Abstract：
:This study evaluated the use of HbA(1c) as a screening tool for undiagnosed type 2 diabetes (fasting plasma glucose ≥7.0 mmol/l) in a sample of Cuban-Americans aged ≥ 30 years old. Subjects were randomly recruited from Miami-Dade and Broward counties, FL. Fasting plasma glucose was measured by hexokinase enzymatic method. HbA(1c) was measured by the DCA2000 + system using the monoclonal antibody method. HbA(1c) demonstrated a high predictive value in detecting undiagnosed diabetes. The area under the receiver operating characteristics (ROC) curve was 0.87. Also, HbA(1c) had high sensitivity and specificity when using a cut off value of 6.37 (71 and 86%, respectively). Moderate sensitivity and very high specificity were shown with a cut off value of 6.84 (57 and 96%, respectively). HbA(1c) is a reliable alternative to fasting plasma glucose in screening for undiagnosed diabetes in Cuban-Americans.
journal_name
J Immigr Minor Healthjournal_title
Journal of immigrant and minority healthauthors
Huffman FG,Exebio JC,Zarini GG,Exebio Cdoi
10.1007/s10903-010-9363-3subject
Has Abstractpub_date
2011-06-01 00:00:00pages
541-5issue
3eissn
1557-1912issn
1557-1920journal_volume
13pub_type
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