Opportunistic Screening for The Detection of Newly Diagnosed Diabetes Melitus

Background. It is estimated that 50% of the diabetic patients are undiagnosed. Opportunistic screening is one of the screening method, to detect newly diagnosed diabetes mellitus. The aim of this study is to detect the undiagnosed diabetes mellitus by screening in the clinical setting. Subjects and Methods. Subjects were form the EIDEG screening for diabetes mellitus. The procedure is a two step screening, first using the reflectance meter for capillary blood sugar, followed by confirmation test in the laboratory. Capillary blood sugar was divided into 3 groups, < 100 mg/dL as normal, 100-199 mg/dl possible diabetes, and ? 200 mg/dL suspected diabetes. For group two, an OGTT was performed, and for group three, only FPG. Diabetes mellitus was diagnosed if FPG ? 126 mg/dl and or 2 hour OGTT ?200 mg/dl. Results. During the screening, 4737 subjects can be screened, only 1654 completed the screening. Diabetes mellitus was diagnosed in 240 subjects or 14.5%. There were more females compared to males, 52,9% and 47,1% subsequently, most were at the age ?50 years. More diabetic patients were diagnosed by OGTT compared to FPG only. Conclusions. This study showed that opportunistic screening may detect more diabetic patients. It is suggested that this screening procedure can be used by every clinicians in their daily practice.

Abstract licence: CC BY

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