{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T07:47:16Z","timestamp":1758268036584},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,1,21]],"date-time":"2013-01-21T00:00:00Z","timestamp":1358726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet. Med."],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:sec><jats:label \/><jats:p>Diabet. Med. 30, 239\u2013245 (2013)<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aims\u2003<\/jats:bold> The aim of the present study was to test the effectiveness of opportunistic blood glucose screening in a cooperational framework between dental and primary health care.<\/jats:p><jats:p><jats:bold>Methods\u2003<\/jats:bold> Altogether, 1568 subjects, age 20\u201375\u2003years, with no previous history of diabetes, who came for a regular dental examination, had their non\u2010fasting blood glucose measured with a portable blood glucose meter. Subjects with a concentration of \u2265\u20036.7\u2003mmol\/l (121\u2003mg dl<jats:sup>\u22121<\/jats:sup>) were referred to their primary healthcare centre for follow\u2010up. The outcome, a diagnosis of diabetes mellitus, was obtained from primary healthcare centre and hospital patient records, during 3\u2003years after screening.<\/jats:p><jats:p><jats:bold>Results\u2003<\/jats:bold> Of the 155 (9.9%) subjects who screened positive, 139 (89.7%) came to their primary healthcare centre within the 3\u2010year follow\u2010up period and nine (5.8%) were diagnosed as having diabetes mellitus according to the World Health Organization criteria. Of the 1413 subjects who screened negative, 1137 (80.5%) came to the primary healthcare centre and eight (0.6%) were found to have diabetes mellitus. Screening sensitivity was 52.9%, specificity 90.6% and positive predictive value 5.8%. The number of subjects needed to screen to find one case of diabetes was 196. Delineating the study population to those 40\u2010 to 75\u2010year\u2010olds with a BMI \u2265\u200325\u2003kg\/m<jats:sup>2<\/jats:sup>, and 30\u2010to 75\u2010year\u2010olds with a BMI \u2265\u200330\u2003kg\/m<jats:sup>2<\/jats:sup>, the numbers needed to screen was reduced to 96.<\/jats:p><jats:p><jats:bold>Conclusions\u2003<\/jats:bold> Cooperation between dental and primary care for high blood glucose screening and follow\u2010up appears to be a feasible method for early diagnosis of diabetes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.12009","type":"journal-article","created":{"date-parts":[[2012,9,4]],"date-time":"2012-09-04T14:57:52Z","timestamp":1346770672000},"page":"239-245","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Effectiveness of screening for diabetes mellitus in dental health care"],"prefix":"10.1111","volume":"30","author":[{"given":"S.","family":"Engstr\u00f6m","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Berne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Gahnberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Sv\u00e4rdsudd","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,1,21]]},"reference":[{"key":"e_1_2_9_2_2","volume-title":"Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications. 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