Diagnosis and screening

Emerging evidence about the impact of different statins on the risk of diabetes

Emerging evidence about the impact of different statins on the risk of diabetes

Recent evidence has shown that statins can increase the incidence of new-onset diabetes, leading to an “Read the FDA warning for consumers” official warning by the FDA.  This has huge implications for practice, as these drugs are widely used to reduce the risk of cardiovascular disease in patients with and without diabetes.  Selecting the right …

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The Finnish Diabetes Risk Score did not perform well as a screening tool for type 2 diabetes

The Finnish Diabetes Risk Score did not perform well as a screening tool for type 2 diabetes

A recent UK Health Technology Assessment pointed out the problems with screening for type 2 diabetes.  However, research continues into the performance of tools to detect type 2.  On the basis of this paper, we won’t be changing that advice any time soon. Methods This community screening study was undertaken in urban settings in the …

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RCT finds that screening for type 2 diabetes in primary care did not improve clinical outcomes

RCT finds that screening for type 2 diabetes in primary care did not improve clinical outcomes

If we pick up a disease early, we can treat it early.  So screening tests must be a good thing, right? Not necessarily. Testing is only beneficial if it enables us to provide better care.  There are many examples from clinical practice that demonstrate how earlier is not necessarily better.  Sometimes “lead-time bias” can mislead …

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HTA recommends

HTA recommends against screening for type 2 diabetes in the UK

Following on from our report of the ADDITION trial last week, we can add that the UK Health Technology Assessment programme has updated its recommendation against screening for type 2 diabetes. Their recommendation to the National Screening Committee contains an analysis of new evidence published between 2009 and January 2012. Elves everywhere – coniferous, deciduous …

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