• Corpus ID: 21424359

Diabetes mellitus: diagnosis and screening.

@article{Patel2010DiabetesMD,
  title={Diabetes mellitus: diagnosis and screening.},
  author={Parita Patel and Allison Macerollo},
  journal={American family physician},
  year={2010},
  volume={81 7},
  pages={
          863-70
        }
}
Based on etiology, diabetes is classified as type 1 diabetes mellitus, type 2 diabetes mellitus, latent autoimmune diabetes, maturity-onset diabetes of youth, and miscellaneous causes. The diagnosis is based on measurement of A1C level, fasting or random blood glucose level, or oral glucose tolerance testing. Although there are conflicting guidelines, most agree that patients with hypertension or hyperlipidemia should be screened for diabetes. Diabetes risk calculators have a high negative… 
View on PubMed
aafp.org
96 Citations
Highly Influential Citations
8
Background Citations
33
Methods Citations
7
Results Citations
1

Tables from this paper

96 Citations

Definition, Classification and Diagnosis of Diabetes, Prediabetes and Metabolic Syndrome.

Clinical Symptoms Used for Screening Diabetic Populations with Family History of Type 2 Diabetes Mellitus

The prevalence of T2DM in populations with a family history of diabetes is high, with birth history of weight = 4 kg or GDM as a factor associated with T2 DM, and other clinical symptoms having a fairly high prevalence, therefore a comprehensive lifestyle change needs to be done.

Clinical Guidance on Screening Chronic Kidney Disease in Type 2 Diabetic Patients for Family Physicians

Therapeutic goals in patients with complications, such as CKD, include maintaining renal function and stopping the trend of renal deterioration and progression of diabetic nephropathy can be slowed through the use of some medications.

Clinical profile and factors associated with microalbuminuria in type 1 diabetes mellitus in children and adolescents.

It is highly recommended to screen all diabetic patients for the incidence of microalbuminuria and modifiable risk factors like dyslipidemia at the onset and then yearly assessment as micro Albuminuria is an early microvascular complications.

Research Article Clinical profile and factors associated with microalbuminuria in type 1 diabetes mellitus in children and adolescents

It is highly recommended to screen all diabetic patients for the incidence of microalbuminuria and modifiable risk factors like dyslipidemia at the onset and then yearly assessment as micro Albuminuria is an early microvascular complications.

Correlation of salivary glucose level with blood glucose level in diabetes mellitus

With increase in BGL, increase in SGL was observed in patients with diabetes suggesting that SGL can be used for monitoring glycemic level in DM, and a highly statistically significant correlation was found between fasting saliva glucose and fasting blood glucose in all the groups.

Biomarkers as a predictor for diabetic retinopathy risk and management: A review

With prediction of risk for diabetes in individuals, a value combination, expressed as either a numerical score or a percentage, consisting of adiponectin, apolipoprotein B, C-reactive protein and ferritin, almost doubled the relative risk of contracting the disease.

Update on gestational diabetes mellitus.

The association between dietary patterns, diabetes and depression.

Factors associated with glycemic status among type 2 diabetes mellitus patients in Merjan Diabetic Centre, Iraq

The present study showed the significant contribution of diet alone, LDL level, Dietary GL, Physical activity, BMI, Sulfonylurea and total dietary fibre to glycemic status.
...

References

SHOWING 1-10 OF 53 REFERENCES

Diagnosis and Classification of Diabetes Mellitus

The degree of hyperglycemia reflects the severity of the underlying metabolic process and its treatment more than the nature of the process itself.

The relationship between immune-mediated Type 1 diabetes mellitus and ethnicity.

Clinical and genetic characteristics of type 2 diabetes with and without GAD antibodies.

GADab+ patients differ from both GADab- type 2 diabetic patients and type 1 diabetic patients with respect to beta-cell function, features of the metabolic syndrome, and type1 diabetes susceptibility genes, and it is proposed that LADA be defined as GADAB positivity (>5 relative units) in patients older than 35 years at onset of type 2 diabetes.

Is latent autoimmune diabetes in adults distinct from type 1 diabetes or just type 1 diabetes at an older age?

The immunological and metabolic differences between type 1, type 1.5, and classic type 2 diabetic patients are investigated to suggest at least partially distinct disease processes.

IA-2 antibody prevalence and risk assessment of early insulin requirement in subjects presenting with type 2 diabetes (UKPDS 71)

In type 2 diabetes, the presence of IA-2A is infrequent, associated with the HLA-DR4 haplotype, and highly predictive of future need for insulin therapy.

Islet autoantibodies in clinically diagnosed type 2 diabetes: prevalence and relationship with metabolic control (UKPDS 70)

Autoantibody-positive patients with new-onset type 2 diabetes can be treated initially with sulphonylurea, but are likely to require insulin earlier than autoantibODY-negative patients, reflecting a more beneficial overall risk factor profile.

Glucose tolerance and mortality: comparison of WHO and American Diabetes Association diagnostic criteria. The DECODE study group. European Diabetes Epidemiology Group. Diabetes Epidemiology: Collaborative analysis Of Diagnostic criteria in Europe.

  • Medicine
    Lancet
  • 1999
Fasting-glucose concentrations alone do not identify individuals at increased risk of death associated with hyperglycaemia, and the oral glucose tolerance test provides additional prognostic information and enables detection of individuals with impaired glucose tolerance, who have the greatest attributablerisk of death.

UKPDS 25: autoantibodies to islet-cell cytoplasm and glutamic acid decarboxylase for prediction of insulin requirement in type 2 diabetes

Type 1 and type 2 diabetes: what do they have in common?

The mixed family history is associated with more type 1-like genetic (HLA and insulin gene) and phenotypic characteristics in type 2 diabetic patients, especially in the GAD antibody-positive subgroup.

Diabetes Risk Calculator

The Diabetes Risk Calculator is the only currently available noninvasive screening tool designed and validated to detect both pre-diabetes and undiagnosed diabetes in the U.S. population.
...