Random capillary plasma glucose measurement in the screening of diabetes mellitus in high-risk subjects in Thailand
| Autor: | Suwannee Chanprasertyotin, W. Nitiyanant, K. Kespechara, Puavilai G, N. Munsakul, C. Pongchaiyaikul, C. Deerochochanawong, Yupin Benjasuratwong, S. Chantraraprasert, N. Montreewasuwat, P. Kheesukapan, S. Suwanvilaikorn |
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| Rok vydání: | 2001 |
| Předmět: |
Adult
Blood Glucose Male medicine.medical_specialty Adolescent Endocrinology Diabetes and Metabolism Body Mass Index Endocrinology Pregnancy Risk Factors Internal medicine Diabetes mellitus Internal Medicine medicine Diabetes Mellitus Prevalence Humans Mass Screening Family Family history First-degree relatives Aged Glucose tolerance test medicine.diagnostic_test business.industry Glucose Measurement nutritional and metabolic diseases General Medicine Fasting Glucose Tolerance Test Middle Aged medicine.disease Thailand Obesity Gestational diabetes Diabetes Gestational Female business Dyslipidemia |
| Zdroj: | Diabetes research and clinical practice. 51(2) |
| ISSN: | 0168-8227 |
| Popis: | To assess the usefulness of random capillary plasma glucose (RCPG) measurement in screening for diabetes mellitus in high-risk subjects, a RCPG measurement and a 75-g oral glucose tolerance test (OGTT) were performed in 684 women and 164 men, aged 16-76 years (mean+/-SD: 41.9+/-11.3 years). Risk factors included family history of diabetes in first degree relatives (53.8%), obesity (BMIor =27 kg/m(2)) in 37.9%, dyslipidemia (78.4%), hypertension, i.e. BPor =140/90 mmHg (28.5%), and history of gestational diabetes mellitus (16.6%). According to the 1997 ADA/1998 WHO Consultation criteria for a full OGTT, 118 cases (13.9%) were found to have diabetes. Each of 19 cases with RCPGor =13.3 mmol/l had diabetes according to OGTT, 4.7% of 427 cases with RCPG6.1 mmol/l had diabetes. Among 402 subjects with RCPG between 6.1 and13.3 mmol/l, 19.7% were found to have diabetes. Thus, 446 (52.6%) of 848 subjects would have been saved from OGTT if RCPG was used as a screening test, in comparison to 33.1% if the cutpoints for RCPG (12.2 and 5.5 mmol/l) recommended by WHO Study Group (1985)/WHO Consultation (1998) were applied. Therefore, RCPG measurement is a useful screening test for the screening of diabetes mellitus in high-risk subjects. |
| Databáze: | OpenAIRE |
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