The objective of this study was to compare the results between two diagnostic criteria by ADA (1997) and WHO (1985) among those with fasting plasma glucose (FPG) level 5.6-7.8 mmol/l from a community-based survey in Kin-Hu and Kin-Chen, Kinmen conducted in 1991-94.
According to official household registry, 10797 residents aged over 30 were eligible for screening. 7580 had completed FPG screening and 1855 with FPG 5.6-7.8 mmol/l were invited to receive a 75-g oral glucose tolerance test (OGTT). 78.5% (1456/1855) had completed OGTT.
The prevalence of impaired fasting glucose (IFG, by ADA) was 15.7% ; the prevalence of impaired glucose tolerance (IGT, by WHO) was 22.7% ; the prevalence of undiagnosed diabetes was 7.4% by ADA criteria and 10.9% by WHO criteria.
It should be noticed that, among subjects with FPG 5.6-7.8 mmol/l, 50.3% of individuals with undiagnosed diabetes and 67.6% of individuals with IGT by WHO criteria would be missed by ADA criteria.
Based on the above findings, the two-step screening strategy using FPG as the first line screening and OGTT for high-risk group (FPG 5.6-7.8 mmol/l) only was recommended in epidemiological study and case finding in consideration of feasibility and validity.
Mots-clés Pascal : Diabète, Anomalie tolérance glucose, Diagnostic, Valeur limite, Etude comparative, Glycémie, Postprandial, Hyperglycémie provoquée, Prévalence, Epidémiologie, Méthodologie, Taiwan, Asie, Adulte, Homme, Personne âgée, Endocrinopathie
Mots-clés Pascal anglais : Diabetes mellitus, Impaired glucose tolerance, Diagnosis, Boundary value, Comparative study, Glycemia, Postprandial, Glucose tolerance test, Prevalence, Epidemiology, Methodology, Taiwan, Asia, Adult, Human, Elderly, Endocrinopathy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0486258
Code Inist : 002B30A01A1. Création : 22/03/2000.