March 16, 2021
2 min read
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Source:
Press release
Disclosure:
Tseng does not report any relevant financial information.
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The U.S. Preventive Services Task Force published a draft recommendation that, if adopted, would lower the age to screen adults with overweight or obesity for prediabetes and type 2 diabetes from 40 to 35 years of age.
These patients should continue to be screened for prediabetes and type 2 diabetes until they are 70 years old, the task force said.
Reference: Draft statement of recommendation from the US Task Force on Preventive Services.
The lower base age for screening, which is Grade B, is a “major change” from the 2015 USPSTF final recommendation in this clinical area dog-When Tseng, MD, MPH, MSE, Task force member and director of research in the Family Medicine and Community Health Department at the University of Hawaii John A. Burns School of Medicine. She added that changes in epidemiological data prompted the revised recommendation.
Chien-Wen Tseng
“Unfortunately, in our communities, the rate of overweight or obesity among people of younger ages has increased,” Tseng told Healio Primary Care. “We are also seeing the rate of diabetes increasing in younger age groups.”
Other risk factors associated with developing prediabetes or type 2 diabetes include family history, gestational diabetes, polycystic ovarian syndrome, old age, and poor diet and lifestyle. Compared to non-Hispanic whites and Asians, the prevalence of diabetes is higher among Alaskan Native Americans, non-Hispanic blacks, and Latinos / Hispanics, according to the task force.
Tseng acknowledged that while other medical societies like the CDC and the American Diabetes Association support screening for prediabetes and type 2 diabetes, their guidelines vary based on age or other risk factors.
She encouraged physicians to use “clinical judgment” when a patient has risk factors and is older or younger than an organization’s screening recommendation suggests.
Citing CDC data, the USPSTF said that 34.5% of all adults in the US meet criteria for prediabetes and 13% of all adults in the US have diabetes. In the latter group, 21.4% did not know they had the disease or did not say they had it. In addition, only 15.3% of adults with prediabetes said a health professional informed them of their status.
The authors of a related evidence review wrote that criteria for prediabetes include impaired fasting glucose, impaired glucose tolerance, and glycated hemoglobin in the range of 5.7% to 6.4%, while type 2 diabetes has insulin resistance and relative insulin deficiency.
The task force will be accepting comments on its draft recommendation for prediabetes and diabetes screening by April 12 at www.uspreventiveservicestaskforce.org/tfcomment.htm.
References:
Jonas DE et al. Screening for Prediabetes and Type 2 Diabetes Mellitus: An Evidence Review for the US Preventive Services Task Force. Accessed March 16, 2021.
U.S. Preventive Services Task Force. Screening for Prediabetes and Type 2 Diabetes Mellitus: Draft Statement of Recommendation from the US Working Group on Preventive Services. Accessed March 16, 2021.
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