Ann Intern Med. 2008 Jun 3;148(11):846-54. doi: 10.7326/0003-4819-148-11-200806030-00007.
Updated U.S. Preventive Services Task Force (USPSTF) recommendation about screening for type 2 diabetes mellitus in adults.
To estimate the balance of benefits and harms of screening, the USPSTF updated its 2003 evidence review, adding evidence from new trials as well as updates on earlier studies. The review for this current recommendation focused on evidence that early treatment prevented long-term adverse outcomes of diabetes, including cardiovascular events, visual impairment, renal failure, and amputation.
Screen for type 2 diabetes in asymptomatic adults with sustained blood pressure (either treated or untreated) greater than 135/80 mm Hg. (B recommendation) Current evidence is insufficient to assess the balance of benefits and harms of routine screening in asymptomatic adults with blood pressure of 135/80 mm Hg or lower. (I statement).
美国预防服务工作组（USPSTF）关于成人2型糖尿病筛查的更新建议。
为评估筛查的利弊平衡，USPSTF更新了其2003年的证据审查，增加了新试验的证据以及早期研究的更新内容。本次推荐的审查聚焦于早期治疗可预防糖尿病长期不良后果的证据，这些不良后果包括心血管事件、视力损害、肾衰竭和截肢。
对收缩压持续高于135/80 mmHg（无论是否接受治疗）的无症状成年人进行2型糖尿病筛查。（B级推荐）现有证据不足以评估血压为135/80 mmHg或更低的无症状成年人进行常规筛查的利弊平衡。（I声明）
