Screening for diabetes in an outpatient clinic population

Journal of General Internal Medicine
David EdelmanEugene Z Oddone

Abstract

Opportunistic disease screening is the routine, asymptomatic disease screening of patients at the time of a physician encounter for other reasons. While the prevalence of unrecognized diabetes in community populations is well known, the prevalence in clinical populations is unknown. To describe the prevalence, predictors, and clinical severity of unrecognized diabetes among outpatients at a major medical center. A cross-sectional observational study at the Durham Veterans Affairs Medical Center. Outpatients without recognized diabetes (N=1,253). We screened patients for diabetes by using an initial random Hemoglobin A1c (HbA1c) measurement, and then obtaining follow-up fasting plasma glucose (FPG) for all subjects with HbA1c > or =6.0%. A case of unrecognized diabetes was defined as either HbA1c > or =7.0% or FPG > or =7 mmol/L (126 mg/dL). Height and weight were obtained for all subjects. We also obtained resting blood pressure, fasting lipids, and urine protein in subjects with HbA1c > or =6.0%. The prevalence of unrecognized diabetes was 4.5% (95% confidence interval [CI], 3.4 to 5.7). Factors associated with unrecognized diabetes were the diagnosis of hypertension (adjusted odds ratio [OR], 2.5; P=.004), weight >120% of ide...Continue Reading

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Citations

Aug 21, 2012·Clinical Oral Investigations·Andrei BaraschUNKNOWN DPBRN Collaborative Group
Feb 21, 2004·Geriatric Nursing·Ellen D JonesLaurie Wideman
Dec 11, 2002·Journal of General Internal Medicine·Eric B Bass
Jun 1, 2011·Epidemiologic Reviews·Justin B Echouffo-TcheuguiK M Venkat Narayan
Mar 23, 2006·The Journal of Ambulatory Care Management·David G SchlundtAnne Brown
Dec 22, 2004·Journal of General Internal Medicine·David EdelmanEugene Z Oddone
Mar 7, 2009·Current Medical Research and Opinion·V G AthyrosUNKNOWN SAGE-METS collaborative group
Jun 3, 2006·Journal of the American Pharmacists Association : JAPhA·Kathleen A SnellaArthur A Nelson
Jan 19, 2007·Statistics in Medicine·V K Chetty, B Bruce Zellner
Jan 13, 2015·Journal of Clinical Periodontology·Evanthia LallaIra B Lamster
Apr 28, 2004·American Journal of Preventive Medicine·Taneisha GrantCharles Nordin
Jun 13, 2006·Diabetes Research and Clinical Practice·John M BoltriBrian W Tobin
Jan 28, 2003·Diabetes Care·David EdelmanEugene Z Oddone
Feb 2, 2017·Community Dentistry and Oral Epidemiology·Matthew NeidellBarbara Shearer
Nov 19, 2003·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Malgorzata BartnikLars Rydén
Sep 14, 2019·International Journal of Preventive Medicine·Marjan MovahediReza Khadivi
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Jul 1, 2015·Expert Review of Endocrinology & Metabolism·Vanita R Aroda, Asqual Getaneh
Jun 8, 2021·Journal of Preventive Medicine and Public Health = Yebang Ŭihakhoe Chi·Narges MalihShahnam Arshi

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