Citation
Milton, Evan C.; Herman, William H.; Aiello, Allison E.; Danielson, Kris R.; Mendoza-Avelarez, Milton O.; & Piette, John D. (2010). Validation of a Type 2 Diabetes Screening Tool in Rural Honduras. Diabetes Care, 33(2), 275-277. PMCID: PMC2809263Abstract
OBJECTIVE: To validate a low-cost tool for identifying diabetic patients in rural areas of Latin America.RESEARCH DESIGN AND METHODS: A regression equation incorporating postprandial time and a random plasma glucose was used to screen 800 adults in Honduras. Patients with a probability of diabetes of > or =20% were asked to return for a fasting plasma glucose (FPG). A random fifth of those with a screener-based probability of diabetes <20% were also asked to return for follow-up. The gold standard was an FPG > or =126 mg/dl.
RESULTS: The screener had very good test characteristics (area under the receiver operating characteristic curve = 0.89). Using the screening criterion of > or =0.42, the equation had a sensitivity of 74.1% and specificity of 97.2%.
CONCLUSIONS: This screener is a valid measure of diabetes risk in Honduras and could be used to identify diabetic patients in poor clinics in Latin America.
URL
http://dx.doi.org/10.2337/dc09-1021Reference Type
Journal ArticleYear Published
2010Journal Title
Diabetes CareAuthor(s)
Milton, Evan C.Herman, William H.
Aiello, Allison E.
Danielson, Kris R.
Mendoza-Avelarez, Milton O.
Piette, John D.