Diabetes mellitus and the armed forces

World, Michael

doi:10.1177/14746514080080020101

Cited by 3 publications

(3 citation statements)

References 10 publications

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“…In addition, the UK armed forces are exempt from the Equality Act and have a blanket ban on employing people with diabetes. 27 Great progress has been made, and with such successful initiatives, discrimination is likely to become less in the future years.…”

Section: The Participant Perspectivementioning

confidence: 99%

“…For example, some NHS Ambulance Trusts have rules about people with diabetes applying for jobs as ambulance crew. In addition, the UK armed forces are exempt from the Equality Act and have a blanket ban on employing people with diabetes 27 …”

Section: The Participant Perspectivementioning

confidence: 99%

“…In addition, the UK armed forces are exempt from the Equality Act and have a blanket ban on employing people with diabetes. 27 …”

Section: The Participant Perspectivementioning

confidence: 99%

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100 years of physiology, discrimination and wonder

Russell‐Jones

Herring

2021

Diabet Med

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Section: The Participant Perspectivementioning

confidence: 99%

Section: The Participant Perspectivementioning

confidence: 99%

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100 years of physiology, discrimination and wonder

Russell‐Jones

Herring

2021

Diabet Med

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Of Soldiers and Diplomats

Watve

2012

Doves, Diplomats, and Diabetes

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Comparison of glycated haemoglobin and fasting blood glucose in the diagnosis of diabetes mellitus and pre-diabetes in a cohort of obese patients

Chan¹,

Murphy²

2017

J R Nav Med Serv

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BackgroundDiabetes mellitus (DM) has historically been diagnosed by measurement of blood glucose concentrations. More recently, the use of glycated haemoglobin (HbA1c) has been advocated in the diagnosis of diabetes, complementing its existing role in the monitoring of glycaemic control.A recent study has shown that obesity is an important problem in the UK Armed Forces. Obese patients are at increased risk of diabetes and intermediate hyperglycaemia (pre-diabetes). It is unclear whether the application of diagnostic criteria based on HbA1c would produce different categorisation of obese patients compared with standard glucose-based criteria. In the current study, we compared HbA1c with fasting plasma glucose in the diagnosis of type 2 diabetes and intermediate hyperglycaemia in a cohort of obese patients.MethodsPatients were recruited from the NHS Tayside Specialist Weight Management Service. They were classified into three categories (normoglycaemia, pre-diabetes, and diabetes) according to their fasting plasma glucose (FPG) and HbA1c. The diagnostic criteria of three organisations were applied: the World Health Organisation (WHO); the American Diabetes Association (ADA); and the International Expert Committee (IEC). Glucose, insulin, cholesterol, triglycerides, uric acid, liver function tests and sex hormone-binding globulin (SHBG) were measured.ResultsBy WHO (fasting glucose) criteria, 102 subjects were classified as normal, 13 as having impaired fasting glycaemia (IFG) and 5 as having diabetes mellitus (DM). By IEC (HbA1c) criteria, 89 subjects were classified as normal, 21 as pre-diabetes and 7 as DM. By ADA (HbA1c) criteria, 69 subjects were classified as normal, 41 as pre-diabetes and 7 as DM. Alkaline phosphatase was significantly higher in hyperglycaemic states compared with normal subjects, with ANOVA F statistics of 9.45 for WHO (p < 0.001), 9.24 for IEC (p < 0.001), and 6.87 for ADA (p < 0.01).ConclusionAlthough the numbers were small, more obese patients were categorised as hyperglycaemic (pre-diabetes and diabetes) when HbA1c-based criteria were applied, compared with WHO (glucose-based) criteria. Further studies are required to confirm this preliminary observation.

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Diabetes mellitus and the armed forces

Cited by 3 publications

References 10 publications

100 years of physiology, discrimination and wonder

100 years of physiology, discrimination and wonder

Of Soldiers and Diplomats

Comparison of glycated haemoglobin and fasting blood glucose in the diagnosis of diabetes mellitus and pre-diabetes in a cohort of obese patients

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