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Abstract: . . . (eg a factory or a GP practice population). Any screening programme will identify people with IFG or IGT. They should be tested, in line with WHO standards, to rule out a diagnosis of diabetes . This population will need lifestyle advice and will need to be screened for diabetes on a three yearly basis. Other tests are not recommended for screening, although values are included in the table. Screening tests for Type 2 diabetes Cut-off Sensitivity Specificity PVP Reference Venous plasma (mM) Fasting . . . . . . performance of all screening tests and makes screening more rewarding. Therefore, targeted case finding in high risk groups should be encouraged. This may be done most economically and effectively as part of other health care examinations, such as screening for cardiovascular risk factors. Early identification programmes should thus be restricted to the adult population who fall within high risk groups. Someone with two or more risk factors should be screened for diabetes . People most at risk of developing diabetes : White people aged over 40 years and people from Black, Asian . . . . . . be most appropriate where an individual, perhaps with a family history of diabetes or other risk factor, presents for screening while method three may be the method of choice for screening of a large population (eg a factory or a GP practice population). Any screening programme will identify people with IFG or IGT. They should be tested, in line with WHO standards, to rule out a diagnosis of diabetes . This population will need lifestyle advice and will need to be screened for diabetes on a three yearly basis. Other tests are not recommended for screening, although values are included . . . . . . Peters et al, 1996 Metanalysis with population prevalence 6% Rohlfing et al, 1996 Whole population Whole population Non-Hispanic White Non-Hispanic Black Mexican American PVP = Predictive Value Positive. Sensitivity, specificity and PVP data calculated with 2 hour 75g OGTT value as reference. Extended and modified from Engelgau et al, 1995 © Diabetes UK 2002 . . . . . . line with WHO standards, to rule out a diagnosis of diabetes . This population will need lifestyle advice and will need to be screened for diabetes on a three yearly basis. Other tests are not recommended for screening, although values are included in the table. Screening tests for Type 2 diabetes Cut-off Sensitivity Specificity PVP Reference Venous plasma (mM) Fasting Fasting Fasting (US) Fasting (Israel) Fasting (US) Fasting (Israel) Fasting Fasting Fasting . . . --3000,5,300,3191,20415
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