical worker,as trying to slim, low calories and eat less and sweet meal, are, like vague and not having real appreciation, if in patient not having strategy and plan, for which he needs to follow.