Global estimates of undiagnosed diabetes in adults
Diabetes Research and Clinical PracticePublished 30 November 2013
Jessica Beagley, Leonor Guariguata, Clara Weil, Ayesha A. Motala
Citations577
SJR quartileQ1
SJR score1.54
SNIP2.00
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Estimates of the prevalence of undiagnosed diabetes mellitus (UDM) using available data from high quality representative population-based sources suggest there is a high proportion of UDM globally, and especially in developing countries.
Abstract
There is a high proportion of UDM globally, and especially in developing countries. Further high-quality studies of UDM are needed to strengthen future estimates.
Keywords
Medicine
Diabetes CareDiagnosis and Classification of Diabetes Mellitus
13,969 Citations2010American Diabetes Association
The degree of hyperglycemia reflects the severity of the underlying metabolic process and its treatment more than the nature of the process itself.
International Journal of Services SciencesDecision making with the analytic hierarchy process
9,844 Citations2008Thomas L. Saaty
The Analytic Hierarchy Process (AHP) is a theory of measurement through pairwise comparisons and relies on the judgements of experts to derive priority scales that measure intangibles in relative terms.
New England Journal of Medicine10-Year Follow-up of Intensive Glucose Control in Type 2 Diabetes
7,762 Citations2008Rury R. Holman, Sanjoy K. Paul +3 more
Despite an early loss of glycemic differences, a continued reduction in microvascular risk and emergent risk reductions for myocardial infarction and death from any cause were observed during 10 years of post-trial follow-up.
Diabetes Research and Clinical PracticeGlobal estimates of diabetes prevalence for 2013 and projections for 2035
4,698 Citations2013Leonor Guariguata, David Whiting +4 more
The new estimates of diabetes in adults confirm the large burden of diabetes, especially in developing countries, particularly in low- and middle-income countries.
New England Journal of MedicineEffect of a Multifactorial Intervention on Mortality in Type 2 Diabetes
3,433 Citations2008Peter Gæde, Henrik Lund‐Andersen +2 more
In at-risk patients with type 2 diabetes, intensive intervention with multiple drug combinations and behavior modification had sustained beneficial effects with respect to vascular complications and on rates of death from any cause and from cardiovascular causes.
New England Journal of MedicinePrevalence of Diabetes among Men and Women in China
3,015 Citations2010Wenying Yang, Juming Lu +18 more
The prevalence of diabetes among Chinese adults and prediabetes, which included both previously diagnosed diabetes and previously undiagnosed diabetes, was estimated to be 9.7% and 15.5% respectively, respectively, from a national study conducted from June 2007 through May 2008.
Clinical DiabetesMicrovascular and Macrovascular Complications of Diabetes
1,885 Citations2008Michael J. Fowler
Diabetes CareScreening for type 2 diabetes.
1,033 Citations2000Michael M. Engelgau, K.M. Venkat Narayan +1 more
It will be important to use comprehensive cardiovascular disease modules that assess the conjoint influence of glucose and cardiovascular risk factor reduction, information on QOL, and refined economic evaluations using common outcome measures within economic studies to allow selection of the optimal approach within the financial and resource limitations of the health care system.
Diabetes CareGlobal Estimates for Prevalence of Diabetes Mellitus and Impaired Glucose Tolerance in Adults
895 Citations1993Hilary King, Marian Rewers +1 more
Diabetes in adults is now a global health problem, and populations of developing countries, minority groups, and disadvantaged communities in industrialized countries now face the greatest risk.
The Journal of Rural HealthGeographic Access to Health Care for Rural Medicare Beneficiaries
530 Citations2006Leighton Chan, L. Gary Hart +1 more
The results suggest that most rural residents do not rely on urban areas for much of their care, particularly true for rural residents with specific diagnoses or those undergoing specific procedures.
Diabetes Research and Clinical PracticeThe International Diabetes Federation diabetes atlas methodology for estimating global and national prevalence of diabetes in adults
442 Citations2011Leonor Guariguata, David Whiting +2 more
The revised IDF methodology for estimating diabetes prevalence is a transparent, reproducible approach that will be updated annually and takes data-driven approaches to filling in gaps where data are not available and where assumptions have to be made.
