Diagnosis of type 2 diabetes and prediabetes among patients with acute coronary syndromes.
To access publisher's full text version of this article click on the hyperlink below Previously undetected dysglycaemia is common among patients with acute coronary syndromes (ACSs). The aim of this study was to identify the most reliable method of diagnosing type 2 diabetes mellitus (T2DM) and...
Published in: | European Heart Journal: Acute Cardiovascular Care |
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Format: | Article in Journal/Newspaper |
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Online Access: | http://hdl.handle.net/2336/620193 https://doi.org/10.1177/2048872616669060 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/620193 2023-05-15T16:51:49+02:00 Diagnosis of type 2 diabetes and prediabetes among patients with acute coronary syndromes. Bjarnason, Thorarinn A Kristinsdottir, Linda B Oskarsdottir, Erna S Hafthorsson, Steinar O Olafsson, Isleifur Lund, Sigrun H Andersen, Karl 1 Department of Medicine, Division of Cardiology, Landspitali the National University Hospital of Iceland, Reykjavik, Iceland University of Iceland, School of Health Sciences, Reykjavik, Iceland. 2 University of Iceland, School of Health Sciences, Reykjavik, Iceland. 3 Department of Clinical Biochemistry, Landspitali the National University Hospital of Iceland, Reykjavik, Iceland. 4 Department of Medicine, Division of Cardiology, Landspitali the National University Hospital of Iceland, Reykjavik, Iceland University of Iceland, School of Health Sciences, Reykjavik, Iceland andersen@landspitali.is. 2017 http://hdl.handle.net/2336/620193 https://doi.org/10.1177/2048872616669060 en eng Sage Publications http://journals.sagepub.com/doi/pdf/10.1177/2048872616669060 Diagnosis of type 2 diabetes and prediabetes among patients with acute coronary syndromes. 2016 Eur Heart J Acute Cardiovasc Care European Heart Journal: Acute Cardiovascular Care 2017, 6(8):744–749 2048-8734 27625341 doi:10.1177/2048872616669060 http://hdl.handle.net/2336/620193 European heart journal. Acute cardiovascular care Archived with thanks to European heart journal. Acute cardiovascular care Landspitali Access - LSH-aðgangur Sykursýki Kransæðasjúkdómar CAR12 MAB12 Acute Coronary Syndrome Diabetes Mellitus Type 2 Prediabetic State Article 2017 ftlandspitaliuni https://doi.org/10.1177/2048872616669060 2022-05-29T08:22:15Z To access publisher's full text version of this article click on the hyperlink below Previously undetected dysglycaemia is common among patients with acute coronary syndromes (ACSs). The aim of this study was to identify the most reliable method of diagnosing type 2 diabetes mellitus (T2DM) and prediabetes in ACS patients. Patients admitted to the coronary care unit with ACSs and no previous history of T2DM were consecutively included in the study. Glucose metabolism was measured by glycated haemoglobin (HbA1c), fasting plasma glucose (FPG) and 2-hour plasma glucose (2hPG) with a standard oral glucose tolerance test during hospital admission, and this process was repeated 3 months later. In this study, the diagnosis of T2DM required at least two measurements above the diabetes cut-off point according to current American Diabetes Association and World Health Organization criteria. A total of 250 patients were included in the study. T2DM was diagnosed in 7.2%. The sensitivities for detecting T2DM were 33.3%, 61.1% and 77.8% during admission and 27.8%, 61.1% and 72.2% at follow-up for HbA1c, FPG and 2hPG, respectively. The positive predictive values (PPVs) for diagnosing T2DM were 100%, 91.7% and 51.9% during admission and 71.4%, 91.7% and 65.0% at follow-up for HbA1c, FPG and 2hPG, respectively. The specificities and negative predictive values were high for all methods. By combining all measurements, the sensitivity was 100% and the PPV was 44.2%, while the combination of all HbA1c and FPG measurements provided 88.9% sensitivity and 80.0% PPV. Diagnosis of T2DM can be reliably carried out by repeated measurements of FPG and HbA1c in ACS patients, with limited added value of an oral glucose tolerance test. University of Iceland Research Fund and Landspitali University Hospital Research Fund. Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive European Heart Journal: Acute Cardiovascular Care 6 8 744 749 |
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Hirsla - Landspítali University Hospital research archive |
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ftlandspitaliuni |
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English |
topic |
Sykursýki Kransæðasjúkdómar CAR12 MAB12 Acute Coronary Syndrome Diabetes Mellitus Type 2 Prediabetic State |
spellingShingle |
