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Diabetes Screening Test Print
Recommendation for Screening
Age: 45+
Age:
Risk:
Any
High blood pressure
How often: 3 years

Note:
You may need earlier and more frequent testing if you have elevated risk for diabetes.

1. What is this test?

This is a blood test for diabetes. There are three main blood tests for diabetes: the fasting blood sugar test, the random blood sugar test, and the oral glucose tolerance test. The fasting blood sugar test is taken after a 6 hour fast; a fasting glucose level above 126 mg/dL on two separate tests would be diagnostic for diabetes and a value between 100 and 126 mg/dL may indicate pre-diabetes. A random blood sugar test result above 200 mg/dL is suspicious and may be followed with a fasting blood sugar test. Sometimes a test called a glucose tolerance test is used. In this test a sugary drink is given and if the blood level is greater than 200 mg/dL 2 hours later then diabetes is diagnosed.


2. Why do I need this test?

This test is a screen for diabetes. Approximately 7% of Americans have diabetes and it is the sixth leading cause of death overall in the United States. Screening can lead to diagnosis and adequate control of the disease. This will help prevent the complications of the illness.


3. How is this test done?

A simple blood test is done by withdrawing blood from an arm vein. Sometimes this test can also be done with a pinprick of the finger.


4. Are there any special instructions for this test?

You may be asked to fast for 6 hours before the test if your doctor wants to check your fasting blood sugar.


5. Risk factors
  • Family history-parent or sibling
  • Obesity (especially apple-shaped)
  • Age over 45
  • African-American, Hispanic-American, Pacific Island heritage, Native American
  • History of diabetes with pregnancy or baby over 9 pounds at birth
  • High blood pressure
  • High triglycerides
  • High cholesterol
  • Polycystic ovary syndrome


Citations
  1. "Preventative Screening Tests and Immunizations." U.S. Department of Health and Human Services. February 2011. http://www.womenshealth.gov/prevention/general/.
  2. "Preventive Screening Tests and Immunizations." U.S. Department of Health and Human Services. March 2011. http://www.womenshealth.gov/prevention/men/.
  3. "Diabetes." MedlinePlus. A Service of the U.S. National Library of Medicine and the National Institutes of Health. May 2010. www.nlm.nih.gov/medlineplus/ency/article/001214.htm.
  4. "Screening for Type 2 Diabetes Mellitus in Adults." Agency for Healthcare Research and Quality. U.S. Department of Health & Human Services. June 2008. http://www.uspreventiveservicestaskforce.org/uspstf/uspsdiab.htm.
  5. "Frequently Asked Questions about Pre-Diabetes." American Diabetes Association. 2011. http://www.diabetes.org/pre-diabetes/faq.jsp.
  6. "Screening for Type 2 Diabetes." American Diabetes Association. 2003. http://care.diabetesjournals.org/content/26/suppl_1/s21/T3.expansion.html.

Created: 7/2/2007
Last Modified: 4/7/2011
 
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