Navigation Links
Diabetes Screening Should Start Sooner
Date:3/30/2010

Study found checking for blood sugar disease earlier cut complications, costs,,

TUESDAY, March 30 (HealthDay News) -- Current recommendations suggest that screening for type 2 diabetes start at age 45, especially for those who are overweight, but new research shows cost-effective screening can begin between the ages of 30 and 45 for everyone.

When screening began between ages 30 and 45 and was repeated between every year to five years, the average cost per quality-adjusted year of life was $10,500 versus $15,509 when screening began at age 45 and was repeated every year, the study found.

"If you start screening between 30 and 45, you are really getting cost-effective screening," said study author Richard Kahn, a clinical professor of medicine at the University of North Carolina, Chapel Hill, who was with the American Diabetes Association at the time of the study.

More than 23 million Americans have diabetes, according to the American Diabetes Association (ADA). Most have type 2 diabetes, which occurs when the body stops using insulin efficiently or doesn't produce enough insulin. Uncontrolled diabetes is associated with a significantly increased risk of heart disease, stroke, kidney disease, serious eye problems, infections and nerve damage, according to the ADA.

It's suspected that many people have had the disease for years by the time they're finally diagnosed because it has so few symptoms in its early stages. Other research has shown that diabetes treatments can help reduce the risk of complications, and the earlier they're started, the better.

To assess whether population-based screening could reduce complications and costs associated with diabetes, the researchers used a sophisticated computer modeling system.

"This model is a virtual replication of the world of health care, and takes into account cardiovascular and other complication risks, costs, tests, procedures, everything," said Kahn. "It's the SIM City of health care," referring to a popular computer game where people build their own virtual worlds.

Kahn and his colleagues evaluated eight simulated screening strategies for type 2 diabetes, such as beginning screening at age 30 and repeating the test every three years, or starting at age 45 and repeating the test every year, or waiting until age 60 and repeating the test every three years.

For all of the screening simulations that began between ages 30 and 45, the researchers found a cost and quality-of-life benefit.

"Everybody should get screened for diabetes on a regular basis between 30 and 45 years, and repeat the screen every three to five years," said Kahn. "Screening is cost-effective. It's a bargain in the world of medicine to screen and get someone into effective treatment."

"One of the big questions we've had is: does screening make a difference? This study shows us that screening in ages 30 to 45 will probably make a difference in number of people diagnosed with heart disease, kidney disease and other morbidities," said Dr. Rita Louard, director of the Clinical Diabetes Center at Montefiore Medical Center in New York City.

"We've come a long way in our ability to manage people with diabetes, so screening becomes more important because once people get identified, we now have better tools to get them to their goals. And, it's not only the blood sugars we're looking at. It's really about the other complications that track with the disease, like heart disease. So, we're more aggressive with blood pressure and with their lipids [cholesterol] once diabetes is identified," she explained.

Results of the study are published in the March 30 online edition of The Lancet. Study funding was provided by Novo Nordisk, Bayer Pharmaceuticals and Pfizer. These companies all produce diabetes treatments or products. However, the sponsors had no role in the design of the final study, data collection or analysis, or in the writing of the report, according to the report.

More information

Learn more about the diagnosis of diabetes from the U.S. National Institute of Diabetes and Digestive and Kidney Diseases.



SOURCES: Richard Kahn, Ph.D., clinical professor, medicine, University of North Carolina, Chapel Hill, N.C.; Rita Louard, M.D., director, Clinical Diabetes Center, Montefiore Medical Center, New York City; March 30, 2010, The Lancet, online


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Bears Quarterback Jay Cutler and Eli Lilly and Company Will Send 44 Kids to American Diabetes Association Camps Through the Touchdowns for Diabetes Campaign
2. New study finds possible source of beta cell destruction that leads to Type 1 diabetes
3. New Website Giving Away Diabetes-Friendly Super Bowl Munchies Recipes to Tackle America's Toughest Health Problem
4. Chinese-American and Korean-American women at highest risk for diabetes in pregnancy
5. Scientists map out regulatory regions of genome, hot spots for diabetes genes
6. Diabetes patients rank health concerns differently than their doctors, U-M survey shows
7. Diabetes Drug Helps Dieting Teens Lose Weight
8. New research on type 2 diabetes could benefit young adults with the condition
9. Joslin Diabetes Center and dLife Form New Online Partnership
10. Daniel Simon, MD Urges People with Diabetes to Protect Sight by Getting Diabetic Eye Exam
11. Severe complications of diabetes higher in depressed patients
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article published June 14 ... The article goes on to state that individuals are now more comfortable seeking to ... operations such as calf and cheek reduction. The Los Angeles area medical group, Beverly ...
(Date:6/24/2016)... ... ... Marcy was in a crisis. Her son James, eight, was out of control. Prone to ... , “When something upset him, he couldn’t control his emotions,” remembers Marcy. “If there ... my other children and say he was going to kill them. If we were ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... offering micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has extensive experience with all ... brackets , AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary ...
(Date:6/24/2016)... ... ... People across the U.S. are sharpening their pencils and honing their writing ... which patients and their families pay tribute to a genetic counselor by nominating him ... Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. , In April, Genome ...
(Date:6/24/2016)... ... June 24, 2016 , ... Puradigm® & Innovative Solutions today ... cultivation and processing operations at its production facility, and opened its first two ... the manufacturer of a complete system of proactive air and surface purification solutions ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... Calif. , June 23, 2016 Any dentist ... many challenges of the current process. Many of them do ... of the technical difficulties and high laboratory costs involved. And ... to offer it at such a high cost that the ... it. Dr. Parsa Zadeh , founder of ...
(Date:6/23/2016)... -- Research and Markets has announced the addition ... - Forecast to 2022" report to their offering. ... to date financial data derived from varied research sources to ... potential impact on the market during the next five years, ... of sub markets, regional and country level analysis. The report ...
(Date:6/23/2016)... June 23, 2016 , , ... July 7, 2016 , , , , LOCATION: , , ... , , , EXPERT PANELISTS:  , , , Frost & ... Analyst, Christi Bird; Senior Industry Analyst, Divyaa Ravishankar and Unmesh Lal, ... The global pharmaceutical industry is witnessing an exceptional era. Several new ...
Breaking Medicine Technology: