Letters
Screening for type 2 diabetes
Undiagnosed diabetes must be detectedPopulation screening was not effective in former East GermanyScreening would have important resource implications for primary
careAuthors' replyUndiagnosed diabetes must be detected
| The first 150 words of the full text of this article appear below. |
EDITOR
Early identification of type 2 diabetes is vital for the future
of diabetes care, in terms of reducing the impact both on the
individual and on NHS resources. Wareham and Griffin question the need
for a screening programme because the benefits of early detection and
treatment of undiagnosed diabetes have not been proved.1
There is evidence, however, of the cost of treating the complications
of diabetes, and the United Kingdom prospective diabetes study has
indicated how to reduce the risk of those complications through
intensive treatment. Surely in the new, patient focused NHS, this
evidence makes a compelling argument for providing that intervention as
early as possible.
The authors suggest that clinical management of people in whom diabetes
has already been diagnosed should be optimised before a screening
programme is considered. This is unacceptable. Shouldn't everyone in
the United Kingdom have an equal chance of effective treatment from the
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Related Article
- Should we screen for type 2 diabetes? Evaluation against National Screening Committee criteria
- Nicholas J Wareham and Simon J Griffin
BMJ 2001 322: 986-988.[Extract] [Full Text] [PDF]
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