[Detection of non-insulin-dependent diabetes mellitus in asymptomatic adults].
A total of 1,011 clinically asymptomatic adults older than 20 years of age, with a minimal fasting of one hour, were screened for diabetes mellitus. This group was selected from a community medical service. The presence of diabetes in first degree relatives (parents, brothers/sisters and children) was investigated by interrogation of the subjects. Weight, height, and the waist and hip perimeters were measured, and the body mass index and the waist/hip ratio were calculated. Obesity was present in 26% of the population and 35.6% had a relative with diabetes mellitus, but 53.8% were younger than 40 years. A capillary blood sample was taken and glucose was measured by a reflectometer glucometer. Individuals with blood glucose levels of 160 mg/dL or higher were appointed for a fasting venous blood sample and glucose was analyzed using the glucose oxidase method. If the glucose levels were > 140 mg/dL, a second fasting venous blood sample was taken 1-2 weeks later, if both results were > 140 mg/dL a diagnosis of diabetes mellitus was established; otherwise it was considered non diagnostic for diabetes mellitus. A total of 17 were detected with > 160 mg/dL by the glucometer and 12/17 persons were diagnosed with diabetes mellitus (1.2%). No person younger than 30 years was detected (n = 307), but 3/237 were detected in the thirty years group (1.26% for this group) and 9 persons were older than 40 years, 1.2% of the total group. Capillary glucose measurements may be used for screening of populations selecting those who require to be submitted to diagnostic tests.
Díaz Campos
R
R
Unidad de Medicina Familiar No. 2, IMSS, Monterrey, NL.
de la Garza
O
O
Cortés
J
J
Forsbach
G
G
Sánchez
V
V
Palmeros
C I
CI
D000328:Adult; D000886:Anthropometry; D001786:Blood Glucose / Q000032:analysis*; D015992:Body Mass Index; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000235:genetics / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology; D015995:Prevalence; D012307:Risk Factors
D001786:Blood Glucose
Detección de diabetes mellitus no insulinodependiente en adultos asintomáticos.