Prevalence of Diabetes in an Urban Hospital Emergency Room Serving Predominantly Indigenous Population.
Academic Article
Overview
abstract
OBJECTIVES: The purpose of this study was to examine the rate of diabetes and pre-diabetes in previously undiagnosed individuals who came to the Detroit Receiving Hospital-Ambulatory Rapid Center (DRH-ARC), which is part of the emergency room. This region has a high minority population with over 83% being African-Americans (AAs). Diabetes screening is especially important for this population because AAs are more prone to develop complications. METHODS: Free diabetes screening was done for all patients coming to the walk in unit of the DRH-ARC. This program was supported by the "Healthy Detroit-Diabetes Initiative". The initiative was developed by the Detroit Receiving Hospital and Wayne State University Physicians Group (WSUPG) administration. RESULTS: A total of 15,971 patients, who did not have a history of diabetes, consented for screening during the period of March 2010 through March 2014. A total of 6,149 (38.5%) patients were found to have HbAlc values in the range of pre-diabetes or diabetes. The prevalence of diabetes increased with age in both men and women. The data showed high prevalence of undiagnosed pre-diabetes and diabetes in this population approaching 31% and 8%, respectively. Among patients with elevated blood pressure 41.2% had abnormal HbAlc values. In contrast, 32% of patients with normal blood pressure had abnormal HbAlc values. CONCLUSION: Continued screening of population at risk for diabetes is essential. Public health awareness programs, such as the Healthy Detroit-Diabetes Initiative should be initiated in similar areas where minority populations are prevalent.
