1442-P: Validity of the American Diabetes Association Diabetes Risk Test in a Low-Income African-American Population

Abstract

Objective: The use of self-reported data to assess diabetes risk in the general population is a key component of the National Diabetes Prevention Program. The American Diabetes Association Diabetes Risk Test (ADADRT) is a popular tool used for this purpose, yet there is paucity of data on its validity in real-world clinical settings. We assessed the performance of ADADRT in identifying undiagnosed prediabetes or diabetes at a Federally Qualified Health Center serving predominantly African Americans. Methods: The ADADRT was administered to participants without pre-existing diagnosis of prediabetes or diabetes and standard validation measures were calculated using HbA1c as the gold standard. Findings are reported for participants who self-identified as being Black or African American (n = 151). Results: HbA1c identified 25.8% of the sample as having prediabetes or diabetes. At the recommended cutoff for ADADRT (i.e., score ≥5) the following measures were observed: proportion of high-risk persons 47.7%, sensitivity 74.4%, specificity 61.6%, positive predictive value 40.3%, negative predictive value 87.3%, Youden Index 36, and area under the receiver-operating characteristic curve 0.68. Conclusion: ADADRT reasonably identifies low income African Americans with high diabetes risk. Findings are comparable to the precursor to ADADRT as validated with nationally representative data. Disclosure C.C. Chima: None. N. Anikpezie: None. B.C. Wade: None. L.S. Pongetti: None. T. Powell: None. B. Beech: None.

Comparison of Three Diabetes Risk Screening Tools Among Non-Hispanic Asian Indian Americans: ADA DRT, MDRF IDRS and HbA1c

“…Risk factors included in the ADA DRT are age (starting risk at age 40), gender, family history of type 2 diabetes, history of gestational diabetes, hypertension, physical activity, and weight (using BMI cutoff of <25kg/m 2 ) [18]. Recently, the ADA DRT was validated in a low-income African American population [19], and in a communitybased sample of Latinas [20]. Also, the recommended BMI cut-off to determine diabetes risk for Asian Americans is now ≥23 kg/m 2 [18], yet the ADA DRT does not use ethnic specific BMI cut-offs to determine obesity risk.…”

The Validity of the American Diabetes Association’s Diabetes Risk Test in a Saudi Arabian Population

“…The prevalence of type 2 diabetes (T2D) and prediabetes is increasing worldwide, and by the end of 2030, more than 470 million people could be affected by prediabetes globally, either because of insulin resistance or beta-cell dysfunction [1][2][3][4]. Prediabetes is a condition when blood glucose levels are elevated but remain below the threshold for a T2D diagnosis.…”

“…Prediabetes is a condition when blood glucose levels are elevated but remain below the threshold for a T2D diagnosis. The American Diabetes Association (ADA) defines prediabetes as fasting plasma glucose of 100-125 mg/dL (5.6-6.9 mmol/L), two-hour plasma glucose of 140-199 mg/dL (7.8-11.0 mmol/L), or glycated hemoglobin (HbA1c) of 5.7-6.4% (39-46 mmol/mol) [2,3].…”