000			03556nam a22006137a 4500
008			240807s20242024 xxu||||| |||| 00| 0 eng d
022			_a1239-9736
024			_aPMC11064735 [pmc]
040			_aOvid MEDLINE(R)
099			_a38691019
245			_aEvidence-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.
251			_aInternational Journal of Circumpolar Health. 83(1):2343143, 2024 Dec.
252			_aInt J Circumpolar Health. 83(1):2343143, 2024 Dec.
253			_aInternational journal of circumpolar health
260			_c2024
260			_fFY2024
260			_p2024 Dec
265			_sppublish
265			_tMEDLINE
266			_d2024-08-07
266			_z2024/05/01 10:12
501			_aAvailable online through MWHC library: 2002 - present
520			_aPre-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.
546			_aEnglish
650			_a*Alaska Natives
650			_a*Prediabetic State
650			_aAdult
650			_aAged
650			_aAlaska/ep [Epidemiology]
650			_aBlood Glucose/an [Analysis]
650			_aFemale
650			_aFollow-Up Studies
650			_aGlycated Hemoglobin/an [Analysis]
650			_aHealth Education/og [Organization & Administration]
650			_aHumans
650			_aMale
650			_aMass Screening
650			_aMiddle Aged
650			_aPrediabetic State/di [Diagnosis]
650			_aPrediabetic State/eh [Ethnology]
650			_aRisk Factors
650			_aSmoking/eh [Ethnology]
650			_aSmoking/ep [Epidemiology]
650			_zCurated
651			_aMedStar Health Research Institute
657			_aJournal Article
657			_aResearch Support, N.I.H., Extramural
700			_aHoward, Barbara V _bMHRI
700			_aUmans, Jason G _bMHRI
790			_aKoller KR, Nash SH, Beans JA, Day GM, Hiratsuka VY, Lin AL, Narayanan M, Patten CA, Hammock SA, Howard BV, Umans JG
856			_uhttps://dx.doi.org/10.1080/22423982.2024.2343143 _zhttps://dx.doi.org/10.1080/22423982.2024.2343143
858			_yUmans, Jason G _uhttps://orcid.org/0000-0002-2746-3350 _zhttps://orcid.org/0000-0002-2746-3350
942			_cART _dArticle
999			_c14565 _d14565