PMID- 34399951 OWN - NLM STAT- MEDLINE DCOM- 20220331 LR - 20240403 IS - 1558-4410 (Electronic) IS - 0889-8529 (Print) IS - 0889-8529 (Linking) VI - 50 IP - 3 DP - 2021 Sep TI - Screening for Diabetes and Prediabetes. PG - 369-385 LID - S0889-8529(21)00036-0 [pii] LID - 10.1016/j.ecl.2021.05.002 [doi] AB - Overt type 2 diabetes mellitus (T2DM) is preceded by prediabetes and latent diabetes (lasts 9-12 years). Key dysglycemia screening tests are fasting plasma glucose and hemoglobin A(1C). Screen-detected T2DM benefits from multifactorial management of cardiovascular risk beyond glycemia. Prediabetes is best addressed by lifestyle modification, with the goal of preventing T2DM. Although there is no trial evidence of prediabetes/T2DM screening effectiveness, simulations suggest that clinic-based opportunistic screening of high-risk individuals is cost-effective. The most rigorous extant recommendations are those of the American Diabetes Association and US Preventive Services Task Force, which advise opportunistic 3-yearly screening. CI - Copyright (c) 2021 Elsevier Inc. All rights reserved. FAU - Duan, Daisy AU - Duan D AD - Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Johns Hopkins University School of Medicine, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA. FAU - Kengne, Andre P AU - Kengne AP AD - Non-Communicable Diseases Research Unit, South African Medical Research Council, Francie van Zijl Drive Parowvallei, PO Box 19070, Tygerberg, Cape Town 7505, South Africa. FAU - Echouffo-Tcheugui, Justin B AU - Echouffo-Tcheugui JB AD - Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Johns Hopkins University School of Medicine, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA; Welch Prevention Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, MD, USA. Electronic address: jechouf1@jhmi.edu. LA - eng GR - K23 HL153774/HL/NHLBI NIH HHS/United States GR - T32 HL110952/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20210712 PL - United States TA - Endocrinol Metab Clin North Am JT - Endocrinology and metabolism clinics of North America JID - 8800104 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) SB - IM MH - Blood Glucose MH - *Diabetes Mellitus, Type 2/diagnosis/prevention & control MH - Glycated Hemoglobin/analysis MH - Humans MH - Mass Screening MH - *Prediabetic State/diagnosis/therapy PMC - PMC8375583 MID - NIHMS1700534 OTO - NOTNLM OT - Cost-effectiveness OT - Diabetes OT - Effectiveness OT - Prediabetes OT - Screening COIS- Disclosure The authors have no conflict of interest related to this article. Dr J.B. Echouffo-Tcheugui was supported by NIH/NHLBI grant K23 HL153774. Dr D. Duan was supported by NIH/NHLBI grant 5T32HL110952. EDAT- 2021/08/18 06:00 MHDA- 2022/04/01 06:00 PMCR- 2022/09/01 CRDT- 2021/08/17 05:52 PHST- 2021/08/17 05:52 [entrez] PHST- 2021/08/18 06:00 [pubmed] PHST- 2022/04/01 06:00 [medline] PHST- 2022/09/01 00:00 [pmc-release] AID - S0889-8529(21)00036-0 [pii] AID - 10.1016/j.ecl.2021.05.002 [doi] PST - ppublish SO - Endocrinol Metab Clin North Am. 2021 Sep;50(3):369-385. doi: 10.1016/j.ecl.2021.05.002. Epub 2021 Jul 12.