HealthDay News — An emergency department type 2 diabetes screening program can identify patients with undiagnosed prediabetes and diabetes, according to a research letter published online in JAMA Network Open.
Kirstie K. Danielson, PhD, from the University of Illinois Chicago, and colleagues developed and piloted an emergency department type 2 diabetes screening program. Patients at risk for type 2 diabetes were flagged with a best practice alert (BPA), which was built into the electronic medical record. If blood was drawn, the clinician had the option to add hemoglobin A1c (HbA1c) measurement. Patients were called to provide results and inquire about prior awareness and treatment of diabetes.
Overall, 8441 patients visited the emergency department during the pilot study; the BPA triggered tests for 2576 patients and an HbA1c result was available for 2074 of these. A total of 1085 patients with an HbA1c result (52.3%) had an abnormal reading: 69.9% and 30.1% had prediabetes and diabetes, respectively. A total of 352 patients were contacted by telephone and constituted the study sample. The researchers found that 50% of the patients had public insurance and 4% were uninsured. Overall, 25% of the patients self-reported that they had been diagnosed with prediabetes or type 2 diabetes; only 58% of these reported receiving treatment.
“Our emergency department screening program identified a substantial number of patients with undiagnosed prediabetes and type 2 diabetes or undermanaged disease, particularly racial and ethnic minority individuals and low-income patients,” the authors write.
Several authors disclosed financial ties to Novo Nordisk A/S, which funded the study.