2022
DOI: 10.15277/bjd.2022.386
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use of HbA1c for new diagnosis of diabetes in those with hyperglycaemia on admission to or attendance at hospital urgently requires research

Abstract: The prevalence of diabetes in Birmingham is 11% but it is 22% in hospital inpatients. Queen Elizabeth Hospital in Birmingham (QEHB) serves a multi-ethnic population with 6% Afro-Caribbean, 19% South Asian and 70% White European. A clinical audit of 18,965 emergency admissions to QEHB showed that 5% were undiagnosed but had admission glucose in the ‘diabetes’ range and 16% were in the ‘at risk’ range. The proportion of Afro-Caribbeans (7%) and South Asians (8%) in the ‘diabetes’ range was higher than White Euro… Show more

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Cited by 2 publications
(4 citation statements)
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“…[53][54][55] Currently, HbA1c is used routinely for diagnosis of diabetes in the community in the UK and is advised for hospital admissions with hyperglycaemia but not widely implemented. 16,56,57 HbA1c measurement was introduced in pregnancy for diagnosis of GDM during the COVID-19 pandemic. This usage has reverted to OGTT post-pandemic, but HbA1c screening of high-risk patients in the first trimester should be considered.…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…[53][54][55] Currently, HbA1c is used routinely for diagnosis of diabetes in the community in the UK and is advised for hospital admissions with hyperglycaemia but not widely implemented. 16,56,57 HbA1c measurement was introduced in pregnancy for diagnosis of GDM during the COVID-19 pandemic. This usage has reverted to OGTT post-pandemic, but HbA1c screening of high-risk patients in the first trimester should be considered.…”
Section: Discussionmentioning
confidence: 99%
“…More recently, HbA1c has been suggested for diagnosis of diabetes in hospital patients with blood glucose concentrations in 'at risk' or 'diabetes' ranges on admission, 1,15 but this strategy has not yet been adopted systematically in the UK. 16…”
Section: Hba1c For Diagnosis Of T2dmmentioning
confidence: 99%
See 1 more Smart Citation
“…Participants aged ≥21 years then entered the NCD area to assess blood pressure, cholesterol, and blood glucose. To assess for diabetes, a stepwise pragmatic approach was employed [7] . Persons were first tested with a random whole blood glucose.…”
Section: Methodsmentioning
confidence: 99%