Does the evidence support population-wide screening for type 2 diabetes? No.

Abstract:

:Large-scale, centrally-coordinated screening for undiagnosed type 2 diabetes is an attractive option to reduce the mortality and morbidity resulting from inadequately controlled diabetes. However, there is limited research examining the direct consequences of such screening programmes on outcomes such as cardiovascular disease and death. Two papers published in this edition of Diabetologia (DOIs: 10.1007/s00125-017-4323-2 and 10.1007/s00125-017-4299-y ) examine data from one of the very few trials conducted in this area. Overall, there was little benefit that could be directly related to the screening programme. In part, this was due to the high levels of opportunistic screening in the control group. Thus, when there are high levels of opportunistic screening for type 2 diabetes, there remains no clear evidence of benefit of centrally-coordinated screening programmes that approach individuals outside usual healthcare settings.

journal_name

Diabetologia

journal_title

Diabetologia

authors

Shaw JE

doi

10.1007/s00125-017-4393-1

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

2153-2156

issue

11

eissn

0012-186X

issn

1432-0428

pii

10.1007/s00125-017-4393-1

journal_volume

60

pub_type

评论,杂志文章
  • Mitogen-activated protein kinases as glucose transducers for diabetic complications.

    abstract::The damaging effects of glucose on the cells which contribute to the development of diabetic complications are ill-understood. There are three major hypotheses - the sorbitol pathway, non-enzymatic glycation of proteins and increased oxidative stress - and many examples illustrate inter-connections between the three. ...

    journal_title:Diabetologia

    pub_type: 杂志文章,评审

    doi:10.1007/s001250051439

    authors: Tomlinson DR

    更新日期:1999-11-01 00:00:00

  • Inhibition of development of peripheral neuropathy in streptozotocin-induced diabetic rats with N-acetylcysteine.

    abstract::N-acetylcysteine (NAC) is a precursor of glutathione (GSH) synthesis, a free radical scavenger and an inhibitor of tumour necrosis factor alpha (TNF). Because these functions might be beneficial in diabetic complications, in this study we examined whether NAC inhibits peripheral neuropathy. Motor nerve conduction velo...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00418340

    authors: Sagara M,Satoh J,Wada R,Yagihashi S,Takahashi K,Fukuzawa M,Muto G,Muto Y,Toyota T

    更新日期:1996-03-01 00:00:00

  • The ultrastructure of polyploid B-cells in the islets of normal mice.

    abstract::Light and electron microscopic studies of diploid, tetraploid and octaploid B-cells in the islets of normal C57BL/KsJ mice revealed that polyploid cells were characterized by a wider range of granulated states than diploid B-cells. The maximum granule densities were similar for polyploid and diploid cells; however, so...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00428985

    authors: Bowen RE,Swartz FJ

    更新日期:1976-05-01 00:00:00

  • Patterns of differential gene expression in a cellular model of human islet development, and relationship to type 2 diabetes predisposition.

    abstract:AIMS/HYPOTHESIS:Most type 2 diabetes-associated genetic variants identified via genome-wide association studies (GWASs) appear to act via the pancreatic islet. Observed defects in insulin secretion could result from an impact of these variants on islet development and/or the function of mature islets. Most functional s...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-018-4612-4

    authors: Perez-Alcantara M,Honoré C,Wesolowska-Andersen A,Gloyn AL,McCarthy MI,Hansson M,Beer NL,van de Bunt M

    更新日期:2018-07-01 00:00:00

  • Report from the International Pancreas Transplant Registry.

    abstract::From December, 1966 through 1990, 3082 pancreas transplants were reported to the International Registry. A detailed analysis was performed on the 2087 transplants in the 1986-90 data base; during this time the overall one year recipient and graft functional survival rates were 89% and 62%. Univariate analyses showed g...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00587615

    authors: Sutherland DE

    更新日期:1991-08-01 00:00:00

  • Acute effects of monounsaturated fatty acids with and without omega-3 fatty acids on vascular reactivity in individuals with type 2 diabetes.

