מתוך medicontext.co.il
WESTPORT, CT (Reuters Health) – Up to one third of elderly Americans with diabetes are undiagnosed, researchers report in published in the December issue of Diabetes Care.
Dr. Lonneke V. Franse from the University of Tennessee in Memphis and colleagues found that in a group of more than 3000 individuals between the ages of 70 and 79 years old, 8% had undiagnosed diabetes. Close to 16% had already been diagnosed with diabetes. Undiagnosed cases were more likely among men and overweight individuals, and those with hypertension.
The higher risk of undiagnosed diabetes found in people with risk factors for heart disease "confirms the importance of monitoring glucose levels in people with cardiovascular risk factors," Dr. Franse's group writes.
The findings also suggest that elderly men and all elderly individuals who are overweight or who have hypertension are appropriate targets for diabetes screening.
"Screening for diabetes may be more efficient among these subgroups, especially among individuals with combinations of these risk factors," Dr. Franse's group adds.
The investigators also found that rates of undiagnosed diabetes were equal among elderly black and white men (about 9%),but black men had higher rates of diagnosed diabetes–about 23% compared with 14% among white men. Similarly, the rate of diagnosed diabetes was higher among black women than white women, at nearly 22% compared with about 8%.
The prevalence of diabetes is expected to jump by 42% over the next 25 years in developed nations, according to the report.
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