Quintessence Int. 2023 Jun 26;54(6):500-509. doi: 10.3290/j.qi.b3957685.
To explore the feasibility of screening for type 2 diabetes (T2DM) and the prevalence of adult patients seen in a dental clinic at risk for T2DM based on American Diabetes Association (ADA) diabetes risk test (DRT) scores and point of care hemoglobin A1C (A1C) values.
This was a cross-sectional analysis of data from adults 18 to 89 years old seen in an academic dental clinic between November 2019 and April 2022 without prior history of diabetes. Clinical and demographic data were obtained from electronic health records and odontograms. Frequency distributions, chi-square, and Mann-Whitney U tests were used for data analysis.
Of the 13,519 patients whose data were included, 54.7% (n = 7,389) were women. Of those with race and ethnicity data, 53.6% (n = 2,871) were white, 40.2% (n = 2,153) were African American, and 29.5% (n = 1,559) were Hispanic/Latino. Mean ± SD age was 47.0 + 17.0 years; mean ± SD body mass index was 28.0 ± 6.1 kg/m2. Thirty-five percent (n = 4,774) had diabetes risk test scores reflecting T2DM risk. Those at risk were more likely to be older, male, and overweight/obese than those not at risk (P < .001). Of those at risk who consented to a point of care A1C (9.8%, n = 470), 40.2% (n = 189) had values consistent with dysglycemia (A1C ≥ 5.7%); 34.9% (n = 164) reflecting prediabetes (A1C = 5.7% to 6.4%) and 5.3% (n = 25) diabetes (A1C ≥ 6.5%).
Diabetes screening in a dental clinic identified that over one-third of adults without T2DM were at risk based on diabetes risk test scores. Of those who had point of care A1Cs conducted; 40% had dysglycemia. Diabetes screening in an academic dental clinic can help identify patients at risk for T2DM.
根据美国糖尿病协会（ADA）糖尿病风险测试（DRT）评分和即时血红蛋白 A1C（A1C）值，探讨在牙科诊所筛查 2 型糖尿病（T2DM）和筛查成年患者的可行性，这些患者患有 T2DM 的风险较高。
这是一项横断面分析，纳入了 2019 年 11 月至 2022 年 4 月期间在学术牙科诊所就诊的年龄在 18 至 89 岁之间、无糖尿病既往史的成年人的数据。临床和人口统计学数据从电子健康记录和牙列图中获得。使用频率分布、卡方和曼-惠特尼 U 检验进行数据分析。
在纳入数据分析的 13519 名患者中，54.7%（n=7389）为女性。在有种族和民族数据的患者中，53.6%（n=2871）为白人，40.2%（n=2153）为非裔美国人，29.5%（n=1559）为西班牙裔/拉丁裔。平均年龄±标准差为 47.0±17.0 岁；平均体重指数±标准差为 28.0±6.1kg/m2。35%（n=4774）的糖尿病风险测试评分提示有 T2DM 风险。与无风险患者相比，有风险的患者年龄更大、为男性、超重/肥胖的可能性更高（P<.001）。在有风险且同意进行即时 A1C 检测的患者中（9.8%，n=470），40.2%（n=189）的 A1C 值与糖代谢异常一致（A1C≥5.7%）；34.9%（n=164）反映出糖尿病前期（A1C=5.7%至 6.4%），5.3%（n=25）为糖尿病（A1C≥6.5%）。
在牙科诊所进行糖尿病筛查发现，超过三分之一的无 T2DM 成年人基于糖尿病风险测试评分存在患病风险。在进行即时 A1C 检测的患者中，40%的患者存在糖代谢异常。在学术牙科诊所进行糖尿病筛查有助于发现 T2DM 高危患者。
