title: Systematic Diabetes Screening Using Point-of-Care HbA1cTesting Facilitates Identification of Prediabetes.
abstract: 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 HbA1CHbA1cmay 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.
authors.affiliation: Auburn University Harrison School of Pharmacy, Department of Pharmacy Practice Baptist Health System, Montgomery Family Medicine Residency Program, Montgomery, Alabama whitlhp@auburn.edu.
authors.forename: Heather P
authors.initials: HP
authors.lastname: Whitley
authors.affiliation: The University of Alabama, Culverhouse College of Commerce and Business Administration, Department of Information Systems, Statistics and Management Science, Tuscaloosa, Alabama.
authors.forename: Courtney
authors.initials: C
authors.lastname: Hanson
authors.affiliation: The University of Alabama, Culverhouse College of Commerce and Business Administration, Department of Information Systems, Statistics and Management Science, Tuscaloosa, Alabama.
authors.forename: Jason M
authors.initials: JM
authors.lastname: Parton
mesh_terms: D000368:Aged; D000407:Alabama; D001786:Blood Glucose / Q000032:analysis; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis*; D006801:Humans; D006943:Hyperglycemia / Q000175:diagnosis*; D008137:Longitudinal Studies; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D000067716:Point-of-Care Testing / Q000706:statistics & numerical data; D011236:Prediabetic State / Q000175:diagnosis*; D011446:Prospective Studies
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin
keywords: diabetes; hemoglobin A1C; HbA1c; prediabetes; screening