Author/Authors :
Al-Baghli, N.A. Ministry of Health - Directorate of Health Affairs, Saudi Arabia , Al-Turki, K.A. Ministry of Health - Directorate of Health Affairs, Saudi Arabia , Al-Ghamdi, A.J. Ministry of Health, Saudi Arabia , Prasad, K. Arabian Gulf University - Collage of Medicine - Department of Medical Education, Bahrain , Taha, A.Z. University of Dammam - Collage of Medicine - Department of Family and Community Medicine, Saudi Arabia , Al-Almaie, S.M. University of Dammam - Collage of Medicine - Department of Family and Community Medicine, Saudi Arabia
Abstract :
This study compared 2 screening tests for detecting undiagnosed diabetes mellitus when applied in a mass-screening campaign in the Eastern province of Saudi Arabia in 2004–05. Of 15 082 individuals screened, 65.8% were positive by the American Diabetes Association risk-score questionnaire and 71.3% by determination of capillary blood glucose (CBG) using a portable glucometer. Type 2 diabetes mellitus was confirmed in 20.3% of participants and pre-diabetes in 33.9% using fasting venous blood testing. The risk-score questionnaire did not perform well versus fasting and random CBG. Optimal cut-offs for fasting and random CBG were 120 mg/dL and 160 mg/dL respectively. Fasting CBG had higher sensitivity, specificity and discriminating ability than random CBG for detection of diabetes and pre-diabetes in this population.
