Diabetes Patients May Require Different Screening Criteria
A new set of recommendations from the American Diabetes Association has suggested that diabetes patients may require different screening criteria based on their demographics. The American Diabetes Association has indicated this by publishing a new study that shows that Asian Americans that are not overweight may still be at risk for diabetes.
Currently pre-diabetes testing is recommended for anybody that has a Body Mass Index of 25 or greater. However, researchers are now suggesting that Asian Americans should still be tested for diabetes even if their BMI levels are less than 25. Asian Americans that have BMI levels as low as 23 should be tested for diabetes. The study examined the BMI cutoff for Asian Americans that have gone undiagnosed with diabetes over the age of 45. The data was gathered from several studies and included more than 1,500 participants.
The study indicated that by only performing screenings on people that have BMI levels higher than 25, roughly 36 percent of Asian Americans that have type 2 diabetes would have not been screened. In addition, performing a screening at BMI levels of 23.5 identified roughly 80 percent of the people that had undiagnosed diabetes.
Japanese Americans are at the highest risk of developing diabetes, out of the various Asian American groups, reached a sensitivity level of 80 percent by looking at BMIs higher than 22.8.
The new study confirms that a one-size-fits-all approach to diabetes screening may not be effective. By looking at various ethnic groups as individual groups, studies were better able to determine which individuals were more likely to be diagnosed with diabetes. In addition, this also means that by using more detailed screening procedures, less patients might be left undiagnosed with diabetes.