The 2008 guidelines, which is the latest of a new set of guidelines issued every five years, lays stress on pinpointing prediabetes. It recommends to both, the doctors and patients, to take aggressive steps to prevent Type 2 diabetes. In the prediabetes condition, the patient’s blood sugar levels go up and the patient has less tolerance to blood sugar. According to Ellen Macolmson, President and CEO of Canadian Diabetes Association, "Research has shown that long-term damage to the body, especially the heart and circulatory system, may already be occurring before a diabetes diagnosis."