OBJECTIVE -To describe and evaluate a community-based diabetes screening program supported by the Michigan Department of Community Health.RESEARCH DESIGN AND METHODS -Between 1 June 1999 and 31 December 1999, community screening for diabetes was conducted by voluntary organizations using a standard protocol, American Diabetes Association (ADA) questionnaires, and ADA capillary plasma glucose criteria.RESULTS -A total of 3,506 individuals were screened, 14% of whom did not meet criteria for screening. Of the 3,031 individuals appropriately screened, 57% were classified as being at high risk based on the ADA questionnaire and 5% had positive screening tests based on ADA capillary plasma glucose criteria. Despite systematic follow-up, the screening program's yield of individuals with undiagnosed diabetes was Ͻ1%.CONCLUSIONS -Community screening for diabetes conducted according to ADA recommendations was extremely inefficient at identifying individuals with undiagnosed diabetes. The ADA diabetes screening questionnaire resulted in many false positive tests, and the ADA criteria for positive plasma glucose tests likely missed a substantial portion of individuals with undiagnosed diabetes. Relying on biochemical tests such as random plasma glucose, changing the criteria for a positive plasma glucose test, targeting racial and ethnic minority groups, and targeting medically underserved individuals might improve the yield of community-based diabetes screening.
Diabetes Care 26:668 -670, 2003
For both type 1 and type 2 diabetes, eating healthy is key to blood glucose management. To that end, the school nurse must have a basic understanding of nutrition recommendations for children with diabetes. This article describes basic nutrition guidelines as well as action steps for school nurses to assist children in following their meal plan at school and to support children when diabetes-related emergencies arise.
This is an official position statement of the American Association of Diabetes Educators (AADE). AADE is a multidisciplinary professional membership organization of health care professionals dedicated to integrating successful self-management as a key outcome in care of people with diabetes and related conditions. P Po os si it ti io on n S St ta at te em me en nt t C Co oo or rd di in na at to or r Dawn Satterfield, RN, PhD T Ta as sk k F Fo or rc ce e M Me em mb be er rs s
As you start your day, you see that Dan is on your schedule. You know him well. He is often a "no show," and when he does come in, you find him very draining. Over the past 2 years, you have provided Dan a great deal of education about how to better balance his meals with his medications to achieve his treatment targets. Although he always
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