OBJECTIVE Since 1997, the American Diabetes Association has recommended that nondiabetic individuals >/=45 years of age be screened for diabetes at least every 3 years. We sought to characterize the frequency, methods, and results of diabetes screening in routine clinical practice. RESEARCH DESIGN AND METHODS We studied opportunistic screening in nondiabetic members of a health maintenance or...

Diabetes Screening AmongUnderservedAdults With SevereMental IllnessWho Take AntipsychoticMedications Adults in the United States with severe mental illness (SMI), such as schizophrenia and bipolar disorder (totaling approximately 7 million), are estimated to die, on average, 25 years earlier than thegeneralpopulation, largely of premature cardiovascular disease.1 The Institute of Medicine2 has ...

Indonesia is one of the countries with a high prevalence diabetes, total cases diabetes in adults reaching 10 million cases, 6.2% adult population. Diabetes mellitus (DM) group metabolic diseases characterized by hyperglycemia due to defects insulin secretion, action, or both. Insulin resistance muscle and liver cells pancreatic beta-cell failure has been recognized as pathophysiology major dam...

BACKGROUND Having diabetes may increase the odds of late-stage breast cancer. In Kentucky, the rates of late-stage disease are higher in rural than in urban areas, particularly in rural Appalachia. The objectives of the study were to examine the relationship between diabetes and cancer screening and to determine whether Appalachia residence modifies this association. METHODS One thousand thir...

BACKGROUND Screening for type 2 diabetes helps detect previously unknown diabetes and identify people with pre-diabetes, but the adverse impact of such screening on individuals labelled as pre-diabetes or classified as normal, is less known. In this study the health-related quality of life (HRQoL), depression and lifestyle changes in a rural Chinese population are assessed three years after a s...

health care system is organized to achieve more efficiency as well as developing public equity and providing access to the first, second and third levels of services. family physician is in the first line of the health care system; in other words, family physician is the health system’s goalkeeper. according to classification of health services, gaining access to specialized services becomes po...