Identifying Trends in Undiagnosed Diabetes in U.S. Adults
Authors: Elizabeth Selvin, Dan Wang, Alexandra K. Lee, Josef Coresh, Richard M. Bergenstal
Journal: Annals of Internal Medicine (2018)

Letters19 June 2018Identifying Trends in Undiagnosed Diabetes in U.S. AdultsElizabeth Selvin, PhD, MPH, Dan Wang, MS, Alexandra K. Lee, PhD, MSPH, Josef Coresh, MD, PhD, and Richard M. Bergenstal, MDElizabeth Selvin, PhD, MPHJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (E.S., D.W., A.K.L., J.C.)Search for more papers by this author, Dan Wang, MSJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (E.S., D.W., A.K.L., J.C.)Search for more papers by this author, Alexandra K. Lee, PhD, MSPHJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (E.S., D.W., A.K.L., J.C.)Search for more papers by this author, Josef Coresh, MD, PhDJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (E.S., D.W., A.K.L., J.C.)Search for more papers by this author, and Richard M. Bergenstal, MDInternational Diabetes Center, Minneapolis, Minnesota (R.M.B.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L18-0098 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:The current American Diabetes Association guidelines state, “[A] second test is required for confirmation [of diabetes diagnosis]. It is recommended that the same test be repeated or a different test be performed without delay using a new blood sample for confirmation . … If two different tests (such as [HbA1c] and [fasting plasma glucose]) are both above the diagnostic threshold, this also confirms the diagnosis.” Thus, diabetes can be diagnosed using 2 elevated plasma glucose or HbA1c levels or elevated levels of both plasma glucose and HbA1c. Our study, and virtually the entire epidemiologic literature examining prevalence and ... Author, Article, and Disclosure InformationAffiliations: Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (E.S., D.W., A.K.L., J.C.)International Diabetes Center, Minneapolis, Minnesota (R.M.B.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-1272. 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 Matthew P. Petersen and William T. Cefalu Metrics Cited byTrajectories of Depressive Symptoms and Incident Diabetes: A Prospective StudyIncidence of diabetes mellitus in Spain as results of the nation-wide cohort [email protected] study 19 June 2018Volume 168, Issue 12Page: 900-901KeywordsBloodBlood plasmaDisclosureDrug therapyEpidemiologyForecastingGlucoseHbA1cHematologic tests ePublished: 19 June 2018 Issue Published: 19 June 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...