Sykursýki Kransæðasjúkdómar CAR12 MAB12 Acute Coronary Syndrome Diabetes Mellitus Type 2 Prediabetic State Bjarnason, Thorarinn A Kristinsdottir, Linda B Oskarsdottir, Erna S Hafthorsson, Steinar O Olafsson, Isleifur Lund, Sigrun H Andersen, Karl Diagnosis of type 2 diabetes and prediabetes among patients with acute coronary syndromes. |
topic_facet |
Sykursýki Kransæðasjúkdómar CAR12 MAB12 Acute Coronary Syndrome Diabetes Mellitus Type 2 Prediabetic State |
description |
To access publisher's full text version of this article click on the hyperlink below Previously undetected dysglycaemia is common among patients with acute coronary syndromes (ACSs). The aim of this study was to identify the most reliable method of diagnosing type 2 diabetes mellitus (T2DM) and prediabetes in ACS patients. Patients admitted to the coronary care unit with ACSs and no previous history of T2DM were consecutively included in the study. Glucose metabolism was measured by glycated haemoglobin (HbA1c), fasting plasma glucose (FPG) and 2-hour plasma glucose (2hPG) with a standard oral glucose tolerance test during hospital admission, and this process was repeated 3 months later. In this study, the diagnosis of T2DM required at least two measurements above the diabetes cut-off point according to current American Diabetes Association and World Health Organization criteria. A total of 250 patients were included in the study. T2DM was diagnosed in 7.2%. The sensitivities for detecting T2DM were 33.3%, 61.1% and 77.8% during admission and 27.8%, 61.1% and 72.2% at follow-up for HbA1c, FPG and 2hPG, respectively. The positive predictive values (PPVs) for diagnosing T2DM were 100%, 91.7% and 51.9% during admission and 71.4%, 91.7% and 65.0% at follow-up for HbA1c, FPG and 2hPG, respectively. The specificities and negative predictive values were high for all methods. By combining all measurements, the sensitivity was 100% and the PPV was 44.2%, while the combination of all HbA1c and FPG measurements provided 88.9% sensitivity and 80.0% PPV. Diagnosis of T2DM can be reliably carried out by repeated measurements of FPG and HbA1c in ACS patients, with limited added value of an oral glucose tolerance test. University of Iceland Research Fund and Landspitali University Hospital Research Fund. |
author2 |
1 Department of Medicine, Division of Cardiology, Landspitali the National University Hospital of Iceland, Reykjavik, Iceland University of Iceland, School of Health Sciences, Reykjavik, Iceland. 2 University of Iceland, School of Health Sciences, Reykjavik, Iceland. 3 Department of Clinical Biochemistry, Landspitali the National University Hospital of Iceland, Reykjavik, Iceland. 4 Department of Medicine, Division of Cardiology, Landspitali the National University Hospital of Iceland, Reykjavik, Iceland University of Iceland, School of Health Sciences, Reykjavik, Iceland andersen@landspitali.is. |
format |
Article in Journal/Newspaper |
author |
Bjarnason, Thorarinn A Kristinsdottir, Linda B Oskarsdottir, Erna S Hafthorsson, Steinar O Olafsson, Isleifur Lund, Sigrun H Andersen, Karl |
author_facet |
Bjarnason, Thorarinn A Kristinsdottir, Linda B Oskarsdottir, Erna S Hafthorsson, Steinar O Olafsson, Isleifur Lund, Sigrun H Andersen, Karl |
author_sort |
Bjarnason, Thorarinn A |
title |
Diagnosis of type 2 diabetes and prediabetes among patients with acute coronary syndromes. |
title_short |
Diagnosis of type 2 diabetes and prediabetes among patients with acute coronary syndromes. |
title_full |
Diagnosis of type 2 diabetes and prediabetes among patients with acute coronary syndromes. |
title_fullStr |
Diagnosis of type 2 diabetes and prediabetes among patients with acute coronary syndromes. |
title_full_unstemmed |
Diagnosis of type 2 diabetes and prediabetes among patients with acute coronary syndromes. |
title_sort |
diagnosis of type 2 diabetes and prediabetes among patients with acute coronary syndromes. |
publisher |
Sage Publications |
publishDate |
2017 |
url |
http://hdl.handle.net/2336/620193 https://doi.org/10.1177/2048872616669060 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://journals.sagepub.com/doi/pdf/10.1177/2048872616669060 Diagnosis of type 2 diabetes and prediabetes among patients with acute coronary syndromes. 2016 Eur Heart J Acute Cardiovasc Care European Heart Journal: Acute Cardiovascular Care 2017, 6(8):744–749 2048-8734 27625341 doi:10.1177/2048872616669060 http://hdl.handle.net/2336/620193 European heart journal. Acute cardiovascular care |
op_rights |
Archived with thanks to European heart journal. Acute cardiovascular care Landspitali Access - LSH-aðgangur |
op_doi |
https://doi.org/10.1177/2048872616669060 |
container_title |
European Heart Journal: Acute Cardiovascular Care |
container_volume |
6 |
container_issue |
8 |
container_start_page |
744 |
op_container_end_page |
749 |
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1766041933362233344 |