1. CVD Risk Reduction Group Screening and Eligibility Core Elements Draft July 2005

2. Screening and Eligibility Core Elements Eligibility for Intensive Activity Diagnosis of Diabetes Recruitment Many already have a Diabetes Registry However, in some smaller sites, may run out of people to recruit Screening and Eligibility Core Elements Draft – protocol for screening for diabetes In Binder – dated 7-15-05 Similar to DP Group protocol

3. Screening and Eligibility Core Elements Eligibility Only individuals with DIABETES are eligible to participate in the Intensive Activities Metabolic syndrome only used to find individuals at risk for diabetes to be screened for diabetes

4. Screening and Eligibility Core Elements Identification of Individuals for Screening for Diabetes List of Risk factors American Diabetes Association Metabolic Syndrome (ATP III criteria)

5. Screening and Eligibility Core Elements Exclusions Purpose – to identify individuals who have a condition or situation that would adversely affect their successful participation Pregnant Active alcohol/substance abuse ESRD on dialysis Cancer undergoing treatment Other

6. Screening and Eligibility Core Elements Screening and Diagnosis Locations Community events/activities Clinic settings Tests ADA Risk Test positive screening test = score ≥ 10 Random Capillary Glucose (fingerstick) positive screening test = result > 120 Oral Glucose Tolerance Test (OGTT) 75 gram, fasting and 2 hour blood glucose Diabetes – 2-hour result ≥ 200

7. Use of OGTT for Finding People with Diabetes NHANES III data

8. Screening and Eligibility Core Elements Monitoring/Follow-up/Documentation CVD Diabetes Registry Track people who are at risk for diabetes for recruitment during the project Track screening results for project Track recruitment efforts for project CGP Diabetes Registry Input Form Screening Consent Form Discussion of CGP Diabetes Registry later today

9. Screening and Eligibility Core Elements Planning Year Activities Review Final Draft version with your team Send any input to Sandra by August 15, 2005 Start to develop a Screening Plan (how your program will screen people for diabetes in your community and/or clinic setting if needed) How this plan will fit into your recruitment activities/plan Final version at next meeting Binder Final Draft Screening Core Elements ADA Risk Test – 2 versions Articles on Screening Pamphlet for Screening/Recruitment