Most Primary Care Physicians Can’t Identify All Risk Factors for Prediabetes
A new survey from Johns Hopkins found that most primary care physicians couldn’t identify all risk factors for prediabetes.
Of the providers who completed the survey, 6 percent correctly identified all of the risk factors that should — under guidelines issued by the American Diabetes Association — prompt prediabetes screening and 17 percent correctly identified the fasting glucose and HbA1c (a measure of glucose that attaches to the protein in red blood cells which carry oxygen), laboratory values for diagnosing prediabetes. On average, the respondents selected eight out of the 11 correct risk factors for prediabetes screening.
“Primary care providers play a vital role in screening and identifying patients at risk for developing diabetes. This study highlights the importance of increasing provider knowledge and availability of resources to help patients reduce their risk of diabetes,” says Nisa Maruthur, M.D., M.H.S., assistant professor of medicine at the Johns Hopkins University School of Medicine and the paper’s senior author.
Prediabetes is diagnosed by labs, specifically an elevated fasting glucose of 100-125 mg/dL or hemoglobin A1c of 5.7-6.4 percent. Diabetes is diagnosed based on labs above those thresholds, fasting glucose greater than or equal to 126 mg/dL or hemoglobin A1c of greater than or equal to 6.5 percent.
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