A home-based method for the detection of impaired glucose tolerance in hypertensive primary
care patients
Engelsk titel: A home-based method for the detection of impaired glucose tolerance in hypertensive primary
care patients
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Författare:
Zanden, Lukas
;
Bergh, Håkan
Email: lukas.zanden@viktoriaklin.se
Språk: Eng
Antal referenser: 26
Dokumenttyp:
Artikel
UI-nummer: 15069390
Sammanfattning
Objective. The aim of this project was to compare an oral glucose tolerance test (OGTT) partly
performed in the patient's home (OGTTh) with a clinic-obtained OGTT with regard to the ability of the
tests to identify patients with impaired glucose tolerance (IGT) and type 2 diabetes mellitus (DM-2).
Design. A method comparison. Setting. The study was completed at two primary health care centres.
Subjects. Fifty-one patients with hypertension aged 50-79 years completed both OGTT tests. Main
outcome measures. Values for capillary P-glucose obtained two hours after a glucose load were
compared between the two OGTT tests. Fasting plasma glucose (fP-glucose) and HbA1c were also
measured. Results. Thirty-seven patients were classified in the same group (normal/IGT/DM-2) by the
two tests. The index of validity based on the test's ability to identify normal or pathological values (?
8.9 mmol/l) was 0.75. The value for kappa was 0.66 with a sensitivity of 0.54 and a specificity of 0.82.
Conclusion. OGTTh may be a useful screening method for IGT in risk groups such as hypertensive
patients.