Screening and identifying diabetes in optometric practice: a prospective study

Jen Howse, Steve Jones, A P S Hungin

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background

Unconventional settings, outside general medical practice, are an underutilised resource in the attempt to identify the large numbers of people with undiagnosed diabetes worldwide.
Aim

The study investigated the feasibility of using optometry practices (opticians) as a setting for a diabetes screening service.
Design and setting

Adults attending high street optometry practices in northern England who self-reported at least one risk factor for diabetes were offered a random capillary blood glucose (rCBG) test. Those with raised rCBG levels were asked to visit their GP for further investigations.
Results

Of 1909 adults attending practices for sight tests, 1303 (68.2%) reported risk factors for diabetes, of whom 1002 (76.9%) had rCBG measurements taken. Of these, 318 (31.7%) were found to have a rCBG level of ≥6.1 mmol/l, a level where further investigations are recommended by Diabetes UK; 1.6% of previously undiagnosed individuals were diagnosed with diabetes or pre-diabetes as a result of the service. Refining the number of risk factors for inclusion would have reduced those requiring screening by half and still have identified nearly 70% of the new cases of diabetes and pre-diabetes.
Conclusion

Screening in optometric practices provides an efficient opportunity to screen at-risk individuals who do not present to conventional medical services, and is acceptable and appropriate. Optometrists represent a skilled worldwide resource that could provide a screening service. This service could be transferable to other settings.
Original languageEnglish
Pages (from-to)e436-e442
JournalBritish Journal of General Practice
Volume61
Publication statusPublished - 2011

Fingerprint

Blood Glucose
Prospective Studies
Optometry
Feasibility Studies
Hematologic Tests
General Practice
England

Cite this

@article{56cde1f5119f49d197070b6e87358628,
title = "Screening and identifying diabetes in optometric practice: a prospective study",
abstract = "BackgroundUnconventional settings, outside general medical practice, are an underutilised resource in the attempt to identify the large numbers of people with undiagnosed diabetes worldwide.AimThe study investigated the feasibility of using optometry practices (opticians) as a setting for a diabetes screening service.Design and settingAdults attending high street optometry practices in northern England who self-reported at least one risk factor for diabetes were offered a random capillary blood glucose (rCBG) test. Those with raised rCBG levels were asked to visit their GP for further investigations.ResultsOf 1909 adults attending practices for sight tests, 1303 (68.2{\%}) reported risk factors for diabetes, of whom 1002 (76.9{\%}) had rCBG measurements taken. Of these, 318 (31.7{\%}) were found to have a rCBG level of ≥6.1 mmol/l, a level where further investigations are recommended by Diabetes UK; 1.6{\%} of previously undiagnosed individuals were diagnosed with diabetes or pre-diabetes as a result of the service. Refining the number of risk factors for inclusion would have reduced those requiring screening by half and still have identified nearly 70{\%} of the new cases of diabetes and pre-diabetes.ConclusionScreening in optometric practices provides an efficient opportunity to screen at-risk individuals who do not present to conventional medical services, and is acceptable and appropriate. Optometrists represent a skilled worldwide resource that could provide a screening service. This service could be transferable to other settings.",
author = "Jen Howse and Steve Jones and Hungin, {A P S}",
year = "2011",
language = "English",
volume = "61",
pages = "e436--e442",
journal = "British Journal of General Practice",
issn = "0960-1643",
publisher = "Royal College of General Practitioners",

}

Screening and identifying diabetes in optometric practice: a prospective study. / Howse, Jen; Jones, Steve; Hungin, A P S.

In: British Journal of General Practice, Vol. 61, 2011, p. e436-e442.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Screening and identifying diabetes in optometric practice: a prospective study

AU - Howse, Jen

AU - Jones, Steve

AU - Hungin, A P S

PY - 2011

Y1 - 2011

N2 - BackgroundUnconventional settings, outside general medical practice, are an underutilised resource in the attempt to identify the large numbers of people with undiagnosed diabetes worldwide.AimThe study investigated the feasibility of using optometry practices (opticians) as a setting for a diabetes screening service.Design and settingAdults attending high street optometry practices in northern England who self-reported at least one risk factor for diabetes were offered a random capillary blood glucose (rCBG) test. Those with raised rCBG levels were asked to visit their GP for further investigations.ResultsOf 1909 adults attending practices for sight tests, 1303 (68.2%) reported risk factors for diabetes, of whom 1002 (76.9%) had rCBG measurements taken. Of these, 318 (31.7%) were found to have a rCBG level of ≥6.1 mmol/l, a level where further investigations are recommended by Diabetes UK; 1.6% of previously undiagnosed individuals were diagnosed with diabetes or pre-diabetes as a result of the service. Refining the number of risk factors for inclusion would have reduced those requiring screening by half and still have identified nearly 70% of the new cases of diabetes and pre-diabetes.ConclusionScreening in optometric practices provides an efficient opportunity to screen at-risk individuals who do not present to conventional medical services, and is acceptable and appropriate. Optometrists represent a skilled worldwide resource that could provide a screening service. This service could be transferable to other settings.

AB - BackgroundUnconventional settings, outside general medical practice, are an underutilised resource in the attempt to identify the large numbers of people with undiagnosed diabetes worldwide.AimThe study investigated the feasibility of using optometry practices (opticians) as a setting for a diabetes screening service.Design and settingAdults attending high street optometry practices in northern England who self-reported at least one risk factor for diabetes were offered a random capillary blood glucose (rCBG) test. Those with raised rCBG levels were asked to visit their GP for further investigations.ResultsOf 1909 adults attending practices for sight tests, 1303 (68.2%) reported risk factors for diabetes, of whom 1002 (76.9%) had rCBG measurements taken. Of these, 318 (31.7%) were found to have a rCBG level of ≥6.1 mmol/l, a level where further investigations are recommended by Diabetes UK; 1.6% of previously undiagnosed individuals were diagnosed with diabetes or pre-diabetes as a result of the service. Refining the number of risk factors for inclusion would have reduced those requiring screening by half and still have identified nearly 70% of the new cases of diabetes and pre-diabetes.ConclusionScreening in optometric practices provides an efficient opportunity to screen at-risk individuals who do not present to conventional medical services, and is acceptable and appropriate. Optometrists represent a skilled worldwide resource that could provide a screening service. This service could be transferable to other settings.

M3 - Article

VL - 61

SP - e436-e442

JO - British Journal of General Practice

JF - British Journal of General Practice

SN - 0960-1643

ER -