Global variation in diabetes diagnosis and prevalence based on fasting glucose and hemoglobin A1c
Glucèmia; Diabetis Mellitus; Epidemiologia
| Autores: | , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2023 |
| País: | España |
| Institución: | Departament de Salut de la Generalitat de Catalunya (DS) |
| Repositorio: | Scientia. Dipòsit d'Informació Digital del Departament de Salut |
| OAI Identifier: | oai:scientiasalut.gencat.cat:11351/11449 |
| Acceso en línea: | https://hdl.handle.net/11351/11449 https://doi.org/10.1038/s41591-023-02610-2 |
| Access Level: | acceso abierto |
| Palabra clave: | Salut mundial Glucèmia Diabetis - Epidemiologia HEALTH CARE::Population Characteristics::Health::Global Health CHEMICALS AND DRUGS::Carbohydrates::Sugars::Monosaccharides::Hexoses::Glucose::Blood Glucose DISEASES::Nutritional and Metabolic Diseases::Metabolic Diseases::Glucose Metabolism Disorders::Diabetes Mellitus Other subheadings::Other subheadings::Other subheadings::/epidemiology ATENCIÓN DE SALUD::Características de la Población::salud::salud global COMPUESTOS QUÍMICOS Y DROGAS::hidratos de carbono::azúcares::monosacáridos::hexosas::glucosa::glucosa sanguínea ENFERMEDADES::enfermedades nutricionales y metabólicas::enfermedades metabólicas::trastornos del metabolismo de la glucosa::diabetes mellitus Otros calificadores::Otros calificadores::Otros calificadores::/epidemiología |
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Global variation in diabetes diagnosis and prevalence based on fasting glucose and hemoglobin A1cNCD Risk Factor Collaboration (NCD-RisC)Plans-Rubió, PedroSalut mundialGlucèmiaDiabetis - EpidemiologiaHEALTH CARE::Population Characteristics::Health::Global HealthCHEMICALS AND DRUGS::Carbohydrates::Sugars::Monosaccharides::Hexoses::Glucose::Blood GlucoseDISEASES::Nutritional and Metabolic Diseases::Metabolic Diseases::Glucose Metabolism Disorders::Diabetes MellitusOther subheadings::Other subheadings::Other subheadings::/epidemiologyATENCIÓN DE SALUD::Características de la Población::salud::salud globalCOMPUESTOS QUÍMICOS Y DROGAS::hidratos de carbono::azúcares::monosacáridos::hexosas::glucosa::glucosa sanguíneaENFERMEDADES::enfermedades nutricionales y metabólicas::enfermedades metabólicas::trastornos del metabolismo de la glucosa::diabetes mellitusOtros calificadores::Otros calificadores::Otros calificadores::/epidemiologíaGlucèmia; Diabetis Mellitus; EpidemiologiaGlucemia; Diabetes mellitus; EpidemiologíaBlood glucose; Diabetes mellitus; EpidemiologyFasting plasma glucose (FPG) and hemoglobin A1c (HbA1c) are both used to diagnose diabetes, but these measurements can identify different people as having diabetes. We used data from 117 population-based studies and quantified, in different world regions, the prevalence of diagnosed diabetes, and whether those who were previously undiagnosed and detected as having diabetes in survey screening, had elevated FPG, HbA1c or both. We developed prediction equations for estimating the probability that a person without previously diagnosed diabetes, and at a specific level of FPG, had elevated HbA1c, and vice versa. The age-standardized proportion of diabetes that was previously undiagnosed and detected in survey screening ranged from 30% in the high-income western region to 66% in south Asia. Among those with screen-detected diabetes with either test, the age-standardized proportion who had elevated levels of both FPG and HbA1c was 29-39% across regions; the remainder had discordant elevation of FPG or HbA1c. In most low- and middle-income regions, isolated elevated HbA1c was more common than isolated elevated FPG. In these regions, the use of FPG alone may delay diabetes diagnosis and underestimate diabetes prevalence. Our prediction equations help allocate finite resources for measuring HbA1c to reduce the global shortfall in diabetes diagnosis and surveillance.Nature Research[Plans-Rubió P] Agència de Salut Pública de Catalunya, Departament de Salut, Generalitat de Catalunya, Barcelona, SpainDepartament de Salut202420242023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/11449https://doi.org/10.1038/s41591-023-02610-2Scientiareponame:Scientia. Dipòsit d'Informació Digital del Departament de Salutinstname:Departament de Salut de la Generalitat de Catalunya (DS)InglésNature medicine;29(11)https://doi.org/10.1038/s41591-023-02610-2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:scientiasalut.gencat.cat:11351/114492026-06-12T09:38:37Z |
| dc.title.none.fl_str_mv |
Global variation in diabetes diagnosis and prevalence based on fasting glucose and hemoglobin A1c |
| title |
Global variation in diabetes diagnosis and prevalence based on fasting glucose and hemoglobin A1c |
| spellingShingle |
