BMJ 2001;322:986-988 ( 21 April )

Education and debate

Should we screen for type 2 diabetes? Evaluation against National Screening Committee criteria

Nicholas J Wareham, clinical scientist, Simon J Griffin, lecturer. 

Department of Public Health and Primary Care, Institute of Public Health, University of Cambridge, Cambridge CB2 2SR

Correspondence to: N Wareham njw1004@medschl.cam.ac.uk

The first 150 words of the full text of this article appear below.

The high prevalence of undiagnosed diabetes¹ and the proportion of cases with evidence of complications at diagnosis ^{2 3} undoubtedly create a strong imperative for screening. In the United Kingdom, the National Screening Committee has the task of providing advice about established and newly proposed screening programmes and aims to evaluate these against specified criteria.⁴ This article evaluates screening for type 2 diabetes in relation to these criteria.

Table Removed (Available Only in the Full Text)

	The condition

The first group of issues considered by the National Screening Committee relates to the condition for which screening is proposed. In the case of type 2 diabetes, these issues are relatively uncontroversial. The scale of morbidity and mortality attributable to diabetes is not in question,⁵ and the longitudinal examination of cohorts has established the overall course of the condition.⁶ Undiagnosed diabetes is common⁷; it is not generally characterised by recognised symptoms and is as strongly associated with future risk as diagnosed diabetes.⁸ Up to 25% . . . [Full text of this article]

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