ArticleDiabetes care1997
Comparison of diabetes diagnostic categories in the U.S. population according to the 1997 American Diabetes Association and 1980-1985 World Health Organization diagnostic criteria.
Article in Diabetes care, 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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29 citing papers in PubMed, 1 synthesis or guideline pooled it, 265 citations in OpenAlex.
- Revisiting the oral glucose tolerance test criterion for the diagnosis of diabetes.Journal of general internal medicine · 2000Pooled it
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- Knowledge, Attitudes, and Behaviors towards Proper Nutrition and Lifestyles in Italian Diabetic Patients during the COVID-19 Pandemic.International journal of environmental research and public health · 2022Article
- The Association of Neighborhood Medical Facilities with Aging in Place and Risk of Incident Myocardial Infarction.Journal of aging and health · 2021Article
- Plasma glucose in screening for diabetes and pre-diabetes: how much is too much? Analysis of fasting plasma glucose and oral glucose tolerance test in Sri Lankans.BMC endocrine disorders · 2019Article
- Genetic Basis for Sex Differences in Obesity and Lipid Metabolism.Annual review of nutrition · 2017Review
- Prevalence of unsuspected glucose intolerance in coronary artery disease (CAD) patients: Importance of HbA1c.Medical journal, Armed Forces India · 2013Article
- Hemoglobin A1c as a diagnostic tool for diabetes screening and new-onset diabetes prediction: a 6-year community-based prospective study.Diabetes care · 2011Article
- The relation of diabetes, impaired fasting blood glucose, and insulin resistance to left ventricular structure and function in African Americans: the Jackson Heart Study.Diabetes care · 2011Article
- Cardiovascular risk assessment--from individual risk prediction to estimation of global risk and change in risk in the population.BMC medicine · 2010Review
- Managing women with gestational diabetes mellitus in the postnatal period.Diabetes, obesity & metabolism · 2010Review
- Trends in 10-year predicted risk of cardiovascular disease in the United States, 1976 to 2004.Circulation. Cardiovascular quality and outcomes · 2009Article
- Pathophysiology of prediabetes.Current diabetes reports · 2009 · on this mapReview
- Abnormal glucose tolerance in young male patients with nonalcoholic fatty liver disease.Liver international : official journal of the International Association for the Study of the Liver · 2009Article
- Full accounting of diabetes and pre-diabetes in the U.S. population in 1988-1994 and 2005-2006.Diabetes care · 2009Article
- The spectrum of diabetic neuropathies.Physical medicine and rehabilitation clinics of North America · 2008Review
- Skeletal muscle protein anabolic response to increased energy and insulin is preserved in poorly controlled type 2 diabetes.The Journal of nutrition · 2006Article
- Diabetes portrayals in North American print media: a qualitative and quantitative analysis.American journal of public health · 2005Article
- Recognition of a subregion of human proinsulin by class I-restricted T cells in type 1 diabetic patients.Proceedings of the National Academy of Sciences of the United States of America · 2005Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare the 1997 American Diabetes Association (ADA) and the 1980-1985 World Health Organization (WHO) diagnostic criteria in categorization of the diabetes diagnostic status of adults in the U.S. RESEARCH DESIGN AND
methodsAnalyses are based on a probability sample of the U.S. population age 40-74 years in the 1988-1994 Third National Health and Nutrition Examination Survey (NHANES III). People with diabetes diagnosed before the survey were identified by questionnaire. For 2,844 people without diagnosed diabetes, fasting plasma glucose was obtained after an overnight 9 to < 24-h fast, HbA1c was measured, and a 2-h oral glucose tolerance test was administered.
resultsPrevalence of diagnosed diabetes in this age-group is 7.9%. Prevalence of undiagnosed diabetes is 4.4% by ADA criteria and 6.4% by WHO criteria. The net change of -2.0% occurs because 1.0% are classified as having undiagnosed diabetes by ADA criteria but have impaired or normal glucose tolerance by WHO criteria, and 3.0% are classified as having impaired fasting glucose or normal fasting glucose by ADA criteria but have undiagnosed diabetes by WHO criteria. Prevalence of impaired fasting glucose is 10.1% (ADA), compared with 15.6% for impaired glucose tolerance (WHO). For those with undiagnosed diabetes by ADA criteria, 62.1% are above the normal range for HbA1c compared with 47.1% by WHO criteria. Mean HbA1c is 7.07% for undiagnosed diabetes by ADA criteria and 6.58% by WHO criteria.
conclusionsThe number of people with undiagnosed diabetes by ADA criteria is lower than that by WHO criteria. However, those individuals classified by ADA criteria are more hyperglycemic, with higher HbA1c values and a greater proportion of values above the normal range. This fact, together with the simplicity of obtaining a fasting plasma glucose value, may result in the detection of a greater proportion of people with undiagnosed diabetes in clinical practice using the new ADA diagnostic criteria.
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