Global variation in diabetes diagnosis and prevalence based on fasting glucose and hemoglobin A1c NCD Risk Factor Collaboration (NCD-RisC) Salut mundial Glucèmia Diabetis - Epidemiologia HEALTH CARE::Population Characteristics::Health::Global Health CHEMICALS AND DRUGS::Carbohydrates::Sugars::Monosaccharides::Hexoses::Glucose::Blood Glucose DISEASES::Nutritional and Metabolic Diseases::Metabolic Diseases::Glucose Metabolism Disorders::Diabetes Mellitus Other subheadings::Other subheadings::Other subheadings::/epidemiology ATENCIÓN DE SALUD::Características de la Población::salud::salud global COMPUESTOS QUÍMICOS Y DROGAS::hidratos de carbono::azúcares::monosacáridos::hexosas::glucosa::glucosa sanguínea ENFERMEDADES::enfermedades nutricionales y metabólicas::enfermedades metabólicas::trastornos del metabolismo de la glucosa::diabetes mellitus Otros calificadores::Otros calificadores::Otros calificadores::/epidemiología |
| title_short |
Global variation in diabetes diagnosis and prevalence based on fasting glucose and hemoglobin A1c |
| title_full |
Global variation in diabetes diagnosis and prevalence based on fasting glucose and hemoglobin A1c |
| title_fullStr |
Global variation in diabetes diagnosis and prevalence based on fasting glucose and hemoglobin A1c |
| title_full_unstemmed |
Global variation in diabetes diagnosis and prevalence based on fasting glucose and hemoglobin A1c |
| title_sort |
Global variation in diabetes diagnosis and prevalence based on fasting glucose and hemoglobin A1c |
| dc.creator.none.fl_str_mv |
NCD Risk Factor Collaboration (NCD-RisC) Plans-Rubió, Pedro |
| author |
NCD Risk Factor Collaboration (NCD-RisC) |
| author_facet |
NCD Risk Factor Collaboration (NCD-RisC) Plans-Rubió, Pedro |
| author_role |
author |
| author2 |
Plans-Rubió, Pedro |
| author2_role |
author |
| dc.contributor.none.fl_str_mv |
[Plans-Rubió P] Agència de Salut Pública de Catalunya, Departament de Salut, Generalitat de Catalunya, Barcelona, Spain Departament de Salut |
| dc.subject.none.fl_str_mv |
Salut mundial Glucèmia Diabetis - Epidemiologia HEALTH CARE::Population Characteristics::Health::Global Health CHEMICALS AND DRUGS::Carbohydrates::Sugars::Monosaccharides::Hexoses::Glucose::Blood Glucose DISEASES::Nutritional and Metabolic Diseases::Metabolic Diseases::Glucose Metabolism Disorders::Diabetes Mellitus Other subheadings::Other subheadings::Other subheadings::/epidemiology ATENCIÓN DE SALUD::Características de la Población::salud::salud global COMPUESTOS QUÍMICOS Y DROGAS::hidratos de carbono::azúcares::monosacáridos::hexosas::glucosa::glucosa sanguínea ENFERMEDADES::enfermedades nutricionales y metabólicas::enfermedades metabólicas::trastornos del metabolismo de la glucosa::diabetes mellitus Otros calificadores::Otros calificadores::Otros calificadores::/epidemiología |
| topic |
Salut mundial Glucèmia Diabetis - Epidemiologia HEALTH CARE::Population Characteristics::Health::Global Health CHEMICALS AND DRUGS::Carbohydrates::Sugars::Monosaccharides::Hexoses::Glucose::Blood Glucose DISEASES::Nutritional and Metabolic Diseases::Metabolic Diseases::Glucose Metabolism Disorders::Diabetes Mellitus Other subheadings::Other subheadings::Other subheadings::/epidemiology ATENCIÓN DE SALUD::Características de la Población::salud::salud global COMPUESTOS QUÍMICOS Y DROGAS::hidratos de carbono::azúcares::monosacáridos::hexosas::glucosa::glucosa sanguínea ENFERMEDADES::enfermedades nutricionales y metabólicas::enfermedades metabólicas::trastornos del metabolismo de la glucosa::diabetes mellitus Otros calificadores::Otros calificadores::Otros calificadores::/epidemiología |
| description |
Glucèmia; Diabetis Mellitus; Epidemiologia |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023 2024 2024 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/11351/11449 https://doi.org/10.1038/s41591-023-02610-2 |
| url |
https://hdl.handle.net/11351/11449 https://doi.org/10.1038/s41591-023-02610-2 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
Nature medicine;29(11) https://doi.org/10.1038/s41591-023-02610-2 |
| dc.rights.none.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
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Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
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application/pdf |
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Nature Research |
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Nature Research |
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Scientia reponame:Scientia. Dipòsit d'Informació Digital del Departament de Salut instname:Departament de Salut de la Generalitat de Catalunya (DS) |
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Departament de Salut de la Generalitat de Catalunya (DS) |
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Scientia. Dipòsit d'Informació Digital del Departament de Salut |
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Scientia. Dipòsit d'Informació Digital del Departament de Salut |
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