The research is published in the March issue of the British Journal of General Practice and was led by Dr Tim Holt of the University of Warwick with colleagues from Nottingham University, Egton Medical Information Systems (EMIS) in Leeds, and Imperial College in London. The article is entitled “Identifying undiagnosed diabetes: cross-sectional survey of 3.6 million patients’ electronic records.” The full list of the researchers is detailed below.
The researchers surveyed 3,630,296 electronic patient records in 480 GP surgeries all over the UK which contribute anonymised electronic health record data to the QRESEARCH database in Nottingham for research purposes.
The research team looked for biochemical evidence of undiagnosed diabetes recorded in blood glucose measurements. They first eliminated known patients with diabetes, and cases where raised blood glucose was found but diabetes had already been ruled out as a cause by further tests. They found that this still left 3,758 patients whose last blood glucose level was indicative of undiagnosed diabetes, and 32,785 patients whose last level was at best borderline leaving many of them at significant risk of diabetes and requiring further assessment.
Lead author Dr Tim Holt, from the University of Warwick’s Warwick Medical School, said: “The search was originally piloted in my own practice in Warwickshire, and six individuals were found, most of whom were diagnosed with diabetes on further testing. The majority of practices sampled in the research project included such patients. If the same survey was extended to all UK GP surgeries we estimate that 60,000 people would be identified with evidence of undiagnosed diabetes. In addition, over half a million people nationally would require further tests to rule out diabetes. The study demonstrates the power of information technology to assist practice teams in the early detection of diabetes.”
The researchers were pleased to find how commonly blood glucose test results were recorded- one third of people over 40 years without diabetes have a blood glucose measurement in the past two years in their medical record. Raised or borderline blood glucose levels may not be followed up for a number of reasons that will be the subject of further research. In people without symptoms of diabetes, other more pressing issues may take priority over a borderline test, or the patient may not respond to an invitation for follow up.
It is known that diabetes often goes undiagnosed for years, and there is a large ‘missing population’ of people with diabetes in the UK. Computer searches may be an effective means of identifying some of this population. As a result of this research software has been installed into the majority of UK practices to assist practice staff in identifying possible cases during routine care. This involves screen alert messages and regularly updated lists. The researchers call on all GPs to use the software to improve the early detection of diabetes in the UK.
On searching his own GP practice records Dr Holt found 6 patients who required further follow up. One of those patients, Mr Peter Alexander, a Business Sales Manager from Warwickshire said “I wish that this system had been introduced nationwide much earlier. For everyone it is important to have their health checked regularly, for the good of the country and using this software a lot of people with undiagnosed diabetes may be identified immediately.”
Peter Dunn | alfa
Resolving the mystery of preeclampsia
21.10.2016 | Universitätsklinikum Magdeburg
New potential cancer treatment using microwaves to target deep tumors
12.10.2016 | University of Texas at Arlington
Researchers from the Institute for Quantum Computing (IQC) at the University of Waterloo led the development of a new extensible wiring technique capable of controlling superconducting quantum bits, representing a significant step towards to the realization of a scalable quantum computer.
"The quantum socket is a wiring method that uses three-dimensional wires based on spring-loaded pins to address individual qubits," said Jeremy Béjanin, a PhD...
In a paper in Scientific Reports, a research team at Worcester Polytechnic Institute describes a novel light-activated phenomenon that could become the basis for applications as diverse as microscopic robotic grippers and more efficient solar cells.
A research team at Worcester Polytechnic Institute (WPI) has developed a revolutionary, light-activated semiconductor nanocomposite material that can be used...
By forcefully embedding two silicon atoms in a diamond matrix, Sandia researchers have demonstrated for the first time on a single chip all the components needed to create a quantum bridge to link quantum computers together.
"People have already built small quantum computers," says Sandia researcher Ryan Camacho. "Maybe the first useful one won't be a single giant quantum computer...
COMPAMED has become the leading international marketplace for suppliers of medical manufacturing. The trade fair, which takes place every November and is co-located to MEDICA in Dusseldorf, has been steadily growing over the past years and shows that medical technology remains a rapidly growing market.
In 2016, the joint pavilion by the IVAM Microtechnology Network, the Product Market “High-tech for Medical Devices”, will be located in Hall 8a again and will...
'Ferroelectric' materials can switch between different states of electrical polarization in response to an external electric field. This flexibility means they show promise for many applications, for example in electronic devices and computer memory. Current ferroelectric materials are highly valued for their thermal and chemical stability and rapid electro-mechanical responses, but creating a material that is scalable down to the tiny sizes needed for technologies like silicon-based semiconductors (Si-based CMOS) has proven challenging.
Now, Hiroshi Funakubo and co-workers at the Tokyo Institute of Technology, in collaboration with researchers across Japan, have conducted experiments to...
14.10.2016 | Event News
14.10.2016 | Event News
12.10.2016 | Event News
21.10.2016 | Health and Medicine
21.10.2016 | Information Technology
21.10.2016 | Materials Sciences