Abstract
Globally, 382 million adults aged 20-79 years are estimated to have diabetes and 46% are unaware of their condition. Another 316 million adults are at increased risk of developing diabetes. Although there are suggestions that diabetes and related complications can be prevented through early detection, lifestyle intervention and/or treatment, universal screening for diabetes has not been adopted. There are, instead, recommendations for a multi-step screening approach, which include identifying people at risk of diabetes through non-invasive methods such as a risk assessment tool or presence of diabetes risk factors, followed by blood testing for the at risk group and diagnostic blood testing for those screened positive for diabetes. Diabetes screening initiatives have been studied in different medical, health and community settings and some have targeted high risk populations. Most of these screening initiatives, however, have common limitations such as low follow-up rate with primary care providers for those who screen positive, abnormal screening result not communicated to the at risk person’s primary care provider, failure to provide appropriate follow-up for patients with abnormal screening results, time and cost as barriers for both screening providers and people invited for screening, and low acceptance of the oral glucose tolerance test. If these common limitations can be addressed, diabetes screening initiatives have the potential to detect undiagnosed diabetes in most populations.
Keywords: Community, detection, opportunistic screening, prediabetes, type 2 diabetes, undiagnosed diabetes.
Current Diabetes Reviews
Title:Population Approaches for Detecting Glucose Disorders
Volume: 12 Issue: 1
Author(s): Crystal Man Ying Lee and Stephen Colagiuri
Affiliation:
Keywords: Community, detection, opportunistic screening, prediabetes, type 2 diabetes, undiagnosed diabetes.
Abstract: Globally, 382 million adults aged 20-79 years are estimated to have diabetes and 46% are unaware of their condition. Another 316 million adults are at increased risk of developing diabetes. Although there are suggestions that diabetes and related complications can be prevented through early detection, lifestyle intervention and/or treatment, universal screening for diabetes has not been adopted. There are, instead, recommendations for a multi-step screening approach, which include identifying people at risk of diabetes through non-invasive methods such as a risk assessment tool or presence of diabetes risk factors, followed by blood testing for the at risk group and diagnostic blood testing for those screened positive for diabetes. Diabetes screening initiatives have been studied in different medical, health and community settings and some have targeted high risk populations. Most of these screening initiatives, however, have common limitations such as low follow-up rate with primary care providers for those who screen positive, abnormal screening result not communicated to the at risk person’s primary care provider, failure to provide appropriate follow-up for patients with abnormal screening results, time and cost as barriers for both screening providers and people invited for screening, and low acceptance of the oral glucose tolerance test. If these common limitations can be addressed, diabetes screening initiatives have the potential to detect undiagnosed diabetes in most populations.
Export Options
About this article
Cite this article as:
Lee Man Ying Crystal and Colagiuri Stephen, Population Approaches for Detecting Glucose Disorders, Current Diabetes Reviews 2016; 12 (1) . https://dx.doi.org/10.2174/1573399811666150407110014
DOI https://dx.doi.org/10.2174/1573399811666150407110014 |
Print ISSN 1573-3998 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-6417 |
![](/images/wayfinder.jpg)
- Author Guidelines
- Bentham Author Support Services (BASS)
- Graphical Abstracts
- Fabricating and Stating False Information
- Research Misconduct
- Post Publication Discussions and Corrections
- Publishing Ethics and Rectitude
- Increase Visibility of Your Article
- Archiving Policies
- Peer Review Workflow
- Order Your Article Before Print
- Promote Your Article
- Manuscript Transfer Facility
- Editorial Policies
- Allegations from Whistleblowers
- Announcements
Related Articles
-
Vascular Risk Factors and Neurodegeneration in Ageing Related Dementias: Alzheimer’s Disease and Vascular Dementia
Current Alzheimer Research Aesthetic Cardiology: Adipose-Derived Stem Cells for Myocardial Repair
Current Stem Cell Research & Therapy Realising Heart Regeneration
Current Tissue Engineering (Discontinued) Combining Diffusion-Weighted Imaging Patterns with ABCD2 Score Predicts Stroke Risk after Transient Ischemic Attack
Current Neurovascular Research Pathophysiology of Diabetic Dyslipidaemia
Current Vascular Pharmacology Viral Heart Disease and Acute Coronary Syndromes - Often or Rare Coexistence?
Current Pharmaceutical Design Efficacy and Cardiovascular Safety of Antidiabetic Medications
Current Drug Safety Drugs of Abuse: Epigenetic Mechanisms in Toxicity and Addiction
Current Medicinal Chemistry Nucleic Acid Sequence Based Amplification (NASBA) of Chlamydia pneumoniae Major Outer Membrane Protein (ompA) mRNA with Bioluminescent Detection
Combinatorial Chemistry & High Throughput Screening Is Helicobacter pylori the Infectious Trigger for Headache?: A Review
Infectious Disorders - Drug Targets Percutaneous Treatment of Aortic Valve Disease: Contemporary Overview and Future Trends
Current Pharmaceutical Design Antioxidative Properties of Flavonoids
Current Organic Chemistry Pro-Angiogenic Effect of Endomyocardial Biopsy-Derived Cells for Cardiac Regeneration
Current Tissue Engineering (Discontinued) Tanshinone IIA Promotes Macrophage Cholesterol Efflux and Attenuates Atherosclerosis of apoE-/- Mice by Omentin-1/ABCA1 Pathway
Current Pharmaceutical Biotechnology Clinical Application of Ghrelin
Current Pharmaceutical Design Advances in Development of Phosphatidylinositol 3-Kinase Inhibitors
Current Medicinal Chemistry Targeting Cancer Stem Cell Lines as a New Treatment of Human Cancer
Recent Patents on Anti-Cancer Drug Discovery Olive Oil and Apoptosis of Cancer Cells
Current Nutrition & Food Science Bioactivities of Iridoids
Anti-Inflammatory & Anti-Allergy Agents in Medicinal Chemistry Host Defence Cryptides from Human Apolipoproteins: Applications in Medicinal Chemistry
Current Topics in Medicinal Chemistry