Identifying Trends in Undiagnosed Diabetes in U.S. Adults
Authors: Matthew P. Petersen, William T. Cefalu
Journal: Annals of Internal Medicine (2018)

Letters19 June 2018Identifying Trends in Undiagnosed Diabetes in U.S. AdultsMatthew P. Petersen, BA and William T. Cefalu, MDMatthew P. Petersen, BAAmerican Diabetes Association, Arlington, Virginia (M.P.P., W.T.C.)Search for more papers by this author and William T. Cefalu, MDAmerican Diabetes Association, Arlington, Virginia (M.P.P., W.T.C.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L18-0097 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Selvin and colleagues (1) provide an interesting analysis of data from NHANES (National Health and Nutrition Examination Survey) that suggests that the rate of undiagnosed diabetes in the United States is less than that estimated by the Centers for Disease Control and Prevention (2). The authors contend that the latter's estimation method overstates undiagnosed diabetes because it makes the diagnosis on the basis of a single blood draw rather than performing a confirmatory blood test on a different day, as recommended by the American Diabetes Association (3) and the American Association of Clinical Endocrinologists (4).Data from ...References1. Selvin E, Wang D, Lee AK, Bergenstal RM, Coresh J. Identifying trends in undiagnosed diabetes in U.S. adults by using a confirmatory definition: a cross-sectional study. Ann Intern Med. 2017;167:769-76. [PMID: 29059691]. doi:10.7326/M17-1272 LinkGoogle Scholar2. Centers for Disease Control and Prevention. National Diabetes Statistics Report, 2017. Atlanta: Centers for Disease Control and Prevention; 2017. Google Scholar3. American Diabetes Association. Standards of medical care in diabetes 2017. Diabetes Care. 2017;40 Suppl 1 S132-35. doi:10.2337/dc17-in01 CrossrefMedlineGoogle Scholar4. Handelsman Y, Bloomgarden ZT, Grunberger G, Umpierrez G, Zimmerman RS, Bailey TS, et al. American Association of Clinical Endocrinologists and American College of Endocrinology—clinical practice guidelines for developing a diabetes mellitus comprehensive care plan—2015. Endocr Pract. 2015;21 Suppl 1:1-87. [PMID: 25869408] doi:10.4158/EP15672.GL CrossrefMedlineGoogle Scholar5. Cowie CC, Rust KF, Byrd-Holt DD, Gregg EW, Ford ES, Geiss LS, et al. Prevalence of diabetes and high risk for diabetes using A1C criteria in the U.S. population in 1988-2006. Diabetes Care. 2010;33:562-8. [PMID: 20067953] doi:10.2337/dc09-1524 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: American Diabetes Association, Arlington, Virginia (M.P.P., W.T.C.)Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L18-0097. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoIdentifying Trends in Undiagnosed Diabetes in U.S. Adults by Using a Confirmatory Definition Elizabeth Selvin , Dan Wang , Alexandra K. Lee , Richard M. Bergenstal , and Josef Coresh Identifying Trends in Undiagnosed Diabetes in U.S. Adults Elizabeth Selvin , Dan Wang , Alexandra K. Lee , Josef Coresh , and Richard M. Bergenstal Metrics 19 June 2018Volume 168, Issue 12Page: 900KeywordsDiabetes preventionDisclosureGlucoseHbA1cHealth surveysHematologic testsHemoglobinNutritionPatientsScreening guidelines ePublished: 19 June 2018 Issue Published: 19 June 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...