Prediabetes is associated with impaired fasting glucose and/or impaired glucose tolerance. Recent data indicate that more than one-third of adults in affluent countries have prediabetes . Fasting glucose concentrations of 100-125 mg/dL, hemoglobin A1c (HbA1c) titers of 5.7-6.4%, and two-hour post-stimulus glucose levels of 140-199 mg/dL are used to identify prediabetes. Behavioral lifestyle changes and medications are useful in preventing the progression of prediabetes to T2DM .

Early detection and treatment of T2DM and prediabetes can prevent future health problems. However, many people with metabolic disorders are undiagnosed, partly due to the clinical practices and knowledge of primary care physicians (PCPs). PCPs play a critical role in diabetes prevention through the detection and management of prediabetes. Successful screening initiatives and the start of appropriate management interventions depend on PCPs' level of prediabetes knowledge Most patients with prediabetes do not receive evidence-based preventive care from their PCPs . Systemic barriers hinder physicians' ability to provide the best evidence-based practice, such as performance measures, insurance reimbursement, cultural expectations, and a lack of tools and staffing resources

Inclusion Criteria:

1. - Physicians working at Sohag government hospitals and clinics
2. Faculty medical staff (any specialty)
3. Willing to complete the self-administered questionnaire
4. Provide informed written consent to participate in the study

Exclusion Criteria:

1 - Physicians who decline to provide informed consent.

2-Physicians who do not complete at least 90% of the questionnaire items.

3-Physicians not actively practicing at a Sohag government hospital or clinic during the study period.

physicians (faculty medical staff) at Sohag government hospitals and clinics, Egypt (target n=500, all specialties and training levels).