It is possible to avoid the consequences of DM identifying alterations in Sinus Atrial Node previous to its symptomatic appearance. This could be used as an early diagnosis indicator (Journal of Diabetes Research)
Diabetes News
Category: Screening
Changes in Screening Practices for Prediabetes and Diabetes Since the Recommendation for Hemoglobin A1c Testing
As we observed in 2004, rates of screening are high. HbA1c is still used less frequently than glucose for screening but is more likely to result in a clinical diagnosis. Evidence to support guidelines to define the role of random glucose screening, including definition of appropriate cut points and follow-up, is needed (Diabetes Care)
Evaluation of the Finnish Diabetes Risk Score as a screening tool for undiagnosed type 2 diabetes and dysglycaemia among early middle-aged adults in a large-scale European cohort
FINDRISC can be applied for screening primarily undiagnosed T2DM but also dysglycaemia among vulnerable groups across Europe, considering the use of different cut-offs for each subpopulation (Diabetes Research and Clinical Practice)
Preventing misdiagnosis of diabetes in the elderly: age-dependent HbA1c reference intervals derived from two population-based study cohorts
The present study confirmed the previously observed increase of HbA1c with increasing age in non-diabetic individuals. As a consequence age-dependent reference values for HbA1c were derived from two large and well defined reference populations. Implementation of them into daily practice may improve patient care and diagnosis of diabetes and reduce the risk of misdiagnosis and subsequent overtreatment of diabetes in elderly patients (BMC Endocrine Disorders)
Nomogram for predicting diabetes mellitus after the first attack of acute pancreatitis
The nomogram is a potentially clinically useful tool for predicting new-onset diabetes, which is currently clinically unprecedented. This finding is not confined to the patients with severe AP but is also for patients who have recovered from mild AP. The nomogram must to be validated externally (European Journal of Gastroenterology & Hepatology)
Prevalence of diabetes and its effects on stroke outcomes: A meta‐analysis and literature review
Approximately one‐third of all stroke patients have diabetes. Uniform methods to screen for diabetes after stroke are required to identify individuals with diabetes to design interventions aimed at reducing poor outcomes in this high‐risk population (Journal of Diabetes Investigation)
6-year change in resting heart rate is associated with incident type 2 diabetes mellitus
Dynamic RHR change was significantly associated with incident T2DM. Our study suggests that RHR may be a non-invasive clinical indicator for interventions aiming to reduce incident T2DM in the general population (NMCD)
HbA1c screening in the community: Lessons for safety and quality management of a point of care programme
POC testing must be conducted within stringent quality assurance processes prior to and while in use. Within such a system, POC testing for HbA1c can be sufficiently accurate for screening and diagnosis of diabetes (Primary Care Diabetes)
Protocol of a cluster randomized trial to investigate the impact of a type 2 diabetes risk prediction model on change in physical activity in primary care
This pragmatic cluster randomized controlled trial will enhance our knowledge on the clinical impact of diabetes risk scores for the first time in the real-life primary health care setting (BMC Endocrine Disorders)
Sex- and age-related differences of metabolic parameters in impaired glucose metabolism and type 2 diabetes compared to normal glucose tolerance
IGM did not reveal relevant changes of insulin resistance with age, but early phase insulin release deteriorated, with higher change in women. T2DM men featured age-related deterioration of glucose metabolism. In women, sex advantage seen in NGT vanished in T2DM, since glucose metabolism was overall not different than in men, both young and elderly (Diabetes Research and Clinical Practice)
Efficacy of urinary glucose for diabetes screening: a reconsideration
UG, either quantitatively or qualitatively measured at 2 h post glucose loading, was effective in diabetes screening. This indicates that UG is a feasible approach for diabetes screening (Acta Diabetologica)
Development of a model to predict 5-year risk of severe hypoglycemia in patients with type 2 diabetes
Using the ACCORD data, we identified attributes to predict 5-year risk of SH in patients with T2DM, which warrant evaluation in broader populations to determine applicability (BMJ Open, Diabetes Research & Care)
A Type 1 Diabetes Genetic Risk Score Predicts Progression of Islet Autoimmunity and Development of Type 1 Diabetes in Individuals at Risk
The T1D GRS independently predicts progression to T1D and improves prediction along T1D stages in autoantibody-positive relatives (Diabetes Care)
The All-Cause Mortality and a Screening Tool to Determine High-Risk Patients among Prevalent Type 2 Diabetes Mellitus Patients
The model has moderate accuracy; the prognostic model can be used as a screening tool to classify T2DM patients who are at higher risk for mortality within five years (Journal of Diabetes Research)
FRAX tool in type 2 diabetic subjects: the use of HbA1c in estimating fracture risk
We propose a correction factor derived from HbA1c that could enhance the predictive ability of fracture risk estimated by the FRAX algorithm in subjects with T2DM (Acta Diabetologica)
Predicting type 2 diabetes mellitus: a comparison between the FINDRISC score and the metabolic syndrome
Our findings suggest, that it may be of good clinical practice to use the FINDRISC score + HbA1c in a two-step screening model for diabetes rather than using the metabolic syndrome (Diabetology & Metabolic Syndrome)
Undetected dysglycaemia common in primary care patients treated for hypertension and/or dyslipidaemia: on the need for a screening strategy in clinical practice
A report from EUROASPIRE IV a registry from the EuroObservational Research Programme of the European Society of Cardiology (Cardiovascular Diabetology)
Integration of Routine Parameters of Glycemic Variability in a Simple Screening Method for Partial Remission in Children with Type 1 Diabetes
We propose glycemic target-adjusted HbA1C (GTAA1C), based on routine and objective markers of glycemic variability, as a valid alternative for definition of partial remission in type 1 diabetes (Journal of Diabetes Research)
Insulin Tolerance Test Predicts Non Response vs. Sustained Efficacy of Liraglutide on Glycemic Control in Type 2 Diabetes Patients
This study suggests ITT as an efficient test to discriminate non–response from long-term efficacy before initiating Liraglutide. ITT could therefore help avoiding “try and see” prescription pattern by using a more precise and patient-centered strategy in order to reduce inertia in adapting treatment and so reduce subsequent complications (Diabetes Research and Clinical Practice)
Cardiovascular Screening for the Asymptomatic Patient with Diabetes: More Cons Than Pros
routine screening for silent CHD in asymptomatic persons with DM is not currently recommended, as long as cardiovascular risk factors are treated. It is hoped that the ongoing ISCHEMIA trial will give more definitive answers to the current uncertainties pertaining proper treatment of SIHD (Journal of Diabetes Research)
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