Evidence map›Paper›PMID 40276855›Full record

ArticleInternal medicine journal2025

Opportunistic screening for diabetes among urban Aboriginal adults during emergency department attendance.

William Yu, Kyaw Phone Myint, Uchechukwu Levi Osuagwu, Nathan Jones, Richard Cracknell, Anau Speizer, David Simmons, Milan Piya

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Article in Internal medicine journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

William YuDiabetes Alliance Program Plus, Hunter New England Local Health District, Newcastle, New South Wales, Australia.ORCID 0009-0003-8109-1062
Kyaw Phone MyintSchool of Medicine, Western Sydney University, Sydney, New South Wales, Australia.
Uchechukwu Levi OsuagwuRural Health, Bathurst Rural Clinical School (BRCS), School of Medicine, Western Sydney University, Bathurst, New South Wales, Australia.
Nathan JonesAboriginal Health, South Western Sydney Local Health District, Sydney, New South Wales, Australia.
Richard CracknellEmergency Department, Campbelltown and Camden Hospitals, Sydney, New South Wales, Australia.
Anau SpeizerAboriginal Health, South Western Sydney Local Health District, Sydney, New South Wales, Australia.
David SimmonsSchool of Medicine, Western Sydney University, Sydney, New South Wales, Australia.ORCID 0000-0001-5065-7279
Milan PiyaSchool of Medicine, Western Sydney University, Sydney, New South Wales, Australia.ORCID 0000-0002-2783-1168

Funding

NSW Agency for Clinical Innovation
6 · The paper itself

Abstract

backgroundAboriginal people have a high risk of type 2 diabetes (T2DM). Routine opportunistic testing using glycated hemoglobin (HbA1c) for diabetes in the emergency department (ED) offers an opportunity to detect undiagnosed diabetes and evaluate glycaemia for pre-existing diabetes.

aimsTo evaluate the prevalence of pre-existing diabetes and assess random blood glucose (RBG) and HbA1c as screening tools for undiagnosed diabetes in Aboriginal people attending the ED.

methodsDemographic and RBG data were extracted for all Aboriginal adults presenting to a Sydney hospital ED over 6 months. Practitioners requested blood tests as per routine care, and in the final 3 months, HbA1c was automatically added to routine venous sampling. The primary outcome was change in diabetes diagnosis with the addition of HbA1c.

resultsOverall, 1640 adult Aboriginal patients presented to the ED over 6 months (4.1% of all presentations), including 734 unique individuals tested during routine care. The prevalence of pre-existing T2DM was 12.0% (n = 88). Among those without known diabetes, 1.4% (n = 9) had glucose readings ≥11.1 mmol/L and 14.3% (n = 90) had glucose readings 7.0-11.0 mmol/L. For those without known diabetes with HbA1c measurement, there were 2.7% (n = 8) with HbA1c ≥6.5% and 4% (n = 12) with HbA1c 6.0%-6.4%. There was no overlap between those who had an HbA1c ≥6.5% and RBG ≥11.1 mmol/L.

conclusionsThere was a high prevalence of pre-existing diabetes among Aboriginal adults attending the ED. New diabetes diagnosis in the ED based on RBG or HbA1c was not common. Confirmatory testing for diabetes should be recommended to the general practitioners of patients in whom elevated HbA1c or RBG are identified.

Indexed as

Diabetes Mellitus, Type 2Emergency Service, HospitalMass ScreeningUrban PopulationAdultAgedBlood GlucoseFemaleGlycated HemoglobinHumansMaleMiddle AgedPrevalenceYoung AdultBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanAboriginalAboriginal and Torres Strait Islander peoplesdiabetesdiabetes screeningemergency departmenttype 2 diabetes

Identifiers

PMID40276855
PMCPMC12240014

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