Ann Intern Med 2003 138(3):212–4.Īmerican Diabetes Association. Screening for type 2 diabetes mellitus in adults: recommendations and rationale. A multivariate logistic regression equation to screen for diabetes: development and validation. Should we screen for type 2 diabetes? Evaluation against National Screening Committee criteria. Performance of recommended screening tests for undiagnosed diabetes and dysglycemia. Rolka DB, Narayan KM, Thompson TJ, Goldman D, Lindenmayer J, Alich K, et al. The performance of a risk score in predicting undiagnosed hyperglycemia. Park PJ, Griffin SJ, Sargeant L, Wareham NJ. The prevention or delay of type 2 diabetes. Ann Intern Med 2005 142(8):611–9.Īmerican Diabetes Association. The effect of metformin and intensive lifestyle intervention on the metabolic syndrome: the Diabetes Prevention Program randomized trial. Orchard TJ, Temprosa M, Goldberg R, Haffner S, Ratner R, Marcovina S, et al. IDF diabetes atlas: international diabetes federation 1-9-2005, 2005. Projection of diabetes burden through 2050: impact of changing demography and disease prevalence in the U.S. This provided an opportunity to initiate targeted counselling regarding therapeutic lifestyle change.īoyle JP, Honeycutt AA, Narayan KM, Hoerger TJ, Geiss LS, Chen H, et al. Of the generally elderly persons screened, 6.9% were detected with suspicion for diabetes type 2 and 71.5% had at least two risk factors. The sequential screening could successfully be implemented into pharmacy practice. The screening campaign attracted an important part of Swiss German speaking adults (2.4%). Of all persons screened, 6.4% were referred to a physician and 73.7% got targeted advice with respect to physical activity and/or nutrition based on their specific risk profile. Stratification into risk groups: < 2 risk factors 21.6% ≥ 2 risk factors 71.5% borderline glycaemia (FG 5.3–6.1 mmol/l, confirmed in a second measurement) 2.5% and hyperglycaemia (FG ≥ 6.1 mmol/1 or NFG ≥ 11.1 mmol/1) 4.4%. Risk profile: family history of diabetes 26.4% BMI ≥ 25 kg/m 2 49.3% low physical activity 27.2% elevated blood pressure 45.7%. Resultsĭuring the 5 weeks of spring 2002, 530 pharmacies screened a total of 93,258 persons (33.1% male, mean age 60.9 years ± 14.1 (SD)). Outcomes measures were: age, sex, cigarette smoking, total score of the ADA diabetes risk-factor questionnaire, family history of diabetes, body mass index, insufficient physical activity, blood pressure, capillary blood glucose, motivation for lifestyle change, counselling activities and triage decisions of the pharmacy team. A 35 items data sheet served as a structured screening protocol and enabled quick and reliable documentation of all relevant data. MethodĬommunity pharmacies of the German speaking part of Switzerland participating in the national Self Care campaign “Stop diabetes-test now” offered a free of charge “sequential screening” with (a) diabetes risk assessment, (b) consecutive capillary blood glucose measurement and (c) assessment of the motivation for lifestyle change based on the Transtheoretical Model (TTM) of behaviour change. The object of this study was to develop a sequential screening concept and to evaluate it in a national pharmacy based screening campaign. For early detection of persons at risk for type 2 diabetes, a combination of risk factor assessment and glucose measurement could be a promising approach and an opportunity for health promotion.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |