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Nontargeted Diabetes Screening in a Navajo Nation Emergency Department
Erik S Anderson1, Daniel A Dworkis1, Triveni DeFries1
1Erik S. Anderson is with the Department of Emergency Medicine, Northern Navajo Medical Center, Shiprock, NM. Daniel A. Dworkis is with the Department of Emergency Medicine, University of Southern California-Los Angeles County Hospital, Los Angeles. Triveni DeFries, Eleanor Emery, and Kimberly Mohs are with the Department of Internal Medicine, Northern Navajo Medical Center. Chandima Deegala is with the Department of Health Promotion and Disease Prevention, Northern Navajo Medical Center.
Abstract:
We developed a nontargeted diabetes screening program in a rural Indian Health Service emergency department in Shiprock, New Mexico to measure the proportion of previously undiagnosed diabetes and prediabetes, and to assess glycemic control among patients with known disease. Of 924 patients screened in the emergency department between May and July 2017, 28.8% screened positive for previously undiagnosed diabetes or prediabetes; among patients with known disease, the median hemoglobin A1c was 8.2%. Of the newly identified patients, 54.9% attended follow-up.
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