Clinical Journal of the American Society of NephrologyPrevalence of Chronic Kidney Disease in US Adults with Undiagnosed Diabetes or Prediabetes
398 Citations2010Laura Plantinga, Deidra C. Crews +9 more
KD prevalence is high among people with undiagnosed diabetes and prediabetes, and these individuals might benefit from interventions aimed at preventing development and/or progression of both CKD and diabetes.
Diabetic MedicinePrevalence of diabetic retinopathy in Type 2 diabetes in developing and developed countries
311 Citations2013L. M. Ruta, Dianna J. Magliano +4 more
This review aimed to provide a comprehensive picture of available studies of diabetic retinopathy and how prevalence varies around the developed and developing world.
Diabetic MedicinePrevalence and projections of diabetes and pre‐diabetes in adults in Sri Lanka—Sri Lanka Diabetes, Cardiovascular Study (SLDCS)
282 Citations2008Prasad Katulanda, Godwin Constantine +8 more
The prevalence of diabetes mellitus and pre‐diabetes (impaired fasting glucose and impaired glucose tolerance) in adults in Sri Lanka and projections for the year 2030 and factors associated with diabetes and pre-diabetes are presented.
Diabetic MedicineFirst diabetes prevalence study in Portugal: PREVADIAB study
263 Citations2010L. Gardete-Correia, José Manuel Boavida +5 more
PubMedSocioeconomic status overrides age and gender in determining health-seeking behaviour in rural Bangladesh.
169 Citations2005Syed Masud Ahmed, Göran Tomson +2 more
It was found that socioeconomic indicators were the single most pervasive determinant of health-seeking behaviour among the study population, overriding age and sex, and in case ofhealth-care expenditure, types of illness as well.
Journal of Chronic DiseasesScreening for diabetes
156 Citations1955Hugh L. C. Wilkerson, Alan S. Cohen +1 more
It is demonstrated that through the proper use of and specificity measures, a screening test can be adapted to the needs of the program and depends upon proper interpretation of the laboratory results.
Diabetes CareThe Effects of Treatment on the Direct Costs of Diabetes
144 Citations1998William H. Herman, Richard C. Eastman
Intensive therapy for type 1 and type 2 diabetes may be more expensive than conventional therapy, but from an economic perspective, it is comparable in cost to pharmacological therapies for people with hypertension and hypercholesterolemia.
Journal of Diabetes and its ComplicationsDiabetes and macrovascular disease
132 Citations2002Aaron I. Vinik, Mark Flemmer
In the ideal world, every risk factor would be addressed and each diabetic would have excellent glycemic control, a low normal blood pressure, aLow LDL, and be prescribed an ACE inhibitor, together with aspirin and clopidogrel, and if this is done, this emerging epidemic of macrovascular disease will be contained.
Clinical TherapeuticsEstimates of direct medical costs for microvascular and macrovascular complications resulting from type 2 diabetes mellitus in the United States in 2000
113 Citations2003Judith A. O’Brien, Amanda R. Patrick +1 more
The costs presented here provide essential components for any analysis examining the economic burden of the complications of diabetes mellitus and are important for policy makers to have up-to-date information about treatment outcomes and costs.
Diabetes & MetabolismDiabetes and impaired fasting glucose in rural and urban populations in Futa Jallon (Guinea): prevalence and associated risk factors
98 Citations2007N.M. Baldé, I. Diallo +10 more
The data support the conclusion that prevalence of DM is expected to increase with the aging of the population, and primary prevention through lifestyle modifications may play a critical role in the control of DM.
Diabetes CareThe Prevalence of Diabetes in the Kingdom of Tonga
98 Citations2002Stephen Colagiuri, Ruth Colagiuri +4 more
The current prevalence of diabetes in Tonga is 15.1%, of which 80% is undiagnosed, indicating a doubling of diabetes over the past 25 years.
Population Health ManagementThe Economic Costs of Undiagnosed Diabetes
93 Citations2009Yiduo Zhang, Timothy M. Dall +7 more
The objective is to estimate the national economic costs associated with undiagnosed diabetes mellitus (UDM), defined as unknowingly having an elevated glucose level that meets the definition of diabetes, which is estimated to be $18 billion in 2007.
