(HealthDay)—Many children are eligible for type 2 diabetes screening, however few check constructive for prediabetes or diabetes, in line with a research printed on-line Aug. 10 in Pediatrics.
Amelia S. Wallace, from the Johns Hopkins Bloomberg School of Public Health in Baltimore, and colleagues performed a cross-sectional analysis involving 14,119 youth aged 10 to 19 years within the 1999 to 2016 National Health and Nutrition Examination Survey. The authors evaluated the efficiency of the American Diabetes Association risk-based screening standards, in addition to the efficiency of present medical definitions of prediabetes and diabetes primarily based on hemoglobin A1c (HbA1c) and fasting plasma glucose (FPG) for figuring out excessive cardiometabolic danger.
The researchers discovered that 25.5 % of U.S. youth had been eligible for screening. The sensitivity and specificity of the screening standards for detecting any hyperglycemia had been low for HbA1c ≥5.7 % (55.5 and 76.three %, respectively) and FPG ≥100 mg/dL (35.eight and 77.1 %, respectively). Confirmed undiagnosed diabetes was seen hardly ever (
“The current screening approach targets a large number of children and adolescents, whereas few will test positive for diabetes or prediabetes, and a substantial number of children with hyperglycemia may be missed,” the authors write.
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Many U.S. children eligible for type 2 diabetes screening (2020, August 10)
retrieved 10 August 2020
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