Journal article

Targeted screening for prediabetes and undiagnosed diabetes in a community setting in India

Thirunavukkarasu Sathish, Jonathan E Shaw, Robyn J Tapp, Rory Wolfe, Kavumpurathu R Thankappan, Sajitha Balachandran, Brian Oldenburg

DIABETES & METABOLIC SYNDROME-CLINICAL RESEARCH & REVIEWS | ELSEVIER SCI LTD | Published : 2019

Abstract

BACKGROUND AND OBJECTIVES: Data to support the use of risk scores in screening programs to detect people with prediabetes and undiagnosed diabetes in low- and middle-income countries are limited. We evaluated a targeted screening program involving a diabetes risk score in a community setting in India in terms of its uptake, yield, and costs. METHODS: In the Kerala Diabetes Prevention Program, 2586 individuals (age 30-60 years) without known diabetes were screened using a two-step procedure. Step 1: screening with the Indian Diabetes Risk Score at participants' homes by trained non-medical staff. Step 2: oral glucose tolerance test (OGTT) among those with IDRS score ≥60 ("screen-positive") at..

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Grants

Awarded by National Health and Medical Research Council, Australia


Awarded by National Health and Medical Research Council Senior Research Fellowship


Awarded by Fogarty International Centre of the National Institutes of Health (NIH)


Funding Acknowledgements

K-DPP was funded by the National Health and Medical Research Council, Australia (Project Grant ID 1005324). TS was supported by the Victoria India Doctoral Scholarship (VIDS) for his PhD at the University of Melbourne, Australia. TS was also supported by the ASCEND Program, funded by the Fogarty International Centre of the National Institutes of Health (NIH) under Award Number: D43TW008332. JES was supported by a National Health and Medical Research Council Senior Research Fellowship (APP1079438). We also acknowledge Peers for Progress, a programme of the American Academy of Family Physicians Foundation supported by the Eli Lily and Company Foundation. The contents of this paper are solely the responsibility of the authors and do not reflect the views of NHMRC, NIH, Peers for Progress or the ASCEND Program.