A pragmatic and scalable strategy using mobile technology to promote sustained lifestyle changes to prevent type 2 diabetes in India—Outcome of screening

Highlights • An effective, simple strategy for opportunistic screening of dysglycemia remains elusive. • We used a two-step strategy, involving non-invasive risk assessment and estimation of glycated hemoglobin (HbA1c) for screening persons with high risk for diabetes for a primary prevention study...

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Bibliographic Details
Published in:Diabetes research and clinical practice 2015-12, Vol.110 (3), p.335-340
Main Authors: Priscilla, Susairaj, Nanditha, Arun, Simon, Mary, Satheesh, Krishnamoorthy, Kumar, Sathish, Shetty, Ananth Samith, Snehalatha, Chamukuttan, Johnston, Desmond G, Godsland, Ian F, Wareham, Nicholas J, Ramachandran, Ambady
Format: Article
Language:English
Subjects:
Adult
Body Mass Index
Cell Phone
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - prevention & control
Endocrinology & Metabolism
Female
Glycated Hemoglobin A - analysis
HbA1c
Health Promotion - methods
Humans
India
Life Style
Male
Mass Screening - methods
Middle Aged
Obesity - complications
Overweight - complications
Patient Selection
Prediabetic State - blood
Primary prevention
Risk Assessment
Risk Factors
Screening
Short messaging service
Telemedicine
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Summary:Highlights • An effective, simple strategy for opportunistic screening of dysglycemia remains elusive. • We used a two-step strategy, involving non-invasive risk assessment and estimation of glycated hemoglobin (HbA1c) for screening persons with high risk for diabetes for a primary prevention study of diabetes. • Persons with HbA1c values between 6.0% (42.1 mmol/mol) and 6.4% (46.4 mmol/mol) were chosen for the study ( n = 1171). • A total of 6030 non-diabetic persons were prescreened and 2835 underwent HbA1c assessment. • The methodology used in assessment of lifestyle parameters and the use of SMS for education and motivation of the participants are described.
ISSN:0168-8227
1872-8227
DOI:10.1016/j.diabres.2015.09.004