    abstract:AIMS/HYPOTHESIS:We examined the acute postprandial effects of meals containing unsaturated fatty acids on flow-mediated dilation (FMD) of the brachial artery and triacylglycerols in individuals with type 2 diabetes. We hypothesised that consumption of omega-3 fatty acids would enhance vascular function. Saturated fat r...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-004-1600-7

    authors: West SG,Hecker KD,Mustad VA,Nicholson S,Schoemer SL,Wagner P,Hinderliter AL,Ulbrecht J,Ruey P,Kris-Etherton PM

    更新日期:2005-01-01 00:00:00

  • Efficacy and safety of methionine aminopeptidase 2 inhibition in type 2 diabetes: a randomised, placebo-controlled clinical trial.

    abstract:AIMS/HYPOTHESIS:This multicentre randomised double-blind placebo-controlled clinical trial assessed the efficacy and safety of a methionine aminopeptidase 2 (MetAP2) inhibitor, beloranib, in individuals with obesity (BMI ≥30 kg/m2) and type 2 diabetes (HbA1c 53-97 mmol/mol [7-11%] and fasting glucose <15.6 mmol/l). ME...

    journal_title:Diabetologia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00125-018-4677-0

    authors: Proietto J,Malloy J,Zhuang D,Arya M,Cohen ND,de Looze FJ,Gilfillan C,Griffin P,Hall S,Nathow T,Oldfield GS,O'Neal DN,Roberts A,Stuckey BGA,Yue D,Taylor K,Kim D

    更新日期:2018-09-01 00:00:00

  • Systolic time intervals in diabetes.

    abstract::The systolic time intervals at rest of 16 Type 1 (insulin-dependent) and 30 Type 2 (non-insulin-dependent) otherwise healthy adult diabetic patients selected from primary health care clinics were compared with those of age- and sex-matched normal subjects by paired analysis. There was no significant difference in prev...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00282708

    authors: Posner J,Ilya R,Wanderman K,Weitzman S

    更新日期:1983-04-01 00:00:00

  • Assessment of the new criteria for diabetes mellitus according to 10-year relative survival rates.

    abstract::The validity of the new diagnostic criteria for diabetes mellitus for Japanese subjects was assessed by the long-term prognosis of 501 patients, found in an epidemiological survey of 6,681 people in a Japanese town. Ten-year relative survival rates were examined in relation to the 50 g oral glucose tolerance test (ser...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00252627

    authors: Sasaki A

    更新日期:1981-03-01 00:00:00

  • Autoantibodies to nervous tissue structures are associated with autonomic neuropathy in type 1 (insulin-dependent) diabetes mellitus.

    abstract::There is evidence that the immune system may play a role in the pathogenesis of autonomic neuropathy in Type 1 (insulin-dependent) diabetes mellitus. In the present study, we investigated the presence of autoantibodies to sympathetic and parasympathetic nervous structures and their correlation with other conventional ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF02743275

    authors: Zanone MM,Peakman M,Purewal T,Watkins PJ,Vergani D

    更新日期:1993-06-01 00:00:00

  • A population-based study of the association between areca nut chewing and type 2 diabetes mellitus in men (Keelung Community-based Integrated Screening programme No. 2).

    abstract:AIMS/HYPOTHESIS:The aim of this study was to assess whether the diabetogenicity of areca nut (Areca catechu or 'betel-nut'), which has previously been demonstrated experimentally in mice, independently contributes to the risk of hyperglycaemia or type 2 diabetes in men in Taiwan, where the habit has become established ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-004-1532-2

    authors: Tung TH,Chiu YH,Chen LS,Wu HM,Boucher BJ,Chen TH,Keelung Community-based Integrated Screening programme No. 2.

