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Sepehri A, Palazón-Bru A, Gil-Guillén VF, et al. Diabetes screening: a pending issue in hypertense/obese patients. PeerJ. 2015;3:e914doi: 10.7717/peerj.914.
Sepehri, A., Palazón-Bru, A., Gil-Guillén, V. F., Ramírez-Prado, D., Navarro-Cremades, F., Cortés, E., & Rizo-Baeza, M. M. (2015). Diabetes screening: a pending issue in hypertense/obese patients. PeerJ, 3e914. https://doi.org/10.7717/peerj.914
Sepehri, Armina, et al. "Diabetes screening: a pending issue in hypertense/obese patients." PeerJ vol. 3 (2015): e914. doi: https://doi.org/10.7717/peerj.914
Sepehri A, Palazón-Bru A, Gil-Guillén VF, Ramírez-Prado D, Navarro-Cremades F, Cortés E, Rizo-Baeza MM. Diabetes screening: a pending issue in hypertense/obese patients. PeerJ. 2015 Apr 23;3:e914. doi: 10.7717/peerj.914. eCollection 2015. PMID: 25922799; PMCID: PMC4411519.
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PeerJ. 2015 Apr 23;3:e914. doi: 10.7717/peerj.914. eCollection 2015.

Diabetes screening: a pending issue in hypertense/obese patients.

PeerJ

Armina Sepehri, Antonio Palazón-Bru, Vicente Francisco Gil-Guillén, Dolores Ramírez-Prado, Felipe Navarro-Cremades, Ernesto Cortés, María Mercedes Rizo-Baeza

Affiliations

  1. Department of Clinical Medicine, Miguel Hernández University , San Juan de Alicante, Alicante , Spain.
  2. Department of Pharmacology, Paediatrics and Organic Chemistry, Miguel Hernández University , San Juan de Alicante, Alicante , Spain.
  3. Department of Nursing, University of Alicante , San Vicente del Raspeig, Alicante , Spain.

PMID: 25922799 PMCID: PMC4411519 DOI: 10.7717/peerj.914

Abstract

The literature about possible cardiovascular consequences of diagnostic inertia in diabetes is scarce. We examined the influence of undetected high fasting blood glucose (FBG) levels on the cardiovascular risk and poor control of cardiovascular risk factors in hypertensive or obese patients, with no previous diagnosis of diabetes mellitus (i.e., diagnostic inertia). A cross-sectional study during a preventive program in a Spanish region was performed in 2003-2004. The participants were aged ≥40 years and did not have diabetes but were hypertensive (n = 5, 347) or obese (n = 7, 833). The outcomes were high cardiovascular risk (SCORE ≥5%), poor control of the blood pressure (≥140/90 mmHg) and class II obesity. The relationship was examined between FBG and the main parameters, calculating the adjusted odd ratios with multivariate models. Higher values of FBG were associated with all the outcomes. A more proactive attitude towards the diagnosis of diabetes mellitus in the hypertensive and obese population should be adopted.

Keywords: Delayed diagnosis; Diabetes mellitus; Hypertension; Obesity; Physician’s practice patterns; Primary health care

References

  1. Hypertension. 2006 Mar;47(3):345-51 - PubMed
  2. Circulation. 2008 Feb 12;117(6):743-53 - PubMed
  3. World Health Organ Tech Rep Ser. 2000;894:i-xii, 1-253 - PubMed
  4. Blood Press. 2010 Feb;19(1):3-10 - PubMed
  5. Eur Heart J. 2003 Jun;24(11):987-1003 - PubMed
  6. Aten Primaria. 2003 Dec;32 Suppl 2:15-29 - PubMed
  7. BMC Fam Pract. 2014 Jul 02;15:130 - PubMed
  8. Diabetes Care. 2003 Jan;26 Suppl 1:S5-20 - PubMed
  9. PLoS One. 2014 Mar 13;9(3):e91567 - PubMed
  10. Diabetes Care. 2003 Nov;26(11):3160-7 - PubMed
  11. Am J Manag Care. 2014 Apr 01;20(4):e122-8 - PubMed
  12. J Fam Pract. 1988 May;26(5):507-13 - PubMed
  13. Ann Intern Med. 2001 Nov 6;135(9):825-34 - PubMed
  14. Atherosclerosis. 2006 Oct;188(2):420-4 - PubMed
  15. Med Clin (Barc). 2007 Jan 27;128(3):86-91 - PubMed
  16. Wien Med Wochenschr. 2010 Jan;160(1-2):8-19 - PubMed
  17. JAMA. 2003 May 21;289(19):2560-72 - PubMed
  18. Aten Primaria. 2005 Feb 15;35(2):82-8 - PubMed

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