Wednesday, October 8, 2014

USPSTF Updated Recommendation for Type 2 Diabetes Screening- Public Comment Unitl 11/3/14

The United States Preventive Services Task Force (USPSTF) has proposed an updated recommendation for type 2 diabetes screening. This proposal is open to public comment until 11/3/14. 

Update of Previous USPSTF Recommendation

This recommendation is an update of the 2008 USPSTF recommendation on screening for diabetes in asymptomatic adults with hypertension (sustained blood pressure of >135/80 mm Hg) (B recommendation). At that time, the USPSTF found insufficient evidence to assess the balance of benefits and harms of screening in adults without hypertension (blood pressure of ≤135/80 mm Hg) (I statement). Since the previous recommendation, six new lifestyle intervention studies have shown consistent benefit of lifestyle modifications to prevent or delay progression to diabetes, and longer-term followup has increased confidence that such interventions can improve clinical outcomes. This new body of evidence led the USPSTF to conclude that there is moderate net benefit to measuring blood glucose in adults at increased risk for diabetes.

Patient Population Under Consideration
This recommendation applies to adults in primary care settings with known risk factors for IFG, IGT, or diabetes. Risk factors include age of 45 years or older, overweight or obesity, or a first-degree relative with diabetes. Women with a history of gestational diabetes or polycystic ovarian syndrome are also at increased risk. Certain racial/ethnic minorities, including African Americans, American Indians/Alaska Natives, Asian Americans, Hispanics/Latinos, and Native Hawaiians/Pacific Islanders, are also at increased risk compared with whites.

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