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  • Title: A type 2 diabetes screening program by general practioners in a Belgian at risk population.
    Author: Buysschaert M, Vandenbroucke C, Barsoum S.
    Journal: Diabetes Metab; 2001 Apr; 27(2 Pt 1):109-14. PubMed ID: 11353875.
    Abstract:
    OBJECTIVE: This study was designed to set up in Belgium a national screening program in order to evaluate the prevalence of undiagnosed impaired glucose tolerance and type 2 diabetes in a general population with at least one risk factor. MATERIAL AND METHODS: 10.201 individuals were screened by 1.466 general practioners between 1995 and 1998 (age: 57 +/- 16 years; BMI: 28 +/- 5 kg/m2; mean +/- 1SD). A three step diagnosis protocol was followed (blood glucose at random; fasting plasma glucose and, if needed, a 75 g oral glucose tolerance test). WHO criteria were used for diagnosis. RESULTS: Impaired glucose tolerance was found in 3% of individuals, while 11% had diabetes. Patients with abnormal glucose metabolism were older (P<0.001) and had an higher BMI (P<0.001) than non-diabetic subjects. The prevalence of undiagnosed diabetes was slightly higher (14 vs. 11%) when using a fasting plasma glucose threshold of 126 mg/dl (instead of 140 mg/dl) as recommended by the ADA experts. CONCLUSION: Undiagnosed abnormal glucose metabolism, in particular diabetes, is particularly frequent in a Belgian at risk population.
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