Diabetes Screening Research Paper

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Introduction-Benefits of Screening According to WHO Global Burden of Disease it was estimated that the worldwide burden of diabetes in adults to be around 173 million in the year 2002. Diabetes screening tests are cost saving and effective as they allow to detect an early development of diabetes and prevent macrovascular and microvascular (retinopathy, neuropathy, nephropathy) complications. Individuals with undiagnosed type 2 diabetes (T2DM) are also at significantly higher risk for stroke, coronary heart disease, and peripheral vascular disease than the non-diabetic population. Therefore, the early detection and prompt treatment may reduce the burden of diabetes and its complications. In the absence of evidence for interventions to prevent…show more content…
The American Diabetes Association (ADA) currently recommends the screening of high-risk pregnant women e.g. obesity, history of gestational diabetes (GDM), glycosuria, or family history of diabetes at the first antenatal visit. American College of Obstetricians and Gynaecologists (ACOG) suggests that women with a history of GDM would benefit from early diagnosis in subsequent pregnancies. World Health Organization (WHO)/International Diabetes Federation (IDF) recommendations in 2003 for screening for type 2 diabetes (WHO 2013) The following recommendations were made: 1. Local professional organisations should create guidelines. 2. Need for randomised controlled trial (RCT) evidence on the effects of screening and early detection 3. Develop framework to allow countries to evaluate cost-effectiveness of earlier detection compared to other interventions. 4. Opportunistic screening may be justified if there is good explanation to person, health system has capacity and ability to implement effective prevention for those at high risk, good screening methods, and psychosocial needs can be met. There is no evidence for random

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