    更新日期:2004-10-01 00:00:00

  • Heterogeneous nuclear ribonucleoproteins F and K mediate insulin inhibition of renal angiotensinogen gene expression and prevention of hypertension and kidney injury in diabetic mice.

    abstract:AIMS/HYPOTHESIS:We investigated whether heterogeneous nuclear ribonucleoproteins F and K (hnRNP F, hnRNP K) mediate insulin inhibition of renal Agt expression and prevention of hypertension and kidney injury in an Akita mouse model of type 1 diabetes. METHODS:Adult male Akita mice (12 weeks old) were treated with insu...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-013-2910-4

    authors: Abdo S,Lo CS,Chenier I,Shamsuyarova A,Filep JG,Ingelfinger JR,Zhang SL,Chan JS

    更新日期:2013-07-01 00:00:00

  • Exacerbation of diabetic nephropathy by hyperlipidaemia is mediated by Toll-like receptor 4 in mice.

    abstract:AIMS/HYPOTHESIS:Hyperlipidaemia is an independent risk factor for the progression of diabetic nephropathy, but its molecular mechanism remains elusive. We investigated in mice how diabetes and hyperlipidaemia cause renal lesions separately and in combination, and the involvement of Toll-like receptor 4 (TLR4) in the pr...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-012-2578-1

    authors: Kuwabara T,Mori K,Mukoyama M,Kasahara M,Yokoi H,Saito Y,Ogawa Y,Imamaki H,Kawanishi T,Ishii A,Koga K,Mori KP,Kato Y,Sugawara A,Nakao K

    更新日期:2012-08-01 00:00:00

  • Troglitazone reduces plasminogen activator inhibitor-1 expression and secretion in cultured human adipocytes.

    abstract:AIMS/HYPOTHESIS:Increased plasma plasminogen activator inhibitor-1 (PAI-1) concentrations are characteristic for subjects with insulin resistance and could contribute to the increased cardiovascular risk in this state. In this study, we investigated the effect of troglitazone, a ligand of the nuclear receptor peroxisom...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s001250050057

    authors: Gottschling-Zeller H,Röhrig K,Hauner H

    更新日期:2000-03-01 00:00:00

  • Lack of acute effect of amylin (islet associated polypeptide) on insulin sensitivity during hyperinsulinaemic euglycaemic clamp in humans.

    abstract::It is suggested that amylin (islet associated polypeptide), co-secreted with insulin from the pancreatic beta cells acts as a circulating hormone which opposes the action of insulin on muscle and increases hepatic glucose production. We have tested the effect of amylin in human subjects on postabsorptive glucose homeo...

    journal_title:Diabetologia

    pub_type: 临床试验,杂志文章

    doi:10.1007/s001250050088

    authors: Wilding JP,Khandan-Nia N,Bennet WM,Gilbey SG,Beacham J,Ghatei MA,Bloom SR

    更新日期:1994-02-01 00:00:00

  • Outcomes of surgical treatment of diabetic foot osteomyelitis: a series of 185 patients with histopathological confirmation of bone involvement.

    abstract:AIMS/HYPOTHESIS:We analysed the factors that determine the outcomes of surgical treatment of osteomyelitis of the foot in diabetic patients given early surgical treatment within 12 h of admission and treated with prioritisation of foot-sparing surgery and avoidance of amputation. METHODS:A consecutive series of 185 di...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-008-1131-8

    authors: Aragón-Sánchez FJ,Cabrera-Galván JJ,Quintana-Marrero Y,Hernández-Herrero MJ,Lázaro-Martínez JL,García-Morales E,Beneit-Montesinos JV,Armstrong DG

    更新日期:2008-11-01 00:00:00

  • Assessment of urinary microparticles in normotensive patients with type 1 diabetes.

    abstract:AIMS/HYPOTHESIS:Assessment of urinary extracellular vesicles including exosomes and microparticles (MPs) is an emerging approach for non-invasive detection of renal injury. We have previously reported that podocyte-derived MPs are increased in diabetic mice in advance of albuminuria. Here, we hypothesised that type 1 d...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-016-4190-2

    authors: Lytvyn Y,Xiao F,Kennedy CR,Perkins BA,Reich HN,Scholey JW,Cherney DZ,Burger D

