{
  "abstract": "Objectives To explore experiences and perspectives on diagnosis and management among individuals living with prediabetes or early type 2 diabetes.Design Qualitative study using semi-structured virtual interviews and Braun and Clarke’s reflexive thematic analysis.Setting British Columbia, Canada.Participants 12 adults (≥18 years) diagnosed with prediabetes (6.0%≤haemoglobin A1C≤6.4%) or early type 2 diabetes (6.5%≤haemoglobin A1C≤7.0%) within the past 5 years. We used purposeful sampling to recruit eligible participants through an online health research platform.Results We developed three main themes: (1) ‘Mixed feelings about early detection’ captured the emotionally complex experience of an early diagnosis and the evolving process of sense-making beyond the initial response; (2) ‘Knowledge: a powerful enabler of self-management’ highlighted the role of timely, trusted and meaningful information and how understanding both the risks and the manageability of the condition can motivate action; (3) ‘Care that fits people’s lives’ reflected individuals’ need for supportive and individualised care and their view of lifestyle changes as the foundation of management, with medication to fill gaps if needed.Conclusions Centred on the lived experiences of people with prediabetes and early type 2 diabetes, this study highlights the emotional complexity of these diagnoses and the need for care that supports contextualised empowerment and individualised management. The insights from this study can inform patient-centred clinical practice, policy and resource co-design for prediabetes and early type 2 diabetes.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Anesthesiology, Pharmacology, and Therapeutics, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada",
    "Therapeutics Initiative, University of British Columbia, Vancouver, British Columbia, Canada",
    "Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada",
    "Diabetes Action Canada, Toronto, Ontario, Canada",
    "Department of Medicine, University of Toronto, Toronto, Ontario, Canada",
    "Departments of Medicine and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada",
    "Department of Family Medicine and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada",
    "Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada",
    "Toronto Western Family Health Team, University Health Network, Toronto, Ontario, Canada"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 12,
  "authors": [
    {
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        0
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      "name": "Raha Eskandari"
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    {
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        0
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      "name": "Wade Thompson"
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    {
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        1
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      "name": "Dana Stanley"
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        1,
        2
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      "name": "Jessica Otte",
      "orcid": "0009-0000-7598-7354"
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    {
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        1
      ],
      "name": "Colleen Fuller"
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    {
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        3
      ],
      "name": "N. Zoe Hilton"
    },
    {
      "affs": [
        0
      ],
      "name": "Colin Dormuth"
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    {
      "affs": [
        4
      ],
      "name": "Iliana Lega"
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    {
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        5
      ],
      "name": "Sonia Butalia"
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    {
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      ],
      "name": "Fariba Aghajafari"
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    {
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        7,
        8
      ],
      "name": "Karen Tu",
      "orcid": "0000-0003-0883-4934"
    },
    {
      "affs": [
        0
      ],
      "name": "Anshula Ambasta",
      "orcid": "0000-0003-0211-8654"
    }
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  "bibtex": "https://research.draconitic.com/paper/f14vzx0bh26yk.bib",
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  "doi": "10.1136/bmjopen-2026-122021",
  "fulltext_url": "https://europepmc.org/articles/PMC13691791",
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  "language": "eng",
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  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
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  "pdf_url": "https://europepmc.org/articles/PMC13691791?pdf=render",
  "pmcid": "PMC13691791",
  "pmid": "42907125",
  "published": "2026-10-21",
  "publisher": "BMJ",
  "ris": "https://research.draconitic.com/paper/f14vzx0bh26yk.ris",
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  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2712|Diabetes Management and Education",
      "subfield": "endocrinology-metabolism"
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  "title": "Diagnosis and management of prediabetes and early type 2 diabetes: a qualitative study of patient experiences",
  "title_text": "Diagnosis and management of prediabetes and early type 2 diabetes: a qualitative study of patient experiences",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:43:06Z",
  "url": "https://research.draconitic.com/paper/f14vzx0bh26yk",
  "venue": "BMJ Open",
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