Opportunistic Screening for The Detection of Newly Diagnosed Diabetes Melitus
Abstract
Background. It is estimated that 50% of the diabetic patients are undiagnosed.
Opportunistic screening is one of the screening method, to detect
newly diagnosed diabetes mellitus. The aim of this study is to detect the
undiagnosed diabetes mellitus by screening in the clinical setting.
Subjects and Methods. Subjects were form the EIDEG screening for
diabetes mellitus. The procedure is a two step screening, first using the
reflectance meter for capillary blood sugar, followed by confirmation test
in the laboratory. Capillary blood sugar was divided into 3 groups, < 100
mg/dL as normal, 100-199 mg/dl possible diabetes, and ? 200 mg/dL suspected
diabetes. For group two, an OGTT was performed, and for group
three, only FPG. Diabetes mellitus was diagnosed if FPG ? 126 mg/dl and
or 2 hour OGTT ?200 mg/dl.
Results. During the screening, 4737 subjects can be screened, only 1654
completed the screening. Diabetes mellitus was diagnosed in 240 subjects
or 14.5%. There were more females compared to males, 52,9% and 47,1%
subsequently, most were at the age ?50 years. More diabetic patients were
diagnosed by OGTT compared to FPG only.
Conclusions. This study showed that opportunistic screening may detect
more diabetic patients. It is suggested that this screening procedure can
be used by every clinicians in their daily practice.
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