Trends in Method of Diagnosis of Type 2 Diabetes Mellitus: Results from SHIELD

Aims. This study assessed whether recent screening recommendations have led to increased diagnosis of type 2 diabetes mellitus (T2DM) through routine screening. Methods. Respondents to the 2006 US SHIELD survey reported whether a physician told them they had T2DM, age at diagnosis, specialty of the...

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Main Authors: Helena W. Rodbard, Andrew J. Green, Kathleen M. Fox, Susan Grandy
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2009/796206
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author Helena W. Rodbard
Andrew J. Green
Kathleen M. Fox
Susan Grandy
author_facet Helena W. Rodbard
Andrew J. Green
Kathleen M. Fox
Susan Grandy
author_sort Helena W. Rodbard
collection DOAJ
description Aims. This study assessed whether recent screening recommendations have led to increased diagnosis of type 2 diabetes mellitus (T2DM) through routine screening. Methods. Respondents to the 2006 US SHIELD survey reported whether a physician told them they had T2DM, age at diagnosis, specialty of the physician who made the diagnosis, and whether the diagnosis was made after having symptoms, during routine screening, or when being treated for another health problem. Results. Of 3 022 T2DM respondents, 36% of respondents reported that T2DM diagnosis was made during routine screening alone, 20% after having symptoms alone, and 6% when being treated for another health problem alone. The proportion of T2DM respondents reporting a diagnosis based only on screening increased approximately 42% over a 15+-year time span (absolute increase from 31% to 44%) (P<.001), whereas symptom-based diagnosis did not change significantly (P=.10). T2DM was diagnosed primarily by family physicians (88.3%). Conclusion. These findings highlight the importance of regular screening for diabetes and the vital role of primary care physicians in recognizing individuals with T2DM.
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spelling doaj-art-2c0753540afd4a2e9143d1d6bd8d53332025-08-20T02:04:37ZengWileyInternational Journal of Endocrinology1687-83371687-83452009-01-01200910.1155/2009/796206796206Trends in Method of Diagnosis of Type 2 Diabetes Mellitus: Results from SHIELDHelena W. Rodbard0Andrew J. Green1Kathleen M. Fox2Susan Grandy3Endocrine & Metabolic Consultants, Rockville, MD 20852, USAMidwestern Endocrinology, Overland Park, KS 66211, USAStrategic Healthcare Solutions, LLC, Monkton, MD 21111, USAAstraZeneca LP, Wilmington, DE 19803, USAAims. This study assessed whether recent screening recommendations have led to increased diagnosis of type 2 diabetes mellitus (T2DM) through routine screening. Methods. Respondents to the 2006 US SHIELD survey reported whether a physician told them they had T2DM, age at diagnosis, specialty of the physician who made the diagnosis, and whether the diagnosis was made after having symptoms, during routine screening, or when being treated for another health problem. Results. Of 3 022 T2DM respondents, 36% of respondents reported that T2DM diagnosis was made during routine screening alone, 20% after having symptoms alone, and 6% when being treated for another health problem alone. The proportion of T2DM respondents reporting a diagnosis based only on screening increased approximately 42% over a 15+-year time span (absolute increase from 31% to 44%) (P<.001), whereas symptom-based diagnosis did not change significantly (P=.10). T2DM was diagnosed primarily by family physicians (88.3%). Conclusion. These findings highlight the importance of regular screening for diabetes and the vital role of primary care physicians in recognizing individuals with T2DM.http://dx.doi.org/10.1155/2009/796206
spellingShingle Helena W. Rodbard
Andrew J. Green
Kathleen M. Fox
Susan Grandy
Trends in Method of Diagnosis of Type 2 Diabetes Mellitus: Results from SHIELD
International Journal of Endocrinology
title Trends in Method of Diagnosis of Type 2 Diabetes Mellitus: Results from SHIELD
title_full Trends in Method of Diagnosis of Type 2 Diabetes Mellitus: Results from SHIELD
title_fullStr Trends in Method of Diagnosis of Type 2 Diabetes Mellitus: Results from SHIELD
title_full_unstemmed Trends in Method of Diagnosis of Type 2 Diabetes Mellitus: Results from SHIELD
title_short Trends in Method of Diagnosis of Type 2 Diabetes Mellitus: Results from SHIELD
title_sort trends in method of diagnosis of type 2 diabetes mellitus results from shield
url http://dx.doi.org/10.1155/2009/796206
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