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Monday, 14 January, 2002, 02:21 GMT
Simple test for diabetes
Diabetes
Many diabetics go undiagnosed
A simple blood test given in the doctor's office could identify millions of patients with previously undetected diabetes, research suggests.

The findings also suggest that three easily assessed risk factors can be used to identify the best candidates for the test.


These results are very interesting as the UK has an estimated one million people with undiagnosed diabetes

Diabetes UK
Diabetes may go undiagnosed for years, damaging organs throughout the body, until symptoms appear.

Diabetes UK, one of the UK's leading diabetes charities, says that on average, people have diabetes for between nine and 12 years before it is detected.

As a result many people with the adult-onset form are already in poor condition by the time it is diagnosed.

It is estimated that in the UK two out of three diabetics die unnecessarily from complications which could have been successfully treated.

At any time, an estimated one million people in the UK have diabetes - but do not know it.

Early detection

Therefore, early detection of the condition is vital.

The current blood sugar test requires several hours of prior fasting and cannot always be administered on the spot.

Researchers from Duke University Medical Center, North Carolina, led by Dr David Edelman, tested a new screening technique called HgA1c.

This test accurately indicates blood sugar levels over the previous two to three months and can detect at least 75% of cases of diabetes, but does not require fasting.

The researchers gave the test to 1,253 patients who had never been diagnosed with diabetes.

It was found that 4.5% had diabetes, which had gone undetected even though they were under medical care.

The researchers say the test would detect almost as many cases of undiagnosed diabetes if performed only on patients with one or more of three risk factors:

  • obesity
  • self-reported high blood pressure
  • family history of the disease
Such targeting would make the screening even more cost-effective.

Undiagnosed

A spokesman for Diabetes UK told BBC News Online: "These results are very interesting as the UK has an estimated one million people with undiagnosed diabetes.

"These people need to be found as soon as possible. Without the right treatment people with diabetes are at a serious risk of long-term damage being done to their heart, eyes and kidneys."

Those most at risk include those over 40, who are overweight, have a family history of diabetes or are from an Afro-Caribbean or Asian background.

Diabetes UK is calling for the introduction of an early identification programme targeted at these high-risk groups.

The research is published in the Journal of General Internal Medicine.

See also:

10 Jun 01 | Health
Diabetes deaths 'unnecessary'
17 Jun 01 | Health
'An end to insulin jabs'
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