    更新日期:2017-03-01 00:00:00

  • Paternal insulin resistance and its association with umbilical cord insulin concentrations.

    abstract:AIMS/HYPOTHESIS:Fetal growth is influenced by genetic factors as well as the intra-uterine environment. We hypothesised that some genetic factors may alter fetal insulin secretion and insulin action. SUBJECTS, MATERIALS AND METHODS:To assess this, we analysed plasma insulin concentration in umbilical cord blood from 6...

    journal_title:Diabetologia

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00125-006-0282-8

    authors: Shields BM,Knight B,Turner M,Wilkins-Wall B,Shakespeare L,Powell RJ,Hannemann M,Clark PM,Yajnik CS,Hattersley AT

    更新日期:2006-11-01 00:00:00

  • Elevated von Willebrand factor antigen predicts deterioration in diabetic peripheral nerve function.

    abstract::We have studied the temporal relationship of plasma von Willebrand Factor (vWF), a marker of endothelial damage, with the development of complications in 63 young diabetic patients (56 of whom were insulin-dependent) who took part in a prospective study. Results are presented from baseline to follow-up. In the group a...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00418350

    authors: Plater ME,Ford I,Dent MT,Preston FE,Ward JD

    更新日期:1996-03-01 00:00:00

  • Systemic and renal growth hormone-IGF1 axis involvement in a mouse model of type 2 diabetes.

    abstract:AIMS/HYPOTHESIS:In previous studies we have shown a significant involvement of the growth hormone (GH)-IGF axis in animal models of type 1 diabetes mellitus, but the role of this endocrine system in type 2 diabetes mellitus is less well characterised. We therefore examined the endocrine and renal GH-IGF axis changes in...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-007-0663-7

    authors: Segev Y,Eshet R,Yakir O,Haim N,Phillip M,Landau D

    更新日期:2007-06-01 00:00:00

  • Elevated GLUT 1 level in crude muscle membranes from diabetic Zucker rats despite a normal GLUT 1 level in perineurial sheaths.

    abstract::Recently, we demonstrated that approximately 60% of GLUT 1 in a crude membrane fraction of rat skeletal muscle originates from perineurial sheaths. To study the in vivo regulation of GLUT 1 expression in different tissues in muscles, we measured the level of GLUT 1 in crude muscle membranes and in perineurial sheaths ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s001250050130

    authors: Handberg A,Kayser L,Høyer PE,Micheelsen J,Vinten J

    更新日期:1994-05-01 00:00:00

  • The prenatal environment and type 1 diabetes.

    abstract::There is ample evidence that environmental factors are involved in the aetiology of type 1 diabetes, but the nature and timing of the interactions are poorly understood. The intrauterine environment is known to play a role in the later development of type 2 diabetes, and this review considers a possible role in type 1...

    journal_title:Diabetologia

    pub_type: 杂志文章,评审

    doi:10.1007/s00125-013-2929-6

    authors: Stene LC,Gale EA

    更新日期:2013-09-01 00:00:00

  • Insulin secretory granule biogenesis and the proinsulin-processing endopeptidases.

    abstract::The insulin storage granule of the pancreatic beta cell is assembled within the trans Golgi network from around 50 or so gene products many of which are synthesized coordinately with the major component, proinsulin. An important contribution to our understanding of the regulation of this process has come from studies ...

    journal_title:Diabetologia

    pub_type: 传,历史文章,杂志文章,评审

    doi:10.1007/BF00400826

    authors: Hutton JC

    更新日期:1994-09-01 00:00:00

  • N-Acetylcysteine inhibits platelet-monocyte conjugation in patients with type 2 diabetes with depleted intraplatelet glutathione: a randomised controlled trial.

    abstract:AIMS/HYPOTHESIS:The aim of this study was to determine whether oral dosing with N-acetylcysteine (NAC) increases intraplatelet levels of the antioxidant, glutathione (GSH), and reduces platelet-monocyte conjugation in blood from patients with type 2 diabetes. METHODS:In this placebo-controlled randomised crossover stu...

