Document Detail


Blood glucose monitoring in the normal population: the PREDICA study.
MedLine Citation:
PMID:  20703502     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
In the PREdiction of DIabetes from CApillary blood glucose (PREDICA) study, we propose a novel approach based on multiple capillary blood glucose (CBG) measurements, assuming that weekly measurements performed for 2 months may be an efficient strategy to screen for diabetes. We studied 538 Caucasian subjects (247 men and 291 women) without a history of diabetes, consecutively recruited by 50 GPs from the Italian provinces of Rome and Frosinone. Subjects were asked to perform 8 fasting glucose and 8 post-prandial glucose measurements during a frame time of 2 months (Glucometer Accu-chek AVIVA Roche Diagnostics). Study subjects were 55 ± 9 years old (range 22-77 years of age), 50% were overweight and 16% obese. Fifty-eight percent of subjects have performed 13 to 16 CBG measurements during the study, 68% of subjects have performed at least 5 out of 8, both fasting and post-prandial measurements. Among 492 subjects who had at least two fasting measurements, 63.6% had normal glucose levels, 25.4% showed IFG, and 11.0% were diabetic. Considering post-prandial measurements, 74.2% had normal glucose levels, 23.0% had IGT, and 2.8% were diabetic. Combined IFG + IGT was detected in 7% of study subjects, while in 0.8% diagnosis of diabetes was confirmed with both fasting and post-prandial measurements. In this study, we found a high adherence to a novel screening strategy based on self-glucose monitoring in the general population. Our results show that multiple CBG measurements may represent a simple and efficient method for diabetes screening.
Authors:
N Napoli; F Costanza; E Di Stasio; R Strollo; S Manfrini; E Cipponeri; A Picardi; F Carrano; V Dell'anna; W Macino; P Pozzilli
Publication Detail:
Type:  Journal Article     Date:  2010-08-12
Journal Detail:
Title:  Acta diabetologica     Volume:  48     ISSN:  1432-5233     ISO Abbreviation:  Acta Diabetol     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200299     Medline TA:  Acta Diabetol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  29-34     Citation Subset:  IM    
Affiliation:
Department of Endocrinology & Diabetes, Università Campus Bio-Medico, Via Alvaro del Portillo, 21, 00128, Rome, Italy.
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