Diabetic patients detected by population-based stepwise screening already have a diabetic cardiovascular risk profile

A.M.W. Spijkerman, M.C. Adriaanse, J.M. Dekker, G. Nijpels, C.D.A. Stehouwer, L.M. Bouter, R.J. Heine

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    Abstract

    OBJECTIVE - To describe a population-based two-step screening procedure for type 2 diabetes and to study the cardiovascular risk profile of the patients identified by the screening. RESEARCH DESIGN AND METHODS - The first step of the screening procedure consisted of the Symptom Risk Questionnaire (SRQ), and the second step was a fasting capillary glucose measurement. In subjects with an SRQ score of >6 and a capillary glucose level of >5.5 mmol/l, an oral glucose tolerance test was performed. RESULTS - A total of 11,679 inhabitants of the West-Friesland region of the Netherlands, aged 50-75 years, were invited. Of the inhabitants, 9,169 (78%) responded, and, of those, 417 had previously diagnosed diabetes. The SRQ score was calculated for 7,736 participants, and 3,301 of those had a score of >6. A total of 2,885 subjects (87.3%) attended for capillary glucose measurement. Diagnostic testing was carried out in 509 participants, and we identified 217 diabetic patients. In these patients detected by screening, mean HbA
    Original languageEnglish
    Pages (from-to)1784-1789
    Number of pages6
    JournalDiabetes Care
    Volume25
    Issue number10
    DOIs
    Publication statusPublished - 2002

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