Document Detail


Diagnostic Testing for Diabetes Using HbA1c in the Abu Dhabi Population: Weqaya: the Abu Dhabi Cardiovascular Screening Program.
MedLine Citation:
PMID:  21926284     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVEThe validity of HbA(1c) as a population diagnostic tool was tested against oral glucose tolerance testing in Abu Dhabi nationals.RESEARCH DESIGN AND METHODSThe screening tool of HbA(1c) and random glucose was validated against the "gold standard" oral glucose tolerance test according to World Health Organization criteria.RESULTSThe HbA(1c) threshold of 6.4% provided the optimum balance between sensitivity (72.0%) and specificity (84.3%) with positive and negative predictive values of 47.9 and 93.7% and area under the receiver operating characteristics curve of 0.78. This threshold compares with a threshold of 6.5% recommended by the International Scientific Committee and American Diabetes Association and of 6.3% in a recent study in China.CONCLUSIONSThis study successfully validates the feasibility and threshold of HbA(1c) for diagnosis of diabetes at the population level in a Middle-Eastern population. This result is a major step in the fight to tackle the increasing burden of diabetes in the United Arab Emirates.
Authors:
Cother Hajat; Oliver Harrison; Zaid Al Siksek
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-9-16
Journal Detail:
Title:  Diabetes care     Volume:  -     ISSN:  1935-5548     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7805975     Medline TA:  Diabetes Care     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Public Health and Research, Health Authority, Abu Dhabi, United Arab Emirates.
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