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Titolo:
Undiagnosed diabetes: Does it matter?
Autore:
Young, TK; Mustard, CA;
Indirizzi:
Univ Manitoba, Dept Community Hlth Serv, Winnipeg, MB R3E 0W3, Canada UnivManitoba Winnipeg MB Canada R3E 0W3 rv, Winnipeg, MB R3E 0W3, Canada
Titolo Testata:
CANADIAN MEDICAL ASSOCIATION JOURNAL
fascicolo: 1, volume: 164, anno: 2001,
pagine: 24 - 28
SICI:
0820-3946(20010109)164:1<24:UDDIM>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
ADMINISTRATIVE DATA; POPULATION SURVEY; CRITERIA; MELLITUS; PREVALENCE; MANITOBA; ACCURACY; GLUCOSE; CLAIMS; BURDEN;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Young, TK Univ Manitoba, Dept Community Hlth Serv, 750 Bannatyne Ave, Winnipeg, MB R3E 0W3, Canada Univ Manitoba 750 Bannatyne Ave Winnipeg MB CanadaR3E 0W3 anada
Citazione:
T.K. Young e C.A. Mustard, "Undiagnosed diabetes: Does it matter?", CAN MED A J, 164(1), 2001, pp. 24-28

Abstract

Background: The 1998 Canadian clinical practice guidelines for the management of diabetes lowered the cutoff point for diagnosing diabetes mellitus from a fasting plasma glucose (FPG) level of 7.8 to 7.0 mmol/L. We studied the prevalence and clinical outcomes of undiagnosed and diagnosed diabetes within specific ranges of FPG among a cohort of subjects recruited in 1990. Methods: In 1990 a representative sample of 2792 adult residents of Manitoba participated in the Manitoba Heart Health Survey, which included measurement of FPC and a question about each participant's past history of diabetes. Individuals who would now be classified as having undiagnosed diabetes under the new criteria were not considered as such in 1990. Through data linkage with the provincial health care utilization database, the use of health care by these individuals was tracked and compared with that of individuals whose diabetes had been diagnosed and with that of normoglycemic individuals over an 8-year period subsequent to the survey. Results: The prevalence of undiagnosed diabetes in the adult population ofManitoba was 2.2%. Undiagnosed cases accounted for about one-third of all diabetes cases. Individuals with undiagnosed diabetes had an unfavourable lipid profile and higher blood pressure and obesity indices than normoglycemic individuals. Individuals who satisfied the new criteria for diabetes butremained undiagnosed had an additional 1.35 physician visits per year (95%confidence interval [95% CI] 0.93-1.96) and were more likely to be admitted to hospital at least once (odds ratio 1.23, 95% CI 0.40-3.79), compared with normoglycemic individuals. Interpretation: Undiagnosed cases represent the unseen but clinically important burden of diabetes, with significant concurrent metabolic derangements and a long-term impact on health care use.

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Documento generato il 14/07/20 alle ore 13:09:55