Frequency of carbohydrate metabolism disorders in day-care patients with borderline fasting blood sugar levels and at least one risk factor for diabetes mellitus

Boeva VV1, Boeva TA2, Zavyalov AN3
About authors

1 Department of Endocrinology, Federal Clinical Centre of High Medical Technologies, Moscow Region, Novogorsk, Russia

2 Tambov Central Regional Hospital, Pokrovo Prigorodnoe Rural Settlement, Russia

3 Pirogov Russian National Research Medical University, Moscow, Russia

Correspondence should be addressed: Valentina V. Boeva
Ivanovskaya st., 3, Novogorsk, Moscow region, Russia, 141435; ur.xednay@VVaveoB

About paper

Author contribution: all authors participated in conceiving and planning the study, collected and analyzing the data. Boeva VV prepared the study for publication.

Received: 2018-08-10 Accepted: 2019-03-02 Published online: 2019-03-15

In order to assess the diagnosis of carbohydrate metabolism disorders, day care patients from Tambov central regional hospital were investigated. The study was conducted during 6 months in 2018. The study included 91 patients and allowed the diagnosis of type 2 diabetes mellitus (DM) in 31 (34.0%) cases, 6 (6.5%) impaired fasting glucose and 22 (24.1%) impaired glucose tolerance. This survey highlighted the necessity to expand the screening populations at risk for developing type 2 diabetes. The rational for the 75-gram oral glucose tolerance test for all individuals with fasting plasma glucose ≥ 5.6 ≤ 6.0 mmol/l and having one or more risk factors for developing type 2 diabetes and / or metabolic syndrome is shown. Among these categories diabetes was detected in 4.3%, and prediabetes in 14.4% of cases.

Keywords: impaired fasting glucose, impaired glucose tolerance, screening, diabetes mellitus type 2, fasting venous plasma glucose, prediabetes