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Are undiagnosed IGT/IFG and type 2 diabetes common in heart disease and hypertension?

The Red Practice, Crieff Medical Centre, King Street, Crieff, Perthshire, PH7 3SA, UK, gsavage{at}crieff1.tayside.scot.nhs.uk

Peter Ewing

Helen Kirkwood

Sarah Carter

Diabetes mellitus causes significant morbidity and mortality, and up to 50% of people with diabetes may be as yet undiagnosed. Additionally impaired glucose tolerance (IGT) is known to increase vascular risk and the risk of developing diabetes.

The aim of this study was to look for IGT and/or impaired fasting glucose (IFG) and undiagnosed diabetes amongst patients with hypertension and patients with ischaemic heart disease (IHD) as part of an annual structured assessment.

In IHD patients the uptake was 83.45% with a yield of 2.47% for undiagnosed diabetes and 12.39% for IGT/IFG. In hypertensive patients the uptake was 75.84% with a yield of 2.01% for undiagnosed diabetes and 18.54% for IGT/IFG.

We concluded that looking for undiagnosed type 2 diabetes and patients with IGT/IFG in primary care may be worthwhile amongst patients with hypertension or IHD.

Key Words: screening • diabetes mellitus • impaired glucose tolerance • coronary heart disease • hypertension.

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The British Journal of Diabetes & Vascular Disease, Vol. 3, No. 6, 414-416 (2003)
DOI: 10.1177/14746514030030060501


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This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Savage, G. Articles by Carter, S. Search for Related Content Social Bookmarking                         What's this?