The Article in Brief
Yield of Opportunistic Targeted Screening for Type 2 Diabetes in Primary Care: The Diabscreen Study
Erwin P. Klein Woolthuis , and colleagues
Background The American Diabetes Association recommends that high-risk adults be tested for diabetes. This study assessed the results of opportunistic targeted screening for type 2 diabetes in the primary care setting.
What This Study Found The yield of an opportunistic targeted screening program was fair: in 1year, undiagnosed type 2 diabetes was identified in 101 high-risk patients (2.7%). The yield of screening in low-risk patients was only 0.4%. Of the American Diabetes Association risk factors, obesity was the strongest predictor of undiagnosed type 2 diabetes.
Implications
- Opportunistic screening for type 2 diabetes in primary care could target middle-aged and older adults with obesity.
- These findings confirm a low yield in screening low-risk individuals for diabetes.