Early diagnosis of T2DM using high sensitive tests in the mandatory medical examinations for fishers, seafarers and other transport workers

Jensen, Olaf Chresten; Flores, Agnes; Corman, Victoria; Canals, María Luisa; Lucas, David; Denisenko, Ilona; Lucero-Prisno, Don Eliseo-Iii; Secher, Anna Elisabet Lilja; Andersen, Gregers; Jørgensen, Marit E.; Gyntelberg, Finn

doi:10.1016/j.pcd.2021.12.018

Cited by 3 publications

(4 citation statements)

References 16 publications

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“…Urinary glucose has been widely used as a screening tool for diabetes since it is non-invasive, cheap and easy to perform. The problem with the low sensibility when using urine sticks for diagnosis of type 2 diabetes has existed for many years, but only recently been discussed in relation to maritime medical health examinations [12,13].…”

Section: Accurate Diagnosis Of Type 2 Diabetes In the Clinicmentioning

confidence: 99%

“…One important problem is that urinary glucose has been widely used as a screening tool for diabetes in the fitfor-duty examinations as described in APPENDIX F in the ILO international guidelines. However, due to its low sensitivity, it cannot be recommended as a valid screening test for diabetes [12][13][14]. In February 2021 the International Maritime Health Association (IMHA), Europeche, and the European Transport Workers Federation (ETF) prompted The Maritime Health Research and Education-Net (Mahre-Net) to address the problems.…”

Section: Introductionmentioning

confidence: 99%

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Screening for type 2 diabetes and hypertension in seafarers’ medical examinations

Jensen

Flores

Corman

et al. 2022

International Maritime Health

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Background:The aims of the study are: 1) to replace the urine glucose test for diabetes with more than 50% false negatives, with an accurate screening for type 2 diabetes and hypertension in the mandatory biannual fit-for-duty medical examinations of seafarers; 2) to produce data driven "Green Ship" health promotion in the ships. A new health promotion and disease prevention public health intervention programme integrated in the fit-for-duty medical examinations for seafarers is being developed. Materials and methods: The lack of an accurate diagnosis of type 2 diabetes is replaced by accurate HbA1c and/or fasting glucose tests and the test for hypertension in various disease stages is based on the International Associations' Guidelines. A "Green Ship" health promotion programme is proposed for all on board, not only for diseased crew members.Results: A protocol for an accurate biannual screening for diabetes and hypertension is presented. Educational programmes for medical doctors and seafarers on the management of hypertension and diabetes on board will be developed. Presuming that all crew members are potentially on their way to be pre-diseased or are diseased, the "Green Ship" health promotion programme is implemented for the whole crew. Conclusions: The International Labour Organization and the National Maritime Authorities are prompted to revise the International and the National Guidelines for Seafarers Medical Examinations, respectively. Concerted actions are requested to implement public health promotion projects in shipping. Maritime medical doctors are prompted to use health dialogues and to report the clinical data in the Excel file. Sustainability is obtained by complying with the Sustainable Development Goals (3, 4, 8, 10, and 17).

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Section: Accurate Diagnosis Of Type 2 Diabetes In the Clinicmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Screening for type 2 diabetes and hypertension in seafarers’ medical examinations

Jensen

Flores

Corman

et al. 2022

International Maritime Health

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“…The prediabetes remains unknown, and an important prevention potential is thus not utilised. Ignorance of the prevalence of prediabetes and T2DM is a serious obstacle to establishing relevant prevention [1][2][3].…”

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confidence: 99%

Call for the National Boards of Health and the Maritime Administrations to introduce valid screening for type 2 diabetes at the maritime medical examinations

Jensen

Corman

Canals

et al. 2023

IMH

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“…Use of clinical health examination data for early diagnosis and prevention of Type 2 Diabetes Mellitus and Hypertension as important and preventive parts of the metabolic syndrome [ 23 ].…”

mentioning

confidence: 99%

Maritime workers and their global health: Need to improve scientific knowledge and prevention

et al. 2022

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Early diagnosis of T2DM using high sensitive tests in the mandatory medical examinations for fishers, seafarers and other transport workers

Cited by 3 publications

References 16 publications

Screening for type 2 diabetes and hypertension in seafarers’ medical examinations

Screening for type 2 diabetes and hypertension in seafarers’ medical examinations

Call for the National Boards of Health and the Maritime Administrations to introduce valid screening for type 2 diabetes at the maritime medical examinations

Maritime workers and their global health: Need to improve scientific knowledge and prevention

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