ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2011
Prevalence of undiagnosed and suboptimally controlled diabetes by point-of-care HbA1C in unselected emergency department patients.
Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 31 citations in OpenAlex.
- HbA1c measurement using capillary blood in epidemiological studies: a scoping review of technologies and approaches.BMC endocrine disorders · 2026Article
- Examining the reach of a diabetes screening program in an urban emergency department.Public health in practice (Oxford, England) · 2025Article
- Validating an Electronic Health Record Algorithm for Diabetes Screening Eligibility in the Emergency Department.The western journal of emergency medicine · 2025Article
- Expanding Diabetes Screening to Identify Undiagnosed Cases Among Emergency Department Patients.The western journal of emergency medicine · 2023Article
- Neighborhood-Level Risk Factors for Severe Hyperglycemia among Emergency Department Patients without a Prior Diabetes Diagnosis.Journal of urban health : bulletin of the New York Academy of Medicine · 2023Article
- Prevalence of diabetic retinopathy and self-reported barriers to eye care among patients with diabetes in the emergency department: the diabetic retinopathy screening in the emergency department (DRS-ED) study.BMC ophthalmology · 2022Article
- Design and patient characteristics of the randomized controlled trial TExT-MED + FANS A test of mHealth augmented social support added to a patient-focused text-messaging intervention for emergency department patients with poorly controlled diabetes.Contemporary clinical trials · 2019Article
- Longitudinal Trends in the Prevalence of Diabetes Mellitus in an Urban Emergency Department.Southern medical journal · 2016Article
- Health literacy and blood glucose among Guyanese emergency department patients without diagnosed diabetes: a cross-sectional study.Diabetology & metabolic syndrome · 2015Article
- Influence of Helicobacter pylori infection on metabolic parameters and body composition of dyslipidemic patients.Internal and emergency medicine · 2014Article
- Primary care in the emergency department -- an untapped resource for public health research and innovation.The West Indian medical journal · 2014Article
- The association of haemoglobin A₁C levels with the clinical and CT characteristics of Klebsiella pneumoniae liver abscesses in patients with diabetes mellitus.European radiology · 2014Article
- Elevated HbA1c levels in individuals not diagnosed with type 2 diabetes in Qatar: a pilot study.Qatar medical journal · 2014Article
- Significance of HbA1c and its measurement in the diagnosis of diabetes mellitus: US experience.Diabetes, metabolic syndrome and obesity : targets and therapy · 2014Review
- Article
- Diagnostic accuracy of point-of-care testing for diabetic ketoacidosis at emergency-department triage: {beta}-hydroxybutyrate versus the urine dipstick.Diabetes care · 2011Article
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesThe objective was to estimate the glycemic control of patients with known diabetes and to assess the prevalence of undiagnosed diabetes in an unselected emergency department (ED) population. Secondary objectives include evaluating the prevalence of undiagnosed diabetes in high-risk groups of ED patients such as Hispanic patients, African Americans, and patients with body mass index (BMI) ≥ 30 kg/m(2) .
methodsA convenience sample of adult ED patients was screened for diabetes using a National Glycohemoglobin Standardization Program-certified point-of-care (POC) glycated hemoglobin (HbA1C) meter at a single academic medical center during eight 24-hour periods. Diabetes was defined as HbA1C ≥ 6.5%, consistent with new American Diabetes Association (ADA) guidelines.
resultsOf the 1,611 patients evaluated in the ED during the study period, 313 were included in the study sample. Of these, 15% reported a history of diabetes, 42% of whom were suboptimally controlled. An additional 14% of the study sample was found to have previously undiagnosed diabetes. In our limited sample, the prevalence of previously undiagnosed diabetes in Hispanics, African Americans, and patients with BMI ≥ 30 kg/m(2) was 14, 27, and 22%, respectively.
conclusionsPatients in our sample had a high prevalence of suboptimally controlled and undiagnosed diabetes. New POC HbA1C devices and simplified diagnostic criteria for diabetes significantly enhance the possibility of ED-based screening programs. Future research should validate our findings in a broader array of EDs and study the acceptance of such ED-based diabetes screening programs.
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