Detecting Prediabetes and Diabetes: Agreement between Fasting Plasma Glucose and Oral Glucose Tolerance Test in Thai Adults
Joint Authors
Aekplakorn, Wichai
Tantayotai, Valla
Numsangkul, Sakawduan
Sripho, Wilarwan
Tatsato, Nutchanat
Burapasiriwat, Tuanjai
Pipatsart, Rachada
Sansom, Premsuree
Luckanajantachote, Pranee
Chawarokorn, Pongpat
Thanonghan, Anek
Lakhamkaew, Watchira
Mungkung, Aungsumalin
Boonkean, Rungnapa
Chantapoon, Chanidsa
Kungsri, Mayuree
Luanseng, Kasetsak
Chaiyajit, Kornsinun
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-08-06
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Aim.
To evaluate an agreement in identifying dysglycemia between fasting plasma glucose (FPG) and the 2 hr postprandial glucose tolerance test (OGTT) in a population with high risk of diabetes.
Methods.
A total of 6,884 individuals aged 35–65 years recruited for a community-based diabetes prevention program were tested for prediabetes including impaired fasting glucose (IFG) or impaired glucose tolerance (IGT), and diabetes.
The agreement was assessed by Kappa statistics.
Logistic regression was used to examine factors associated with missed prediabetes and diabetes by FPG.
Results.
A total of 2671 (38.8%) individuals with prediabetes were identified.
The prevalence of prediabetes identified by FPG and OGTT was 32.2% and 22.3%, respectively.
The proportions of diabetes classified by OGTT were two times higher than those identified by FPG (11.0% versus 5.4%, resp.).
The Kappa statistics for agreement of both tests was 0.55.
Overall, FPG missed 46.3% of all prediabetes and 54.7% of all diabetes cases.
Prediabetes was more likely to be missed by FPG among female, people aged <45 yrs, and those without family history of diabetes.
Conclusion.
The detection of prediabetes and diabetes using FPG only may miss half of the cases.
Benefit of adding OGTT to FPG in some specific groups should be confirmed.
American Psychological Association (APA)
Aekplakorn, Wichai& Tantayotai, Valla& Numsangkul, Sakawduan& Sripho, Wilarwan& Tatsato, Nutchanat& Burapasiriwat, Tuanjai…[et al.]. 2015. Detecting Prediabetes and Diabetes: Agreement between Fasting Plasma Glucose and Oral Glucose Tolerance Test in Thai Adults. Journal of Diabetes Research،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1067900
Modern Language Association (MLA)
Aekplakorn, Wichai…[et al.]. Detecting Prediabetes and Diabetes: Agreement between Fasting Plasma Glucose and Oral Glucose Tolerance Test in Thai Adults. Journal of Diabetes Research No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1067900
American Medical Association (AMA)
Aekplakorn, Wichai& Tantayotai, Valla& Numsangkul, Sakawduan& Sripho, Wilarwan& Tatsato, Nutchanat& Burapasiriwat, Tuanjai…[et al.]. Detecting Prediabetes and Diabetes: Agreement between Fasting Plasma Glucose and Oral Glucose Tolerance Test in Thai Adults. Journal of Diabetes Research. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1067900
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1067900