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Related Experiment Videos

Screening for Type 2 diabetes--should it be now?

K Borch-Johnsen1, T Lauritzen, C Glümer

  • 1Steno Diabetes Centre, Gentofte, Denmark.

Diabetic Medicine : a Journal of the British Diabetic Association
|April 5, 2003
PubMed
Summary

Type 2 diabetes does not meet criteria for mass population screening. More research is needed on screening effectiveness and consequences before widespread implementation. Opportunistic screening in high-risk individuals is advised.

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Patient-reported outcomes after 10-year follow-up of intensive, multifactorial treatment in individuals with screen-detected type 2 diabetes: the ADDITION-Europe trial.

Diabetic medicine : a journal of the British Diabetic Association·2020

Area of Science:

  • Endocrinology
  • Public Health
  • Screening Criteria Evaluation

Background:

  • Increasing prevalence of Type 2 diabetes necessitates evaluation of screening strategies.
  • Global recommendations for Type 2 diabetes screening exist, prompting a review of its suitability.
  • Understanding the disease's characteristics is crucial for determining appropriate screening approaches.

Purpose of the Study:

  • To assess if Type 2 diabetes meets the World Health Organization's (WHO) established criteria for screening.
  • To review existing literature on screening strategies and diagnostic tests for Type 2 diabetes.
  • To evaluate the psychosocial and health economic implications of screening for Type 2 diabetes.

Main Methods:

  • Comprehensive literature search using MedLine, PubMed, NIDDK, Cochrane Library, and CINAHL.

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  • MeSH terms 'non-insulin-dependent-diabetes-mellitus' and 'mass screening' were utilized.
  • Evaluation of psychosocial consequences incorporated studies from other chronic diseases.
  • Main Results:

    • No randomized controlled trials specifically evaluating screening for Type 2 diabetes were identified, precluding meta-analysis.
    • Literature review indicates that Type 2 diabetes does not currently fulfill WHO screening criteria.
    • Data on the positive and negative effects of screening, as well as psychosocial and health economic consequences, are limited.

    Conclusions:

    • Population-based mass screening for Type 2 diabetes is not currently supported by evidence meeting WHO criteria.
    • Further systematic screening and intervention trials are recommended.
    • Intensified case finding and opportunistic screening in high-risk groups are advised in the interim.