The Curbsiders Internal Medicine Podcast #309 Prediabetes & Type 2 Diabetes Screening: A USPSTF Quick Update
Dec 6, 2021
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Screen Adults 35–70 With Overweight Or Obesity
- Screen adults aged 35–70 with BMI ≥25 for prediabetes and type 2 diabetes.
- Use clinical judgment for others and consider earlier screening with additional risk factors.
High Rates Of Undiagnosed Disease
- Many people with diabetes or prediabetes are unaware of their condition.
- Up to 21% with diabetes and 85% with prediabetes reported never being told they had it.
Choose Any Accepted Screening Test
- Use any of three accepted tests: fasting glucose, HbA1c, or 2‑hour OGTT for screening.
- Confirm diabetes with a second test unless clinical picture is obvious; prediabetes does not require confirmation.