Screening for diabetes

doi:10.1136/bmj.308.6937.1160b

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Melanie Davies,
John Day

Senior registrar, Leicester Royal Infirmary, Leicester LE1 5WW Consultant physician, Ipswich Hospital, Ipswich IP4 5PD.

EDITOR,--Baldev Singh and colleagues reported the results of the British Diabetic Association's study on the effects of advertising on the general public's awareness of diabetes, and they suggested that this approach should be further evaluated as a means of achieving earlier diagnosis of non-insulin dependent diabetes mellitus.1 We have doubts about this conclusion.

One of the reasons for these conclusions was that the approach could be cost effective (pounds sterling 1000 per new case of diabetes). This method has a high false positive …