Systematic Diabetes Screening Using Point-of-Care HbA(1c) Testing Facilitates Identification of Prediabetes

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Annals of Family Medicine

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 HbA(1C). HbA(1c) 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.

diabetes, prediabetes, screening, hemoglobin A(1C), HbA(1c), Primary Health Care, Medicine, General & Internal
Whitley, H. P., Hanson, C., & Parton, J. M. (2017). Systematic Diabetes Screening Using Point-of-Care HbA1c Testing Facilitates Identification of Prediabetes. In The Annals of Family Medicine (Vol. 15, Issue 2, pp. 162–164). Annals of Family Medicine.