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The British Journal of Diabetes & Vascular Disease
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Screening for IGT and diabetes

Jennifer R Tringham

Department of Diabetes, Leicester Royal Infirmary, Leicester, LE1 5WW, UK, jenny.tringham{at}uhl-tr.nhs.uk

Melanie J Davies

Type 2 diabetes is increasingly common and a significant proportion of individuals are undiagnosed. Around 15—20% of the adult population have impaired glucose tolerance (IGT) or impaired fasting glycaemia (IFG) and are at an increased risk of subsequently developing diabetes.

There is a wealth of information regarding the practicalities of various methods of screening for diabetes, and to a lesser extent for IGT. For diabetes screening a targeted approach is preferred. A fasting plasma glucose (FPG) followed by an oral glucose tolerance test (OGTT) if FPG is between 5.5—6.9 mmol/L is recommended. In detecting pre-diabetes (IGT or IFG) risk factor questionnaires and risk scores are the preferred option but these require further evaluation.

Key Words: type 2 diabetes • impaired glucose tolerance • screening • risk factors.

The British Journal of Diabetes & Vascular Disease, Vol. 4, No. 4, 254-258 (2004)
DOI: 10.1177/14746514040040040701
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