High Prevalence of Undiagnosed Hyperglycemia in Low-Income Overweight and Obese Hispanic Women in Oregon

Nangel M. Lindberg, Sonia Vega-Lopez, Erin S. LeBlanc, Michael C. Leo, Victor J. Stevens, Sara Gille, Mayra Arias-Gastélum, Elizabeth Shuster, Richard Meenan, Katherine A. Vaughn, Meagan C. Shaw, Ann Turner

Research output: Contribution to journalArticle

Abstract

Background: Overweight Hispanic women are at high risk for type 2 diabetes. A clinical diagnosis of hyperglycemia is often necessary to access interventions. We examined the prevalence of undiagnosed hyperglycemia among a group of low-income overweight or obese Hispanic women, who were receiving care at a Federally Qualified Health Center (FQHC). Methods: Among 196 overweight or obese Hispanic women (mean age 44 ± 10 years, mean weight 86.8 ± 16.5 kg, mean body mass index [BMI] 36.5 ± 6.4 kg/m 2 ) enrolled in a randomized clinical weight-loss trial, we compared A1C and fasting blood glucose (FBG) obtained at baseline with women’s existing diabetes and prediabetes diagnoses in the medical record. Results: According to the information in participants’ medical records, 36% (70/196) had diagnosed diabetes, 20% (39/196) had a diagnosis of prediabetes, and the remaining 44% (87/196) had neither diagnosis. Among participants without a diagnosis of diabetes or prediabetes during the baseline screening for our study, 63% (55/87) had at least one test in the prediabetes range (baseline A1C and FBG were in prediabetes range for 39 and 55 participants, respectively), and 13% (11/87) had at least one test in the diabetic range (baseline A1C and FBG values in diabetes range for 3 and 11 participants, respectively). Discussion: We found substantial prevalence of undiagnosed hyperglycemia among a sample of overweight and obese Hispanic women. It is possible that limited awareness of diabetes risk may be a barrier to patient compliance with screening recommendations.

Original languageEnglish (US)
JournalJournal of Racial and Ethnic Health Disparities
DOIs
StatePublished - Jan 1 2019

Keywords

  • Diagnosis
  • Hispanic
  • Hyperglycemia
  • Underdiagnosis
  • Women’s health

ASJC Scopus subject areas

  • Health(social science)
  • Anthropology
  • Sociology and Political Science
  • Health Policy
  • Public Health, Environmental and Occupational Health

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    Lindberg, N. M., Vega-Lopez, S., LeBlanc, E. S., Leo, M. C., Stevens, V. J., Gille, S., Arias-Gastélum, M., Shuster, E., Meenan, R., Vaughn, K. A., Shaw, M. C., & Turner, A. (2019). High Prevalence of Undiagnosed Hyperglycemia in Low-Income Overweight and Obese Hispanic Women in Oregon. Journal of Racial and Ethnic Health Disparities. https://doi.org/10.1007/s40615-019-00578-9