Clinical and Public Health Implications of 2019 Endocrine Society Guidelines for Diagnosis of Diabetes in Older Adults
Author(s) -
Michael Fang,
Justin B. EchouffoTcheugui,
Elizabeth Selvin
Publication year - 2020
Publication title -
diabetes care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.636
H-Index - 363
eISSN - 1935-5548
pISSN - 0149-5992
DOI - 10.2337/dc19-2467
Subject(s) - medicine , diabetes mellitus , endocrine system , prediabetes , national health and nutrition examination survey , type 2 diabetes , impaired fasting glucose , endocrinology , impaired glucose tolerance , population , environmental health , hormone
Screening for diabetes is typically done using hemoglobin A 1c (HbA 1c ) or fasting plasma glucose (FPG). The 2019 Endocrine Society guidelines recommend further testing using an oral glucose tolerance test (OGTT) in older adults with prediabetic HbA 1c or FPG. We evaluated the impact of this recommendation on diabetes prevalence, eligibility for glucose-lowering treatment, and estimated cost of implementation in a nationally representative sample.
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