Efficacy of urinary glucose for diabetes screening: a reconsideration View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-01

AUTHORS

Juan Chen, Haijian Guo, Suixia Yuan, Chen Qu, Tao Mao, Shanhu Qiu, Wei Li, Xiaohang Wang, Min Cai, Hong Sun, Bei Wang, Xiaoning Li, Zilin Sun

ABSTRACT

AIMS: Previous studies indicated that urinary glucose (UG) had a limited efficacy in diabetes screening. This study was designed to have a re-evaluation of its efficacy, taking into consideration the collection method of urine and the measurement approach for UG among Chinese adults. METHODS: This cross-sectional study enrolled a total of 7689 participants without known diabetes, who were fasted and asked to empty bladders before a 75 g glucose loading. Urine was collected 2 h post glucose loading, and UG was measured using quantitative and qualitative approaches. The efficacy of UG in detecting diabetes was assessed by the receiver operating characteristic (ROC) curve. RESULTS: The area under the ROC curve was 0.89 for quantitative UG and 0.87 for qualitative UG. Quantitative UG was positively correlated with fasting plasma glucose (FPG) and 2 h plasma glucose (2 h PG) (r = 0.55 and 0.56, respectively, both P < 0.001). Quantitative UG displayed a sensitivity of 82.9% and a specificity of 84.7% in detecting diabetes at the corresponding optimal cutoff of 130 mg. Qualitative UG exhibited a sensitivity of 80.2% and a specificity of 85.6% at the optimal cutoff of glycosuria + 1. In addition, the sensitivity of both quantitative and qualitative UG was significantly higher than that of HbA1c (≥ 6.5%) (P < 0.001) and had a comparable sensitivity to 2 h PG (≥ 11.1 mmol/L) (P = 0.493). CONCLUSIONS: UG, either quantitatively or qualitatively measured at 2 h post glucose loading, was effective in diabetes screening. This indicates that UG is a feasible approach for diabetes screening. More... »

PAGES

45-53

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00592-018-1212-1

DOI

http://dx.doi.org/10.1007/s00592-018-1212-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1106413835

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30159749


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