Population-based stepwise screening for ... - Springer Link
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Population-based stepwise screening for ... - Springer Link
Sep 8, 2004 - Type 2 diabetes is ineffective in general practice despite .... Overall outline of the stepwise screening programme. a = if fasting blood glucose or ...
Diabetologia (2004) 47:1566–1573 DOI 10.1007/s00125-004-1496-2
Population-based stepwise screening for unrecognised Type 2 diabetes is ineffective in general practice despite reliable algorithms J. O. Christensen1 · A. Sandbæk2 · T. Lauritzen2 · K. Borch-Johnsen1, 3 1 Steno
Diabetes Center, Gentofte, Denmark Department of General Medical Practice, University of Aarhus, Aarhus C, Denmark 3 The Faculty of Health Sciences, University of Aarhus, Aarhus C, Denmark 2 The
Abstract Aims/hypothesis. The yield of screening programmes for Type 2 diabetes in the existing healthcare setting might be lower than anticipated from tests of screening algorithms in data from epidemiological surveys. Our aims were to evaluate the reliability of the algorithms and the effectiveness of a proposed stepwise screening programme for Type 2 diabetes in general practice. Methods. The screening programme had four steps: (i) mail-distributed self-administered risk-chart; (ii) screening tests: random blood glucose (RBG) and HbA1c; (iii) diagnostic procedure 1 for fasting blood glucose (FBG) (if RBG ≥5.5 mmol/l or HbA1c ≥6.1%); and (iv) OGTT as diagnostic procedure 2 (if 5.6≤FBG
