Use of point‐of‐care HbA1c measurement to estimate the level of undiagnosed diabetes mellitus among 67‐year‐old participants in a cardiovascular screening programme in the municipality of Viborg, Denmark.

Autor: Andersen, J. W., Dahl, M., Yderstraede, K. B., Hoegh, A.
Předmět:
Zdroj: Diabetic Medicine; Sep2018, Vol. 35 Issue 9, p1197-1201, 5p, 2 Charts
Abstrakt: Abstract: Aims: To determine the prevalence of unidentified diabetes mellitus among 67‐year‐olds in Denmark participating in a screening programme focusing on cardiovascular disease and diabetes, and to describe glycaemic levels in individuals according to point‐of‐care HbA1c combined with self‐reported diabetes status. Methods: In this cross‐sectional, retrospective, population‐based study, all people aged 67 years living in the Viborg municipality were invited to take part in the Viborg Inter‐sectorial Screening Programme (VISP), which focuses on cardiovascular disease and diabetes. The VISP study was initiated in August 2014 and is ongoing. During the first 2 years of the programme, we stratified participants into groups based on their self‐reported diabetes status and a single HbA1c measurement. Results: A total of 1802 individuals were invited to participate, and 1501 consented, seven of whom were excluded because of missing data (HbA1c or diabetes status), resulting in an 82.9% participation rate (n=1494). Among those reporting not to have diabetes, 3.3% (n=45) had an HbA1c level ≥48 mmol/mol (6.5%). In the same group, 16.7% (n=226) had an HbA1c level of 41–48 mmol/mol (5.9–6.5%). Among those self‐reporting the presence of diabetes, 30.1% (n=43) had an HbA1c level ≥58 mmol/mol (7.5%). Conclusions: The prevalence of unidentified diabetes was 3.3% based on a single HbA1c measurement. Furthermore, 16.7% of those reporting not to have diabetes had an HbA1c level of 41–48 mmol/mol (5.9–6.5%), representing a subgroup with an increased risk of developing diabetes. Among those with self‐reported diabetes, 30.1% had an HbA1c level ≥58 mmol/mol (7.5%) and 6.3% had a level >74 mmol/mol (8.9%). [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index