The value of early detection of type 2 diabetes.

  • Colagiuri S
  • Davies D
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PURPOSE OF REVIEW: To examine the value of early detection of type 2 diabetes
from the perspective of potential benefits and harms to the individual, and from
the perspective of the health system. RECENT FINDINGS: Early detection of type 2
diabetes can be justified because diabetes is an important health problem, has a
relatively long asymptomatic phase, interventions are available that have a
proven beneficial effect on clinically meaningful outcomes and screening
procedures are safe, acceptable and have adequate sensitivity and specificity.
However, it remains controversial because of a lack of an established evidence
base that detection earlier in the natural history of diabetes is indeed
beneficial to individuals. SUMMARY: Although there are many reasons why the
earlier detection of diabetes could be beneficial, the magnitude of any potential
benefit of early detection and treatment has yet to be quantitated in a
randomized controlled trial and this information will be available in 2010 when
the Anglo-Danish-Dutch Study of Intensive Treatment and Complication reports its

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  • S Colagiuri

  • D Davies

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