PT  - JOURNAL ARTICLE
AU  - Heather P. Whitley
AU  - Courtney Hanson
AU  - Jason M. Parton
TI  - Systematic Diabetes Screening Using Point-of-Care HbA<sub>1c</sub> Testing Facilitates Identification of Prediabetes
AID  - 10.1370/afm.2035
DP  - 2017 Mar 01
TA  - The Annals of Family Medicine
PG  - 162--164
VI  - 15
IP  - 2
4099  - http://www.annfammed.org/content/15/2/162.short
4100  - http://www.annfammed.org/content/15/2/162.full
SO  - Ann Fam Med2017 Mar 01; 15
AB  - This prospective longitudinal study compares diabetes screenings between standard practices vs systematically offered point-of-care (POC) hemoglobin A1c (HbA1c) tests in patients aged 45 years or older. Systematically screened participants (n = 164) identified 63% (n = 104) with unknown hyperglycemia and 53% (n = 88) in prediabetes. The standard practice (n = 324) screened 22% (n = 73), most commonly by blood glucose (96%); 8% (n = 6) and 33% (n = 24) were found to have diabetes and prediabetes, respectively. The association between screening outcome and screening method was statistically significant (P = 0.005) in favor of HbA1C. HbA1c may be the most effective method to identify patients unknowingly living in hyperglycemia. Point-of-care tests further facilitate screening evaluation in a timely and feasible fashion.