Abstract
Little is known about the impact of case-finding and protocol-driven screening at a practice level on the increasing prevalence of type 2 diabetes. This cross-sectional study investigated the diagnostic process in 154 patients with diabetes in a single practice with protocol-led screening for diabetes. A large proportion (87%) were diagnosed in primary care and of the 116 (86.6%) patients with type 2 diabetes the majority (58.6%) were also asymptomatic at the time of diagnosis. The commonest reason for screening was the presence of hypertension.
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References
1.
Amos AF
,
McCarty DJ
,
Zimmer P.
The rising global burden of diabetes and its complications . Diabetic Med
1997 ;14 (S5 ):1 -85 .
2.
Day C.
The rising tide of type 2 diabetes . Br J Diabetes Vasc Dis
2001 ;1 : 37 -43 .
3.
Savage G.
,
Ewing P.
,
Kirkwood H.
,
Cowie K.
Screening patients with ischaemic heart disease and hypertension for undiagnosed diabetes . Br J Diabetes Vasc Dis
2002 ;2 :224 -7 .
4.
Harris MI
Non-insulin dependant diabetes mellitus in black and white Americans . Diabetes Metab Rev
1990 ;6 :71 -90 .
5.
Harris MI
,
Klein R.
,
Welborn TA
,
Knuiman M.
Onset of NIDDM occurs at least 4-7 years before clinical diagnosis . Diabetes Care
1992 ;15 : 815 -19 .
6.
Jackson DMA
,
Wills R.
,
Davies J.
,
Meadows K.
,
Singh BM
,
Wise PH
Public awareness of the symptoms of diabetes mellitus . Diabetic Med
1991 ;8 :971 -2 .
7.
Singh BM
,
Jackson DMA
,
Wills R.
et al. Delayed diagnosis in non-insulin dependant diabetes mellitus . BMJ
1992 ;304 :1154 -5 .
8.
Expert Committee on the Diagnosis and Classification of Diabetes Mellitus.
Report . Diabetes Care
1997 :20 :1183 -7 .