    journal_title:Diabetologia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00125-012-2685-z

    authors: Treweeke AT,Winterburn TJ,Mackenzie I,Barrett F,Barr C,Rushworth GF,Dransfield I,MacRury SM,Megson IL

    更新日期:2012-11-01 00:00:00

  • A follow-up of 93 newly diagnosed African diabetics for 6 years.

    abstract::In 1971, 107 newly diagnosed black diabetics admitted to Harare Central Hospital, Rhodesia, were studied. Nine died before discharge. In 1977, 93 of the 98 patients discharged alive were traced but of these 38 (41%) had since died. Of 18 autopsies performed the cause of death was hypoglycaemia in 8 patients and hyperg...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00290487

    authors: Castle WM,Wicks AC

    更新日期:1980-01-01 00:00:00

  • How common are foot problems among individuals with diabetes? Diabetic foot ulcers in the Dutch population.

    abstract:AIMS/HYPOTHESIS:Contemporary data on diabetic foot ulcer prevalence are scarce. Most studies were conducted in the 1990s, reporting incidence rates of 1.9-2.6%. Since then the prevalence of diabetes has doubled and the organisation of diabetes care has undergone major changes. Up-to-date data that quantify the occurren...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-017-4274-7

    authors: Stoekenbroek RM,Lokin JLC,Nielen MM,Stroes ESG,Koelemay MJW

    更新日期:2017-07-01 00:00:00

  • Independent associations of physical activity and cardiorespiratory fitness with metabolic risk factors in children: the European youth heart study.

    abstract:AIMS/HYPOTHESIS:High levels of cardiorespiratory fitness (CRF) and physical activity (PA) are associated with a favourable metabolic risk profile. However, there has been no thorough exploration of the independent contributions of cardiorespiratory fitness and subcomponents of activity (total PA, time spent sedentary, ...

    journal_title:Diabetologia

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00125-007-0762-5

    authors: Ekelund U,Anderssen SA,Froberg K,Sardinha LB,Andersen LB,Brage S,European Youth Heart Study Group.

    更新日期:2007-09-01 00:00:00

  • Coffee consumption and risk of total and cardiovascular mortality among patients with type 2 diabetes.

    abstract:AIMS/HYPOTHESIS:Higher habitual coffee drinking has been associated with a lower risk of developing type 2 diabetes. The relation between coffee consumption and risk of cardiovascular disease (CVD) has been examined in many studies, but the issue remains controversial. This study was designed to assess the association ...

    journal_title:Diabetologia

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00125-006-0435-9

    authors: Bidel S,Hu G,Qiao Q,Jousilahti P,Antikainen R,Tuomilehto J

    更新日期:2006-11-01 00:00:00

  • Effect of experimental diabetes and glucagon on cAMP-dependent protein kinase in rat liver.

    abstract::Liver protein kinase was determined in the absence and presence of cAMP4. Experimental alloxan diabetes resulted in a decrease in total protein kinase (+cAMP) and an increase in the activity ratio (-cAMP) divided by (+cAMP) in liver. Insulin treatment of diabetic rats reversed the observed changes in protein kinase in...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00745144

    authors: Weber HE,Menahan LA,Chaudhuri SN,Shipp JC

    更新日期:1977-04-01 00:00:00

  • Visual sensitivity loss in the central 30° of visual field is associated with diabetic peripheral neuropathy.

    abstract:AIMS/HYPOTHESIS:Impaired central vision has been shown to predict diabetic peripheral neuropathy (DPN). Several studies have demonstrated diffuse retinal neurodegenerative changes in diabetic patients prior to retinopathy development, raising the prospect that non-central vision may also be compromised by primary neura...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-012-2457-9

    authors: Sampson GP,Shahidi AM,Vagenas D,Pritchard N,Edwards K,Russell AW,Malik RA,Efron N

    更新日期:2012-04-01 00:00:00