| Screening and identifying diabetes in optometric practice: a prospective study. | |
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MedLine Citation:
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PMID: 21722457 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Unconventional settings, outside general medical practice, are an underutilised resource in the attempt to identify the large numbers of people with undiagnosed diabetes worldwide. AIM: The study investigated the feasibility of using optometry practices (opticians) as a setting for a diabetes screening service. DESIGN AND SETTING: Adults attending high street optometry practices in northern England who self-reported at least one risk factor for diabetes were offered a random capillary blood glucose (rCBG) test. Those with raised rCBG levels were asked to visit their GP for further investigations. RESULTS: Of 1909 adults attending practices for sight tests, 1303 (68.2%) reported risk factors for diabetes, of whom 1002 (76.9%) had rCBG measurements taken. Of these, 318 (31.7%) were found to have a rCBG level of ≥6.1 mmol/l, a level where further investigations are recommended by Diabetes UK; 1.6% of previously undiagnosed individuals were diagnosed with diabetes or pre-diabetes as a result of the service. Refining the number of risk factors for inclusion would have reduced those requiring screening by half and still have identified nearly 70% of the new cases of diabetes and pre-diabetes. CONCLUSION: Screening in optometric practices provides an efficient opportunity to screen at-risk individuals who do not present to conventional medical services, and is acceptable and appropriate. Optometrists represent a skilled worldwide resource that could provide a screening service. This service could be transferable to other settings. |
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Authors:
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Jennifer H Howse; Steve Jones; A Pali S Hungin |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The British journal of general practice : the journal of the Royal College of General Practitioners Volume: 61 ISSN: 1478-5242 ISO Abbreviation: Br J Gen Pract Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-07-04 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9005323 Medline TA: Br J Gen Pract Country: England |
Other Details:
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Languages: eng Pagination: 436-42 Citation Subset: IM |
Affiliation:
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Centre for Integrated Healthcare Research, School of Medicine and Health, Wolfson Research Institute, Durham University, Stockton-on-Tees, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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