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Undiagnosed diabetes: does it matter?

T K Young1, C A Mustard

  • 1Department of Community Health Sciences, University of Manitoba, Winnipeg, Man. tkyoung@cc.umanitoba.ca

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
|February 24, 2001
PubMed
Summary
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Undiagnosed diabetes cases are common and linked to poor health outcomes. Identifying and managing these cases is crucial for reducing healthcare burdens and improving patient health.

Area of Science:

  • Endocrinology
  • Public Health
  • Epidemiology

Background:

  • Canadian guidelines lowered diabetes diagnosis threshold to fasting plasma glucose (FPG) of 7.0 mmol/L.
  • Study examines prevalence and outcomes of undiagnosed diabetes using 1990 data.
  • Focuses on individuals meeting new criteria but undiagnosed in 1990.

Purpose of the Study:

  • Determine the prevalence of undiagnosed diabetes based on new diagnostic criteria.
  • Assess clinical outcomes and healthcare utilization associated with undiagnosed diabetes.
  • Compare health profiles and healthcare use between undiagnosed diabetic, diagnosed diabetic, and normoglycemic individuals.

Main Methods:

  • Utilized data from the 1990 Manitoba Heart Health Survey (n=2792).
  • Measured fasting plasma glucose (FPG) and collected diabetes history.

Related Experiment Videos

  • Linked survey data with healthcare utilization records for 8-year follow-up.
  • Main Results:

    • Prevalence of undiagnosed diabetes was 2.2% in Manitoba's adult population.
    • Undiagnosed diabetes accounted for one-third of all diabetes cases.
    • Individuals with undiagnosed diabetes exhibited unfavorable lipid profiles, higher blood pressure, and obesity; experienced 1.35 more physician visits annually and increased hospital admission risk compared to normoglycemic individuals.

    Conclusions:

    • Undiagnosed diabetes represents a significant, hidden burden of disease.
    • Concurrent metabolic derangements are common in undiagnosed cases.
    • Undiagnosed diabetes has a substantial long-term impact on healthcare utilization.