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Community-based screening for diabetes in Michigan.
Bahman P Tabaei1, Ray Burke, Ann Constance
1Department of Internal Medicine, University of Michigan Health System, Ann Arbor, Michigan 48109-0354, USA.
Diabetes Care
|March 1, 2003
Summary
Community diabetes screening using American Diabetes Association (ADA) guidelines was ineffective, identifying less than 1% of undiagnosed diabetes cases. Improvements may involve biochemical tests and targeted populations.
Area of Science:
- Public Health
- Epidemiology
- Diabetes Management
Background:
- Diabetes is a growing public health concern.
- Effective community screening programs are crucial for early detection and management.
- Previous screening efforts require evaluation for efficiency and yield.
Purpose of the Study:
- To evaluate the effectiveness of a community-based diabetes screening program.
- To assess the yield of undiagnosed diabetes cases using American Diabetes Association (ADA) criteria.
- To identify potential improvements for future community screening initiatives.
Main Methods:
- A community-based screening program was conducted from June to December 1999.
- Voluntary organizations utilized a standard protocol, including ADA questionnaires and capillary plasma glucose criteria.
- Screening data from 3506 individuals were analyzed.
Main Results:
- Of 3031 appropriately screened individuals, 57% were high-risk via questionnaire, and 5% had positive glucose tests.
- The program's yield for identifying undiagnosed diabetes was less than 1%.
- The ADA questionnaire produced numerous false positives; ADA glucose criteria may have missed cases.
Conclusions:
- Community diabetes screening based on ADA recommendations proved inefficient.
- Questionnaire-based risk assessment and current glucose criteria require revision.
- Future programs could improve yield by using biochemical tests, adjusting criteria, and targeting specific populations.