TY  - BOOK
AU  - Howard, Barbara V
AU  - Umans, Jason G
TI  - Evidence-based screening, clinical care and health education recommendations for Alaska Native peoples with prediabetes living in southcentral Alaska: findings from the Alaska EARTH follow-up study
SN  - 1239-9736
PY  - 2024///
KW  - *Alaska Natives
KW  - *Prediabetic State
KW  - Adult
KW  - Aged
KW  - Alaska/ep [Epidemiology]
KW  - Blood Glucose/an [Analysis]
KW  - Female
KW  - Follow-Up Studies
KW  - Glycated Hemoglobin/an [Analysis]
KW  - Health Education/og [Organization & Administration]
KW  - Humans
KW  - Male
KW  - Mass Screening
KW  - Middle Aged
KW  - Prediabetic State/di [Diagnosis]
KW  - Prediabetic State/eh [Ethnology]
KW  - Risk Factors
KW  - Smoking/eh [Ethnology]
KW  - Smoking/ep [Epidemiology]
KW  - Curated
KW  - MedStar Health Research Institute
KW  - Journal Article
KW  - Research Support, N.I.H., Extramural
N1  - Available online through MWHC library: 2002 - present
N2  - Pre-diabetes (pre-DM) is a strong predictor of diabetes (DM) over time. This study investigated how much of the recent increase in pre-DM identified among Alaska Native (AN) peoples living in urban southcentral Alaska may be due to changes in diagnostic methods. We used clinical and demographic data collected at baseline between 2004 and 2006 and at follow-up collected between 2015 and 2017 from the urban southcentral Alaska Education and Research Towards Health (EARTH) cohort. We used descriptive statistics and logistic regression to explore differences in demographic and clinical variables among the identified pre-DM groups. Of 388 participants in the follow-up study, 243 had A1c levels indicating pre-DM with only 20 demonstrating pre-DM also by fasting blood glucose (FBG). Current smoking was the sole predictor for pre-DM by A1c alone while abdominal obesity and elevated FBG-predicted pre-DM by A1c+FBG. No participants had an elevated FBG without an A1c elevation. A substantial portion of the rise in pre-DM found among urban southcentral AN peoples in the EARTH follow-up study was due to the addition of A1c testing. Pre-DM by A1c alone should be used to motivate behavioural changes that address modifiable risk factors, including smoking cessation, physical activity and weight management
UR  - https://dx.doi.org/10.1080/22423982.2024.2343143
ER  -