Screening and identifying diabetes in optometric practice: a prospective study

Jen Howse, Steve Jones, A P S Hungin

    Research output: Contribution to journalArticle

    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

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