Screening for type 2 diabetes mellitus in the UK Indo-Asian population

M. J. Davies, F. Ammari, C. Sherriff, M. L. Burden, Jaspal S Gujral, A. C. Burden

Research output: Contribution to journalArticle

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Abstract

Aims: Type 2 diabetes mellitus (DM) has a high prevalence in Asian subjects. A simple method of screening using self-testing for postprandial glycosuria achieved a good response rate and a sensitivity which compared favourably to more expensive and invasive methods in a semirural Caucasian population. We examined its effectiveness in Asian subjects. Methods: Caucasian and Indo-Asian subjects aged 35-70 years in two general practices in Leicester (n = 9896 (6198 = Asian subjects, 3698 = Caucasian)) were screened. Those known to have diabetes were excluded. Subjects were asked to self-test for glycosuria 1h after their main meal. Instruction and response cards were translated in Punjabi and Gujarati and sent to the Asian subjects, depending on age and surname. Results: Response rate was 34.4% in Asian subjects compared to 54.0% in Caucasian subjects. Prevalence of glycosuria was 8.2% in Asian subjects and 3.2% in Caucasian subjects. Two hundred and thirty-nine subjects recorded glycosuria and 202 (84.5% of the total, 86.9% of Asian subjects, 78.1% of Caucasian) attended for oral glucose tolerance test (OGTT). Sixty-three (31.2%) were found to have diabetes (46, 73% Asian), 29 (14.4%) impaired glucose tolerance (24, 82.8% Asian) and 110 (54.4%) normal glucose tolerance (82, 74.6% Asian). Thus 30% of Asian subjects and 34% of Caucasian subjects had diabetes on OGTT. The prevalence of diabetes in 35-70 years in the total population after screening was 5.6% (6.8% in Asian subjects, 3.6% in Caucasian) and in the screened population was 12.7% (17.9% in Asian subjects, 6.3% in Caucasian). Conclusions: Screening for diabetes using this method, in terms of response rate, is not as effective in a large city setting, particularly in the Asian population. However, the yield of diabetes in the age group 35-64 years compares well to much more expensive and labour intensive approaches and its use in this population in a primary care setting is justified.

Original languageEnglish (US)
Pages (from-to)131-137
Number of pages7
JournalDiabetic Medicine
Volume16
Issue number2
DOIs
StatePublished - Dec 6 1999

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Type 2 Diabetes Mellitus
Glycosuria
Population
Glucose Tolerance Test
Glucose Intolerance
General Practice
Meals
Primary Health Care
Age Groups
Glucose

Keywords

  • Asian
  • Ethnic group
  • Screening
  • Type 2 diabetes mellitus

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

Cite this

Davies, M. J., Ammari, F., Sherriff, C., Burden, M. L., Gujral, J. S., & Burden, A. C. (1999). Screening for type 2 diabetes mellitus in the UK Indo-Asian population. Diabetic Medicine, 16(2), 131-137. https://doi.org/10.1046/j.1464-5491.1999.00012.x

Screening for type 2 diabetes mellitus in the UK Indo-Asian population. / Davies, M. J.; Ammari, F.; Sherriff, C.; Burden, M. L.; Gujral, Jaspal S; Burden, A. C.

In: Diabetic Medicine, Vol. 16, No. 2, 06.12.1999, p. 131-137.

Research output: Contribution to journalArticle

Davies, MJ, Ammari, F, Sherriff, C, Burden, ML, Gujral, JS & Burden, AC 1999, 'Screening for type 2 diabetes mellitus in the UK Indo-Asian population', Diabetic Medicine, vol. 16, no. 2, pp. 131-137. https://doi.org/10.1046/j.1464-5491.1999.00012.x
Davies, M. J. ; Ammari, F. ; Sherriff, C. ; Burden, M. L. ; Gujral, Jaspal S ; Burden, A. C. / Screening for type 2 diabetes mellitus in the UK Indo-Asian population. In: Diabetic Medicine. 1999 ; Vol. 16, No. 2. pp. 131-137.
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N2 - Aims: Type 2 diabetes mellitus (DM) has a high prevalence in Asian subjects. A simple method of screening using self-testing for postprandial glycosuria achieved a good response rate and a sensitivity which compared favourably to more expensive and invasive methods in a semirural Caucasian population. We examined its effectiveness in Asian subjects. Methods: Caucasian and Indo-Asian subjects aged 35-70 years in two general practices in Leicester (n = 9896 (6198 = Asian subjects, 3698 = Caucasian)) were screened. Those known to have diabetes were excluded. Subjects were asked to self-test for glycosuria 1h after their main meal. Instruction and response cards were translated in Punjabi and Gujarati and sent to the Asian subjects, depending on age and surname. Results: Response rate was 34.4% in Asian subjects compared to 54.0% in Caucasian subjects. Prevalence of glycosuria was 8.2% in Asian subjects and 3.2% in Caucasian subjects. Two hundred and thirty-nine subjects recorded glycosuria and 202 (84.5% of the total, 86.9% of Asian subjects, 78.1% of Caucasian) attended for oral glucose tolerance test (OGTT). Sixty-three (31.2%) were found to have diabetes (46, 73% Asian), 29 (14.4%) impaired glucose tolerance (24, 82.8% Asian) and 110 (54.4%) normal glucose tolerance (82, 74.6% Asian). Thus 30% of Asian subjects and 34% of Caucasian subjects had diabetes on OGTT. The prevalence of diabetes in 35-70 years in the total population after screening was 5.6% (6.8% in Asian subjects, 3.6% in Caucasian) and in the screened population was 12.7% (17.9% in Asian subjects, 6.3% in Caucasian). Conclusions: Screening for diabetes using this method, in terms of response rate, is not as effective in a large city setting, particularly in the Asian population. However, the yield of diabetes in the age group 35-64 years compares well to much more expensive and labour intensive approaches and its use in this population in a primary care setting is justified.

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