A new test can predict diabetes years before a person develops the condition, a new study says.
The random blood glucose test can detect risk factors normal diabetes
tests usually miss, giving patients a better chance to treat the
condition before it progresses, according to research published Friday
in PLOS ONE.
"Although screening for prediabetes and diabetes could permit earlier
detection and treatment, many in the at-risk population do not receive
the necessary screening," Mary Rhee, a researcher at Atlanta Veterans
Administration Health Care System and and study lead author, said in a
news release.
The study included more than 900,000 VA patients who hadn't previously
received diabetes diagnoses. Within a year, each patient took three
random blood glucose tests during normal doctors visits.
About 10 percent of the patients were diagnosed with diabetes within
five years after the study. Patients with a minimum of two glucose
measurements of at least 115 mg/dL within 12 months were at a high risk
of being diagnosed with diabetes. Those with readings of at least 130
mg/dL had an even higher likelihood of developing the condition.
Traditional diabetes tests measure fasting glucose levels. Doctors use
several methods: an orally administered glucose tolerance test, which
means a patient must fast and swallow a glucose load, a HgbA1c level,
which averages blood glucose levels over the last two to three months,
or random plasma glucose tests when symptoms of high glucose levels
appear.
With the random plasma glucose test, patients don't need to fast and can receive it at any time.
According to the Centers for Disease Control and Prevention, more than 84 million Americans has diabetes.
"These findings have the potential to impact care in the VA and in the
general U.S. population," said Rhee, "as random plasma glucose levels --
which are convenient, low-cost, and 'opportunistic' -- could
appropriately prompt high-yield, focused diagnostic testing and improve
recognition and treatment of prediabetes and early diabetes."
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