Diabetes Prevention Group Screening and Eligibility Core Elements Update May 2005

Screening and Eligibility Core Elements Core Elements = Required Activities Draft Core Elements Reviewed at March, May Planning Meetings Input from grantees Discussion, Final decision with IHS Final Screening and Eligibility Core Elements In Binder – dated

Screening and Eligibility Core Elements Changes Eligibility clarified and moved to beginning of document Only individuals with PREDIABETES are eligible to participate in the Intensive Activities Metabolic syndrome only used to find individuals at risk for diabetes to be screened for diabetes

Screening and Eligibility Core Elements Changes List of Risk Factors – clarifications, additions American Diabetes Association IHS Guidelines for Care of Adults with Prediabetes and/or the Metabolic Syndrome in Clinical Settings Metabolic Syndrome (ATP III criteria)

Screening and Eligibility Core Elements Changes Exclusions – clarifications, additions Added Cancer undergoing treatment Any other significant or unusual condition or life situation that makes it likely that the individual will not be able to participate

Screening and Eligibility Core Elements Changes Screening and Diagnosis – clarification on tests, results ADA Risk Test positive screening test = score ≥ 10 Random Capillary Glucose (fingerstick) positive screening test = result > 100 Oral Glucose Tolerance Test (OGTT) 75 gram, fasting and 2 hour blood glucose Prediabetes Impaired Fasting Glucose – FBG and 2-hour < 200 Impaired Glucose Tolerance – 2-hour result

Use of OGTT for Finding People with Prediabetes NHANES III data

Screening and Eligibility Core Elements Changes Added section on monitoring, follow-up, documentation CGP Prediabetes Registry Track people who are at risk for prediabetes/diabetes for recruitment during the project Track screening results for project Track recruitment efforts for project Prediabetes Registry Input Form Screening Consent Form Discussion of Prediabetes Registry later today

Screening and Eligibility Core Elements Planning Year Activities Review Final version with your team Develop a Screening Plan (how your program will screen people for prediabetes in your community and/or clinic setting) Binder Final Core Elements ADA Risk Test – 2 versions Updated IHS Prediabetes Guidelines Articles on Screening Pamphlet for Screening/Recruitment