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Assessing the Effectiveness of Type 2 Diabetes Screening in the Republic of Uzbekistan
BACKGROUND: Type 2 diabetes (T2D) screening should be performed continuously at the primary care level in order to prevent disabling complications. Due to the high prevalence of undiagnosed T2D in the Republic of Uzbekistan, a decision was made to implement a nationwide screening program for T2D. OB...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Brieflands
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9871961/ https://www.ncbi.nlm.nih.gov/pubmed/36714191 http://dx.doi.org/10.5812/ijem-124036 |
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author | Alieva, Anna Alimov, Anvar Khaidarova, Feruza Ismailov, Saidiganikhoja Rakhimova, Gulnara Nazhmutdinova, Dilorom Shagazatova, Barno Tsareva, Victoria |
author_facet | Alieva, Anna Alimov, Anvar Khaidarova, Feruza Ismailov, Saidiganikhoja Rakhimova, Gulnara Nazhmutdinova, Dilorom Shagazatova, Barno Tsareva, Victoria |
author_sort | Alieva, Anna |
collection | PubMed |
description | BACKGROUND: Type 2 diabetes (T2D) screening should be performed continuously at the primary care level in order to prevent disabling complications. Due to the high prevalence of undiagnosed T2D in the Republic of Uzbekistan, a decision was made to implement a nationwide screening program for T2D. OBJECTIVES: The current study, taking into account the limited resources of Uzbekistan's health care system, aimed to offer the most effective, simple, and economical option required for the actual implementation of regular T2D screening in the country’s primary care. METHODS: The screening was conducted from December 2018 to March 2019. There were four different scenarios, which differed in terms of eligibility criteria and the methodology adopted for detecting dysglycemia. RESULTS: A total of 2,430 patients were examined in four months. The T2D diagnosis was established by an endocrinologist in 9.3% of the cases with one eligibility criterion and 15.9% of the cases with three eligibility criteria. The diagnosis of T2D was established by an endocrinologist in 11.7% of the cases with HbA1c screening and 13.5% of the cases with glucose screening. CONCLUSIONS: The screening was feasible in Uzbekistan only in limited conditions. The reasonable strategy was found to be the screening for incidental glycemia in all patients with at least one T2D risk factor. It was recommended that patients with incidental glycemia ≥ 7.8 mmol/L should be tested for fasting glycemia. |
format | Online Article Text |
id | pubmed-9871961 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Brieflands |
record_format | MEDLINE/PubMed |
spelling | pubmed-98719612023-01-28 Assessing the Effectiveness of Type 2 Diabetes Screening in the Republic of Uzbekistan Alieva, Anna Alimov, Anvar Khaidarova, Feruza Ismailov, Saidiganikhoja Rakhimova, Gulnara Nazhmutdinova, Dilorom Shagazatova, Barno Tsareva, Victoria Int J Endocrinol Metab Research Article BACKGROUND: Type 2 diabetes (T2D) screening should be performed continuously at the primary care level in order to prevent disabling complications. Due to the high prevalence of undiagnosed T2D in the Republic of Uzbekistan, a decision was made to implement a nationwide screening program for T2D. OBJECTIVES: The current study, taking into account the limited resources of Uzbekistan's health care system, aimed to offer the most effective, simple, and economical option required for the actual implementation of regular T2D screening in the country’s primary care. METHODS: The screening was conducted from December 2018 to March 2019. There were four different scenarios, which differed in terms of eligibility criteria and the methodology adopted for detecting dysglycemia. RESULTS: A total of 2,430 patients were examined in four months. The T2D diagnosis was established by an endocrinologist in 9.3% of the cases with one eligibility criterion and 15.9% of the cases with three eligibility criteria. The diagnosis of T2D was established by an endocrinologist in 11.7% of the cases with HbA1c screening and 13.5% of the cases with glucose screening. CONCLUSIONS: The screening was feasible in Uzbekistan only in limited conditions. The reasonable strategy was found to be the screening for incidental glycemia in all patients with at least one T2D risk factor. It was recommended that patients with incidental glycemia ≥ 7.8 mmol/L should be tested for fasting glycemia. Brieflands 2022-11-01 /pmc/articles/PMC9871961/ /pubmed/36714191 http://dx.doi.org/10.5812/ijem-124036 Text en Copyright © 2022, International Journal of Endocrinology and Metabolism https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited. |
spellingShingle | Research Article Alieva, Anna Alimov, Anvar Khaidarova, Feruza Ismailov, Saidiganikhoja Rakhimova, Gulnara Nazhmutdinova, Dilorom Shagazatova, Barno Tsareva, Victoria Assessing the Effectiveness of Type 2 Diabetes Screening in the Republic of Uzbekistan |
title | Assessing the Effectiveness of Type 2 Diabetes Screening in the Republic of Uzbekistan |
title_full | Assessing the Effectiveness of Type 2 Diabetes Screening in the Republic of Uzbekistan |
title_fullStr | Assessing the Effectiveness of Type 2 Diabetes Screening in the Republic of Uzbekistan |
title_full_unstemmed | Assessing the Effectiveness of Type 2 Diabetes Screening in the Republic of Uzbekistan |
title_short | Assessing the Effectiveness of Type 2 Diabetes Screening in the Republic of Uzbekistan |
title_sort | assessing the effectiveness of type 2 diabetes screening in the republic of uzbekistan |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9871961/ https://www.ncbi.nlm.nih.gov/pubmed/36714191 http://dx.doi.org/10.5812/ijem-124036 |
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