US doctors don't all follow prediabetes screening guidelines: study

November 8, 2016

(HealthDay)—Only about half of U.S. family doctors follow guidelines on screening patients for prediabetes, a new study finds.

More than one-third of American adults have prediabetes, and most don't know it.

Prediabetes means that blood sugar levels are higher than normal but not high enough to be . Diagnosing and treating prediabetes can prevent patients from developing diabetes, a leading cause of death in the United States.

University of Florida researchers surveyed more than 1,200 family doctors in academic medical settings nationwide. They found that those doctors with a positive attitude toward prediabetes as a clinical condition were more likely to follow national screening guidelines and offer treatment for their patients. Prediabetes treatments include medicine, exercise and losing weight.

Other doctors were more likely to suggest their patients make general that may reduce , but aren't associated with lowering .

Doctors also cited patients' ability to make lifestyle changes, stay motivated and economic resources as significant barriers to preventing diabetes.

The study was published Nov. 8 in the Journal of the American Board of Family Medicine.

"Some physicians think that a prediabetes diagnosis 'overmedicalizes' , and some believe it is best to focus on providing general advice on healthy lifestyle," study author Arch Mainous III said in a university news release. Mainous is chairman of health services research, management and policy in the College of Public Health and Health Professions.

The American Diabetes Association recommends prediabetes screening for adults who are overweight or obese and after age 45. The U.S. Preventive Services Task Force recommends screening for people between 40 and 70 years of age who are overweight or obese.

"I'm hoping that we can change physician attitudes so that they follow and trust the screening and treatment guidelines, which are evidence-based, and view it as a worthwhile way to prevent diabetes," Mainous said.

Explore further: Doctors aren't diagnosing or treating most cases of prediabetes, study finds

More information: The American Academy of Family Physicians has more on prediabetes.

Related Stories

Doctors aren't diagnosing or treating most cases of prediabetes, study finds

March 8, 2016
Less than one-quarter of patients who met the criteria for prediabetes received drug or lifestyle modification treatment from their primary care physician, according to University of Florida researchers, who say the findings ...

Normal weight may not protect against diabetes

July 14, 2016
(HealthDay)—Type 2 diabetes has long been considered a disease of the overweight and obese, but a new study challenges that notion. It finds nearly one in five normal-weight people has prediabetes—a condition that can ...

New diabetes screening recommendation misses more than half of high-risk patients

July 12, 2016
The latest government guidelines doctors follow to determine if patients should be screened for diabetes missed 55 percent of high-risk individuals with prediabetes or diabetes, a new Northwestern Medicine study found.

Researchers question value of web-based test for prediabetes

October 4, 2016
(HealthDay)—A simple, seven-question test for prediabetes may be needlessly sending millions of healthy Americans to their physicians for follow-up testing, according to a research letter published online Oct. 3 in JAMA ...

Check your risk for diabetes, CDC urges

January 21, 2016
(HealthDay)—No one is excused from diabetes. That's the message behind a new public education campaign targeting the 86 million American adults with what's known as prediabetes.

US doctors, CDC join forces in new diabetes prevention effort

March 12, 2015
(HealthDay)—Reducing the number of Americans with type 2 diabetes is a new mission shared by the American Medical Association (AMA) and the leading U.S. health agency, officials said Thursday.

Recommended for you

One class of drug used to treat type 2 diabetes may not reduce the risk of death when compared with placebo

April 17, 2018
One class of drug used to treat type 2 diabetes may not reduce the risk of death when compared with placebo, suggests new findings.

People with Type 2 diabetes who eat breakfast later, more likely to have a higher BMI

April 16, 2018
Being an "evening person" is linked to higher body mass indices among people with Type 2 diabetes, and having breakfast later in the day seems to be what drives this association, according to a new paper in the journal Diabetic ...

Continuous glucose monitors proven cost-effective, add to quality of life for diabetics

April 12, 2018
Continuous glucose monitors (CGM) offer significant, daily benefits to people with type 1 diabetes, providing near-real time measurements of blood sugar levels, but they can be expensive. A new study by researchers from the ...

Genetic signature predicts diabetes diagnosis

April 9, 2018
University of Queensland researchers have found a way to identify infants who will go on to develop type 1 diabetes.

Unexpected finding may deter disabling diabetic eye disease

April 6, 2018
Diabetic retinopathy is considered one of the most disabling complications of diabetes and the leading cause of new cases of vision loss among adults.

Risk of type 1 diabetes climbs when one population of T cells falls

April 5, 2018
In autoimmune diseases such as type 1 diabetes, some of the immune system's T cells mistakenly attack the body's own cells, while protective T regulatory cells try to defend against that attack. Scientists at Joslin Diabetes ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.