Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA.
Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA
Diabetes Care. 2018 Sep;41(9):1835-1838. doi: 10.2337/dc17-1838.
Accurately quantifying undiagnosed type 2 diabetes is an important challenge for conducting diabetes surveillance and identifying the potential missed opportunities for preventing complications. However, there has been little focused attention on how undiagnosed diabetes is defined in epidemiologic surveys and how limitations in methods used to ascertain undiagnosed diabetes may impact our understanding of the magnitude of this important public health problem. This Perspective highlights weaknesses in how undiagnosed diabetes is quantified in epidemiologic research and the biases and caveats that should be considered when using estimates of undiagnosed diabetes to influence public health policy.
准确量化未诊断的 2 型糖尿病是进行糖尿病监测和识别预防并发症潜在错失机会的重要挑战。然而，人们对流行病学调查中如何定义未诊断的糖尿病以及用于确定未诊断糖尿病的方法的局限性如何影响我们对这一重要公共卫生问题的严重程度的理解关注甚少。本观点强调了在流行病学研究中量化未诊断糖尿病的方法的弱点，以及在使用未诊断糖尿病的估计值来影响公共卫生政策时应考虑的偏差和注意事项。