Diabetes CareThe Missed Patient With Diabetes: How access to health care affects the detection of diabetes
89 Citations2008Xinzhi Zhang, Linda S. Geiss +4 more
Limited access to health care, especially being uninsured and going without insurance for a long period, was significantly associated with being a “missed patient” with diabetes.
PubMedOman world health survey: part 1 - methodology, sociodemographic profile and epidemiology of non-communicable diseases in oman.
84 Citations2012Asya Al Riyami, Mahmoud Attia Abd Elaty +4 more
Diabetic MedicineCriteria for previously undiagnosed diabetes and risk of mortality: 15‐year follow‐up of the Edinburgh Artery Study cohort
64 Citations2005Sarah H. Wild, F.B. Smith +2 more
To compare risk of all‐cause and cardiovascular mortality associated with different criteria for undiagnosed diabetes and glucose tolerance, a large pooled sample of patients with and without diabetes was enrolled.
Diabetes CareIncreasing Prevalence of Type 2 Diabetes in Chinese Adults in Shanghai
63 Citations2012Rui Li, Wei Lü +10 more
The results suggest that Shanghai has experienced an increasing burden of type 2 diabetes and was higher among men and in urban residents in both surveys.
Acta DiabetologicaCoronary heart disease and diabetic retinopathy in newly diagnosed diabetes in Da Qing, China: The Da Qing IGT and Diabetes Study
35 Citations1991Yinghua Hu, Xiao-Ren Pan +4 more
Both micro-and macrovascular complications occur frequently in previously undiagnosed Chinese diabetics and the frequency of CHD is markedly increased compared to the low frequency among Chinese non-diabetics.
Revista Española de CardiologíaRiesgo de mortalidad en diabetes diagnosticada, diabetes no diagnosticada y prediabetes en población adulta española. Estudio Asturias 1998-2004
33 Citations2009Sergio Valdés, Patricia Botas +2 more
Tanto los individuos con DM conocida como los that tenian DM no diagnosticada presentaron un riesgo of mortalidad alrededor de 2,5-3 veces superior al of los indivenes con normoglucemia, aunque no estadisticamente significativo.
The American Journal of CardiologyClinical impact of borderline and undiagnosed diabetes mellitus in patients with coronary artery disease
32 Citations2000Alexander Tenenbaum, Michael Motro +7 more
Both undiagnosed and newly diagnosed borderline diabetes were associated with an unfavorable metabolic profile and the mortality of the borderline diabetics tended to be higher than in their nondiabetic counterparts, but this tendency did not reach statistical significance.
Revista Española de Cardiología (English Edition)Mortality Risk in Spanish Adults With Diagnosed Diabetes, Undiagnosed Diabetes, or Pre-Diabetes. The Asturias Study 1998-2004
31 Citations2009Sergio Valdés, Patricia Botas +2 more
Both individuals with diagnosed diabetes and those with undiagnosed diabetes had a risk of mortality around 2.5-3 times greater than individuals with normoglycemia, while those with pre-diabetes also had increased mortality relative to the control group, though the difference was not significant.
Diabetes & MetabolismPrevalence of type 2 diabetes and other cardiovascular risk factors in Mayotte in 2008: The MAYDIA study
29 Citations2010J.-L. Solet, Noémie Baroux +6 more
The high prevalence of obesity combined with a high prevalence with a potential for further increases in the prevalence of diabetes and cardiovascular disease in Mayotte indicates preventative action against obesity, diabetes and hypertension is required now.
Diabetes Research and Clinical PracticeThe prevalence of diabetes mellitus in the adult population of Guadeloupe as estimated by history or fasting hyperglycemia
20 Citations1991Dominique Costagliola, C. Delaunay +6 more
The high prevalence rate appears to be related to obesity, a genetic susceptibility, and, possibly, in men of African origin only, to a maternal history of diabetes.
Canadian Journal of DiabetesDetection of Prediabetes and Undiagnosed Type 2 Diabetes: A Large Population-Based Study
18 Citations2012Weili Xu, Zhongliang Xu +4 more
In a fully adjusted multinomial logistic regression model, hypertension, overweight, obesity, central obesity, and family history of diabetes were significantly associated with prediabetes and undiagnosed diabetes, whereas physical inactivity was independently related to undiagging diabetes.
