Diabetes screening: a pending issue in hypertense/obese patients

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Title: Diabetes screening: a pending issue in hypertense/obese patients
Authors: Sepehri, Armina | Palazón Bru, Antonio | Gil Guillén, Vicente | Ramírez-Prado, Dolores | Navarro-Cremades, Felipe | Cortés Castell, Ernesto | Rizo-Baeza, Mercedes
Research Group/s: Salud y Cuidados en Grupos Vulnerables (SACU) | Enfermería y Cultura de los Cuidados (EYCC)
Center, Department or Service: Universidad de Alicante. Departamento de Enfermería
Keywords: Diabetes mellitus | Hypertension | Delayed diagnosis | Obesity | Physician’s practice patterns | Primary health care
Knowledge Area: Enfermería
Issue Date: 23-Apr-2015
Publisher: PeerJ
Citation: Sepehri A, Palazón-Bru A, Gil-Guillén VF, Ramírez-Prado D, Navarro-Cremades F, Cortés E, Rizo-Baeza MM. (2015) Diabetes screening: a pending issue in hypertense/obese patients. PeerJ 3:e914 https://doi.org/10.7717/peerj.914
Abstract: The literature about possible cardiovascular consequences of diagnostic inertia in diabetes is scarce. We examined the influence of undetected high fasting blood glucose (FBG) levels on the cardiovascular risk and poor control of cardiovascular risk factors in hypertensive or obese patients, with no previous diagnosis of diabetes mellitus (i.e., diagnostic inertia). A cross-sectional study during a preventive program in a Spanish region was performed in 2003–2004. The participants were aged ≥40 years and did not have diabetes but were hypertensive (n = 5, 347) or obese (n = 7, 833). The outcomes were high cardiovascular risk (SCORE ≥5%), poor control of the blood pressure (≥140/90 mmHg) and class II obesity. The relationship was examined between FBG and the main parameters, calculating the adjusted odd ratios with multivariate models. Higher values of FBG were associated with all the outcomes. A more proactive attitude towards the diagnosis of diabetes mellitus in the hypertensive and obese population should be adopted.
Sponsor: The Conselleria de Sanitat (Valencian Community) gave permission and financial support for this study.
URI: http://hdl.handle.net/10045/53183
ISSN: 2167-8359
DOI: 10.7717/peerj.914
Language: eng
Type: info:eu-repo/semantics/article
Rights: © 2015 Sepehri et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ) and either DOI or URL of the article must be cited.
Peer Review: si
Publisher version: http://dx.doi.org/10.7717/peerj.914
Appears in Collections:INV - EYCC - Artículos de Revistas
INV - SACU - Artículos de Revistas

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