Stephen Clement, MD; William Duncan, MD; Lauri Coffey, RD; Kathleen Dean, RN; Nancy Kinum, RN
To the editor: Singer and associates (1) comprehensively reviewed the data supporting the role of screening for gestational diabetes but not diabetes in the nonpregnant adult. Their argument against screening for diabetes in the nonpregnant adult was not based on a poor cost-benefit ratio but rather on the paucity of evidence showing that treatment of patients with non-insulin-dependent diabetes mellitus (NIDDM) prevents microvascular complications. The study cited to support this recommendation was the University Group Diabetes Program (UGDP) study, which showed no difference in mortality or the progression of retinopathy or nephropathy in patients with NIDDM maintained on diet therapy
Clement S, Duncan W, Coffey L, Dean K, Kinum N. Screening for Diabetes Mellitus. Ann Intern Med. ;110:572–573. doi: 10.7326/0003-4819-110-7-572
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Published: Ann Intern Med. 1989;110(7):572-573.
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