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Annals of family medicine · Mar 2017
Comparative StudySystematic Diabetes Screening Using Point-of-Care HbA1c Testing Facilitates Identification of Prediabetes.
- Heather P Whitley, Courtney Hanson, and Jason M Parton.
- Auburn University Harrison School of Pharmacy, Department of Pharmacy Practice Baptist Health System, Montgomery Family Medicine Residency Program, Montgomery, Alabama whitlhp@auburn.edu.
- Ann Fam Med. 2017 Mar 1; 15 (2): 162164162-164.
AbstractThis 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.© 2017 Annals of Family Medicine, Inc.
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