Diabetes  |  Type 2 Pathway - Screening




Diabetes

Type 2 Pathway - Screening

Who to screen for diabetes

Type 2  diabetes is a progressive condition. Early diagnosis and treatment can significantly reduce the risk of complications resulting from diabetes. Whilst type 2 diabetes can present with symptoms such as polyuria, nocturia, fatigue etc. it is likely that diabetes has been present for years before symptoms develop.

It is therefore important to actively screen people, particularly at risk people, for diabetes. 

Group

Men

Women

A person presenting with a symptom associated with diabetes

Any age

Any age

Asymptomatic people without known risk factors

From age 45

From age 55

Mäori, Pacific peoples or people from the Indian subcontinent

From age 35

From age 45

BMI 30 or truncal obesity (waist circumference >100 cm in men or 90 cm in women)

From 35

From 45

Diabetes in first-degree relative (parent, brother or sister)

From 35

From 45


People with a history of:

  • Gestational Diabetes
  • Impaired glucose tolerance
  • Impaired fasting glucose

Should be screened for diabetes annually.

Symptoms of late onset diabetes:

Diabetes is often asymptomatic and detected by routine screening, or may present with diabetic complications such as peripheral neuropathy.

Other symptoms include:

  • Fatigue
  • Unexplained weight loss
  • Polyuria
  • Polydipsia
  • Polyphagia
  • Irritability/confusion/agitation
  • Blurred vision
  • Nausea +/- vomiting
  • Recurrent bacterial and/or fungal infections especially of the skin, bladder and genital areas
  • Poor wound healing
  • Orthostatic hypotension
  • Dehydration

What test to order?

Go to Diagnosis for a guide to tests and interpretation of the results.



Last updated : Friday, August 21, 2015
Next review date : Saturday, August 20,2016


Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.