Navigation Links
Routine blood test may identify people with pre-diabetes, cutting later treatment costs
Date:1/6/2011

INDIANAPOLIS A simpler form of testing individuals with risk factors for diabetes could improve diabetes prevention efforts by substantially increasing the number of individuals who complete testing and learn whether or not they are likely to develop diabetes.

Approximately 60 million Americans, one-third of the adult population, are pre-diabetic. Thirty percent of these individuals will develop Type 2 diabetes in less than a decade, yet most don't know they are at high risk for the disease.

A study published in the January 2011 issue of the American Journal of Preventive Medicine reports that the hemoglobin A1c test, a common blood test that can be quickly administered in a physician's office, accurately and easily identifies pre-diabetics.

The A1c test measures average blood glucose level over the past 8 to 12 weeks and does not require a person to return for additional testing after an overnight fast. Researchers, led by Ronald T. Ackermann, M.D., M.P.H., associate professor of medicine at the Indiana University School of Medicine and a Regenstrief Institute affiliated scientist, report that the A1c blood test, which has been routinely administered to diabetic patients for many years, can also pinpoint pre-diabetes.

"Identifying more individuals with pre-diabetes through a simple test in a physician's office gives us a real opportunity to halt progression to the disease, which is clearly a win-win situation," said Dr. Ackermann.

"If you have high blood pressure or heart disease, or multiple other risk factors such as obesity, are over the age of 45, had a past episode of diabetes during pregnancy, or have a family history of the disease, your physician can administer a simple blood test which will show if you are pre-diabetic. If you are pre-diabetic, loosing as little as 10 to 15 pounds through diet and exercise can cut in half your chances of getting diabetes, greatly improving your health and lowering your need for health care," said Dr. Ackermann, who is associate director of the Diabetes Translational Research Center at the IU School of Medicine and director of the Indiana Clinical and Translational Sciences Institute Community Health Engagement Program.

Fasting tests, which are currently used to screen for pre-diabetes are difficult to administer primarily because they usually require two visits to the physician's office and because patients often forget to arrive on an empty stomach when they return for the test. The A1c test can avoid both of these problems because it can be performed on a single visit, even if a person has eaten. It is estimated that currently only 7 percent of all Americans with pre-diabetes have been tested and are aware of their status.

"Type 2 diabetes is growing rapidly with the increasing rate of obesity and has reached epidemic proportions in this country. Identifying pre-diabetics and halting the disease could prevent millions of individuals from developing diabetes and would avert the very high future costs of treating it. Lifestyle interventions in the pre-diabetic stage offer benefit not only by preventing type 2 diabetes but also by reducing cardiovascular risk factors," said Dr. Ackermann.

In 2002, the Diabetes Prevention Program, a large clinical trial, determined that diet and exercise sharply lower the risk that a person with pre-diabetes will develop diabetes. In a 2006 study Dr. Ackermann reported that it would be cost effective for Medicare to pay for diabetes prevention at age 50 rather than to deny prevention benefits until age 65 when many individuals will have already developed the disease.

Since that 2006 study, health insurance companies have taken a much closer look at paying for structured diabetes prevention programs as a means to improve health and to help curb the runaway costs of health care. In 2010, the UnitedHealth Group, a large nationwide health insurance carrier, began paying for a diabetes prevention program offered by the YMCA of the USA. The health plans, however, only pay for this treatment when a blood test shows pre-diabetes.

"Since health plans are beginning to pay for pre-diabetes treatments, doctors now have a more compelling reason to encourage patients who have risk factors to complete a screening test," said Dr. Ackermann. "The more practical A1c test could help doctors perform testing on a much larger scale than ever before."


'/>"/>

Contact: Cindy Fox Aisen
caisen@iupui.edu
317-274-7722
Indiana University School of Medicine
Source:Eurekalert  

Related medicine news :

1. MRI May Not Add Value to Routine Breast Cancer Care
2. Is Your Exercise Routine Killing You?
3. Flexible Floor-Cleaning Routine Helps School Prevent Spread of Infection
4. Maintaining regular daily routines is associated with better sleep quality in older adults
5. Routine screening for pediatric chronic kidney disease is not effective
6. New U of A research goes against moms advice that routine lifting is bad for your back
7. Routine breast cancer biopsy might predict lymph node cancer spread
8. Study: Carbon Monoxide Exposure Can be Reduced During Routine Anesthesia in Kids
9. New commentary suggests alternatives to routine use of OTC cold/cough meds in children
10. Commentary suggests alternatives to routine use of OTC cold/cough meds in children
11. More GPU Routines for Technical Research Now Available from Numerical Algorithms Group
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Routine blood test may identify people with pre-diabetes, cutting later treatment costs
(Date:2/11/2016)... ... , ... The Journal of Pain Research has seen a significant ... data taken from the Scopus database (Elsevier B.V.) and is a measure of a ... journal over a three year period and also the importance of the journals where ...
(Date:2/11/2016)... Petersburg, FL (PRWEB) , ... February 11, 2016 ... ... providers and advocates will discuss how to improve care by making data on ... pediatric heart disease. The Summit on Transparency and Public Reporting of Pediatric and ...
(Date:2/11/2016)... ... February 11, 2016 , ... The Commission for Case Manager ... of Commissioners. Individuals interested in volunteer board service are encouraged to apply. The ... settings and across allied health to contribute to its mission and vision. The ...
(Date:2/11/2016)... ... February 11, 2016 , ... Colorado spine surgeon, Donald Corenman, ... 334 spine surgeons to know in 2016 . The list consists of spine surgeons ... surgery. , Dr. Corenman understands the importance of clinical excellence; he has been ...
(Date:2/11/2016)... DC (PRWEB) , ... February 11, 2016 , ... The ... is based on evaluation of DataPoint’s team dedication and commitment to the ... companies comprising the annual list. The panel’s goal is to recognize and promote technology ...
Breaking Medicine News(10 mins):
(Date:2/11/2016)... YORK , Feb. 11, 2016 ... - Companion Diagnostics in Personalized Medicine and Cancer Therapy. ... - High-Growth Diagnostic Testing Markets. - Key ... Testing. - Molecular Diagnostics in Genetic Testing. ... Molecular Diagnostics Markets. - Over-the-Counter Diagnostic Products World ...
(Date:2/11/2016)... 11, 2016 The primary goal of this ... patterns on the usage of liquid biopsy. Key information ... - Timeframe of liquid biopsy adoption amidst future ... Evs—by organization type - Sample inflow to conduct liquid ... stool, serum, and so on. - Correlation analysis of ...
(Date:2/11/2016)... 2016 Stem cells are primitive cells found ... and the capacity to differentiate into mature cell types ... the first mouse embryonic stem cells were derived from ... that the first culturing of embryonic stem cells from ... produced until 2006 As a result of these discoveries, ...
Breaking Medicine Technology: