Description

Wong et al developed models for identifying a Chinese adult in Hong Kong who may have undiagnosed diabetes mellitus. This can help to identify patients to screen more carefully. The authors are from the University of Hong Kong and Tung Wah Eastern Hospital.


 

Patient selection: Chinese adult in Hong Kong

 

Parameters:

(1) age in years

(2) body mass index in kilograms per square meter

(3) family history of diabetes mellitus

(4) regular exercise

(5) optimal blood pressure

(6) serum triglycerides in mmol/L

 

Parameters

Findings

Points

age in years

< 45 years

0

 

45 to 49 years

5

 

50 to 54 years

6

 

55 to 59 years

8

 

>= 60 years

11

body mass index

< 25

0

 

>= 25

4

family history of diabetes

no

0

 

yes

7

regular exercise

no

6

 

yes

0

optimal blood pressure

no (>= 140/90 mm Hg)

5

 

yes

0

serum triglycerides

< 1.7 mmol/L

0

 

>= 1.7 mmol/L

4

 

where:

• In the nomogram in Figure 1 exercise scoring is the opposite of that shown in Table 2.

 

total score without triglycerides =

= SUM(points for the first 5 parameters)

 

total score with triglycerides =

= SUM(points for all 6 parameters)

 

Interpretation:

• minimum score for both scores: 0

• maximum score without triglycerides (non-laboratory): 33

• maximum score with triglycerides (laboratory-based): 37

• The higher the score the greater the risk for developing diabetes mellitus.

 

Non-Laboratory Score

Percent with Diabetes

0 to 7

1-3%

8 to 33

(0.04315 * ((points)^2)) - (0.5499 * (points)) + 4.965

 

 

Laboratory Score

Percent with Diabetes

0 to 7

1-3%

8 to 37

(0.03995 * ((points)^2)) - (0.6421 * (points)) + 5.959

 


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