title: Population screening for diabetes mellitus. Professional Advisory Committee of the British Diabetic Association.
abstract: The role and value of screening for diabetes mellitus is still unclear. If asymptomatic subjects are to be screened, then a fasting plasma glucose > 6.6 mmol l-1 or a venous plasma glucose 2 h after a 75 g oral glucose load > 8.0 mmol l-1 or the presence of any glucose in a urine sample passed 2 h after a main meal should be regarded as a positive result. A fasting plasma glucose in the range 5.5-6.6 mmol l-1 is an equivocal result which should lead to retesting in 6-12 months if there is any risk factor for diabetes (obesity, family history of diabetes, Asian/African racial origin). Other screening tests or combinations of tests are not recommended. Screening should be restricted to subjects between 40 and 75 years and should be undertaken only every 5 years (3 years if a risk factor for diabetes is present), ideally in parallel with other health screening test; subjects with a positive result should have further investigations as necessary to reach a diagnosis in line with WHO criteria.
authors.affiliation: Diabetes Centre, Royal Infirmary, Glasgow, UK.
authors.forename: K R
authors.initials: KR
authors.lastname: Paterson
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis*; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D003922:Diabetes Mellitus, Type 1 / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control; D005215:Fasting; D005951:Glucose Tolerance Test; D006029:Glycosuria; D006801:Humans; D008403:Mass Screening / Q000379:methods; D008875:Middle Aged; D015995:Prevalence; D006113:United Kingdom / Q000453:epidemiology
chemical_list: D001786:Blood Glucose