Community screening for non-insulin-dependent diabetes mellitus: self-testing for post-prandial glycosuria

Davies, Melanie J.; Williams, D. R. R.; Metcalfe, J.; Day, John

doi:10.1093/qjmed/86.10.677

Cited by 37 publications

(27 citation statements)

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“…This estimate is based on observations in a number of surveys, including the Diabetes Survey in Bedford, England in 1962 (Keen, 1964;Butter®eld et al, 1967) and studies in other ethnic groups (Jackson et al, 1968;Cheah et al, 1972;Chaisiri et al, 1997). Our predictive value is likely to be higher, because we only included persons with approximated fasting glycosuria, who are more likely to have NIDDM than those with postprandial glycosuria (Davies et al, 1993). By restricting the study population to those for whom urine samples were available after at least a 3 h fast, we increased the likelihood of overlooking cases of NIDDM, since tests on such samples have lower sensitivities than tests on postprandial urine samples (Bitzen and Schersten, 1986;Forrest et al, 1987;Chaisiri et al, 1997).…”

Section: Discussionmentioning

confidence: 99%

“…Those who did not state the time since their last meal (109 men and 83 women) and those who had eaten within the last 3 h were excluded (9494 (35%) men and 8803 (29%) women). These exclusions were made because postprandial glycosuria is more likely than fasting glycosuria to be a consequence of alimentary and renal glycosuria, which are normal conditions that are not predictive of NIDDM (Davies, 1993).…”

Section: Dietary Questionnairementioning

confidence: 99%

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A cross-sectional study of dietary habits and urinary glucose excretion — a predictor of non-insulin-dependent diabetes mellitus

et al. 2000

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Objective: To investigate the association between consumption of certain foods and macronutrients and urinary glucose excretion, which is a predictor of non-insulin-dependent diabetes mellitus. Design: A cross-sectional study, Denmark, 1993 ± 97. Subjects: Participants in the Danish study`Diet, Cancer and Health'. After exclusion of persons with postprandial urine samples and persons with diabetes or other diseases potentially resulting in glycosuria, the study population included 14 743 men and 18 064 women aged 50 ± 64 y. We identi®ed 183 men and 43 women with glucose in their urine. Results: Consumption of poultry was negatively associated with glycosuria in both men (odds ratio, OR 0.87; 95% con®dence interval, 95% CI 0.77 ± 0.98) and women (OR 0.69; 0.48 ± 1.00). Fiber from fruit showed a weak negative association with glycosuria in both men (0.95; 0.90 ± 1.01) and women (0.89; 0.78 ± 1.02), whereas a signi®cant negative association with total ®ber (0.68; 0.51 ± 0.91) and ®ber from vegetables (0.94; 0.88 ± 0.99) was seen in men. Intake of ®sh tended to reduce the risk of glycosuria in women only (0.80; 0.63 ± 1.02), whereas ingestion of milk products increased their risk signi®cantly (1.15; 1.06 ± 1.24). Conclusion: Although statistical signi®cance and consistency in the two sexes were not achieved for all endpoints, the study indicates a protective effect of dietary products like poultry, fruit and cereals against glycosuria and suggests a promoting effect of milk. Sponsorship: The Danish National Board of Health and the Danish Cancer Society.

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Section: Discussionmentioning

confidence: 99%

Section: Dietary Questionnairementioning

confidence: 99%

A cross-sectional study of dietary habits and urinary glucose excretion — a predictor of non-insulin-dependent diabetes mellitus

et al. 2000

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“…This level had a sensitivity of 83% and 95%, respectively, in the USA and Israel with corresponding specificities of 76% and 47%, and PPVs of 17.2% and 11.8%. Davies et al (1993) performed a similar study in 442 people from the Isle of Ely, UK. At an FPG cut-point of 5.5 mmol/L sensitivity was 96% and specificity 28%, compared with results of 65% and 64%, respectively, with a cut-point of 6.0 mmol/L.…”

Section: 2mentioning

confidence: 99%

Testing for type 2 diabetes in Indigenous Australians: guideline recommendations and current practice

Paul

Ishiguchi

DʼEste

et al. 2017

Medical Journal of Australia

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Objectives: To determine the proportion of Aboriginal Controlled Community Health Service (ACCHS) patients tested according to three national diabetes testing guidelines; to investigate whether specific patient characteristics were associated with being tested. Design, setting and participants: Cross‐sectional study of 20 978 adult Indigenous Australians not diagnosed with diabetes attending 18 ACCHSs across Australia. De‐identified electronic whole service data for July 2010 – June 2013 were analysed. Main outcomes measures: Proportions of patients appropriately screened for diabetes according to three national guidelines for Indigenous Australians: National Health and Medical Research Council (at least once every 3 years for those aged 35 years or more); Royal Australian College of General Practitioners and Diabetes Australia (at least once every 3 years for those aged 18 years or more); National Aboriginal Community Controlled Health Organisation (annual testing of those aged 18 years or more at high risk of diabetes). Results: 74% (95% CI, 74–75%) of Indigenous adults and 77% (95% CI, 76–78%) of 10 760 patients aged 35 or more had been tested for diabetes at least once in the past 3 years. The proportions of patients tested varied between services (range: all adults, 16–90%; people aged 35 years or more, 23–92%). 18% (95% CI, 18–19%) of patients aged 18 or more were tested for diabetes annually (range, 0.1–43%). Patients were less likely to be tested if they were under 50 years of age, were transient rather than current patients of the ACCHS, or attended the service less frequently. Conclusions: Some services achieved high rates of 3‐yearly testing of Indigenous Australians for diabetes, but recommended rates of annual testing were rarely attained. ACCHSs may need assistance to achieve desirable levels of testing.

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“…In contrast, we have shown in a large study based in general practice that a postal request system with self testing for postprandial glycosuria is an effective method of screening for diabetes 2. In a target population of 13795 subjects aged 45-70 years, 99 new cases of diabetes were identified by this method at a cost of pounds sterling 81 per new case (1990 prices).…”

mentioning

confidence: 92%

“…In a target population of 13795 subjects aged 45-70 years, 99 new cases of diabetes were identified by this method at a cost of pounds sterling 81 per new case (1990 prices). We have proposed ways in which this cost could be reduced 2. We have since shown that this method can be effectively repeated after 30 months, suggesting that public cooperation in repeated testing for diabetes can be maintained 4…”

mentioning

confidence: 99%

Screening for diabetes

Davies

Day

1994

BMJ

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Community screening for non-insulin-dependent diabetes mellitus: self-testing for post-prandial glycosuria

Cited by 37 publications

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A cross-sectional study of dietary habits and urinary glucose excretion — a predictor of non-insulin-dependent diabetes mellitus

A cross-sectional study of dietary habits and urinary glucose excretion — a predictor of non-insulin-dependent diabetes mellitus

Testing for type 2 diabetes in Indigenous Australians: guideline recommendations and current practice

Screening for diabetes

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