title: Blood glucose screening rates among Minnesota adults with hypertension, Behavioral Risk Factor Surveillance System, 2011.
abstract: BACKGROUND
  Many US adults have multiple chronic conditions, and hypertension and diabetes are among the most common dyads. Diabetes and prediabetes prevalence are increasing, and both conditions negatively affect cardiovascular health. Early diagnosis and treatment of diabetes and prediabetes can benefit people with hypertension by preventing cardiovascular complications.
  
  
  METHODS
  We analyzed 2011 Minnesota Behavioral Risk Factor Surveillance System data to describe the proportion of adults with hypertension screened for diabetes according to US Preventive Services Task Force Recommendations for blood glucose testing. Covariates associated with lower odds of recent screening among adults without diabetes were determined using weighted logistic regression.
  
  
  RESULTS
  Of Minnesota adults with self-reported hypertension, 19.6% had a diagnosis of diabetes and 10.7% had a diagnosis of prediabetes. Nearly one-third of adults with hypertension without diabetes had not received blood glucose screening in the past 3 years. Factors associated with greater odds of not being screened in multivariable models included being aged 18 to 44 years (adjusted odds ratio [AOR], 1.77; 95% confidence interval [CI], 1.23-2.55); being nonobese, with stronger effects for normal body mass index; having no check-up in the past 2 years (AOR, 2.49; 95% CI, 1.49-4.17); having hypertension treated with medication (AOR, 2.01; 95% CI, 1.49-2.71); and completing less than a college degree (AOR, 1.45; 95% CI, 1.14-1.84). Excluding respondents with prediabetes or those not receiving a check-up did not change the results.
  
  
  CONCLUSIONS
  Failure to screen among providers and failure to understand the importance of screening among individuals with hypertension may mean missed opportunities for early detection, clinical management, and prevention of diabetes.
authors.affiliation: Minnesota Department of Health, Division of Health Promotion and Chronic Disease, Center for Health Promotion, Diabetes Unit, PO Box 64882, St Paul, MN 55164-5429. E-mail: Renee.Kidney@state.mn.us.
authors.forename: Renée S M
authors.initials: RS
authors.lastname: Kidney
authors.affiliation: Minnesota Department of Health, St Paul, Minnesota.
authors.forename: James M
authors.initials: JM
authors.lastname: Peacock
authors.affiliation: Mayo Clinic, Rochester, Minnesota. Dr Smith is also affiliated with the Mayo College of Medicine, Rochester, Minnesota.
authors.forename: Steven A
authors.initials: SA
authors.lastname: Smith
mesh_terms: D000293:Adolescent; D000328:Adult; D040343:Behavioral Risk Factor Surveillance System; D001786:Blood Glucose; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D006973:Hypertension / Q000097:blood* / Q000150:complications*; D008910:Minnesota / Q000453:epidemiology; D055815:Young Adult
chemical_list: D001786:Blood Glucose