Document Detail


Screening for diabetes on a vascular ward: lessons from an audit.
MedLine Citation:
PMID:  9560498     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Owing to the high prevalence of diabetes mellitus in patients with peripheral arterial disease, screening for this disorder is necessary on a vascular ward. Our current practice of random plasma glucose (RPG) testing on every admission was reviewed. This test, although crude, excludes diabetes if the cutoff level is set as low as 6.0 mmol/L. A total of 36% of our patients had an abnormal result, but this was not further acted upon. A further 19% had no test result recorded at all. This practice is inadequate and has resulted in the following implementations: (1) every patient with clinical evidence of arterial disease should have their RPG level measured; (2) patients with a level > 6.0 mmol/L should have a fasting plasma glucose level estimated; and (3) patients with an abnormal fasting plasma glucose level should be referred to the diabetic clinic.
Authors:
W P Stuart; B Wolf; E M Macaulay; K S Cross
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Royal College of Surgeons of Edinburgh     Volume:  43     ISSN:  0035-8835     ISO Abbreviation:  J R Coll Surg Edinb     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-05-12     Completed Date:  1998-05-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7503110     Medline TA:  J R Coll Surg Edinb     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  11-2     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, Aberdeen Royal Infirmary, UK.
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MeSH Terms
Descriptor/Qualifier:
Aged
Blood Glucose / analysis*
Diabetes Mellitus / epidemiology,  prevention & control*
Diabetic Angiopathies / epidemiology,  prevention & control*
Female
Hospital Departments
Humans
Male
Mass Screening*
Medical Audit
Chemical
Reg. No./Substance:
0/Blood Glucose

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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