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dc.contributor.authorWichai Aekplakornen_US
dc.contributor.authorValla Tantayotaien_US
dc.contributor.authorSakawduan Numsangkulen_US
dc.contributor.authorWilarwan Sriphoen_US
dc.contributor.authorNutchanat Tatsatoen_US
dc.contributor.authorTuanjai Burapasiriwaten_US
dc.contributor.authorRachada Pipatsarten_US
dc.contributor.authorPremsuree Sansomen_US
dc.contributor.authorPranee Luckanajantachoteen_US
dc.contributor.authorPongpat Chawarokornen_US
dc.contributor.authorAnek Thanonghanen_US
dc.contributor.authorWatchira Lakhamkaewen_US
dc.contributor.authorAungsumalin Mungkungen_US
dc.contributor.authorRungnapa Boonkeanen_US
dc.contributor.authorChanidsa Chantapoonen_US
dc.contributor.authorMayuree Kungsrien_US
dc.contributor.authorKasetsak Luansengen_US
dc.contributor.authorKornsinun Chaiyajiten_US
dc.contributor.otherMahidol Universityen_US
dc.contributor.otherWalailak Universityen_US
dc.contributor.otherKhon Buri Districten_US
dc.contributor.otherBuddhachinaraj Hospitalen_US
dc.contributor.otherSamutsakhon General Hospitalen_US
dc.identifier.citationJournal of Diabetes Research. Vol.2015, (2015)en_US
dc.description.abstract© 2015 Wichai Aekplakorn et al. Aim. To evaluate an agreement in identifying dysglycemia between fasting plasma glucose (FPG) and the 2 hr postprandial glucose tolerance test (OGTT) in a population with high risk of diabetes. Methods. A total of 6,884 individuals aged 35-65 years recruited for a community-based diabetes prevention program were tested for prediabetes including impaired fasting glucose (IFG) or impaired glucose tolerance (IGT), and diabetes. The agreement was assessed by Kappa statistics. Logistic regression was used to examine factors associated with missed prediabetes and diabetes by FPG. Results. A total of 2671 (38.8%) individuals with prediabetes were identified. The prevalence of prediabetes identified by FPG and OGTT was 32.2% and 22.3%, respectively. The proportions of diabetes classified by OGTT were two times higher than those identified by FPG (11.0% versus 5.4%, resp.). The Kappa statistics for agreement of both tests was 0.55. Overall, FPG missed 46.3% of all prediabetes and 54.7% of all diabetes cases. Prediabetes was more likely to be missed by FPG among female, people aged <45 yrs, and those without family history of diabetes. Conclusion. The detection of prediabetes and diabetes using FPG only may miss half of the cases. Benefit of adding OGTT to FPG in some specific groups should be confirmed.en_US
dc.rightsMahidol Universityen_US
dc.subjectBiochemistry, Genetics and Molecular Biologyen_US
dc.titleDetecting prediabetes and diabetes: Agreement between fasting plasma glucose and oral glucose tolerance test in Thai adultsen_US
Appears in Collections:Scopus 2011-2015

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