Open AccessNontargeted Diabetes Screening in a Navajo Nation Emergency Department
Author(s) -
Eric G. Anderson,
Daniel A. Dworkis,
Triveni DeFries,
Eleanor Emery,
Chandima Deegala,
Kimberly Mohs
Publication year - 2019
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.2018.304799
Subject(s) - medicine , prediabetes , emergency department , diabetes mellitus , glycemic , navajo , disease , health department , emergency medicine , type 2 diabetes , family medicine , public health , endocrinology , nursing , linguistics , philosophy
We developed a nontargeted diabetes screening program in a rural Indian Health Service emergency department in Shiprock, New Mexico to measure the proportion of previously undiagnosed diabetes and prediabetes, and to assess glycemic control among patients with known disease. Of 924 patients screened in the emergency department between May and July 2017, 28.8% screened positive for previously undiagnosed diabetes or prediabetes; among patients with known disease, the median hemoglobin A1c was 8.2%. Of the newly identified patients, 54.9% attended follow-up.