Change in testing for blood glucose during the COVID-19 pandemic, United States 2019–2021

Details

• Alternative Title:
  Diabetes Res Clin Pract
• Personal Author:
  Miyamoto, Yoshihisa ; Saelee, Ryan ; Koyama, Alain K. ; Zaganjor, Ibrahim ; Xu, Fang ; Onufrak, Stephen ; Pavkov, Meda E.
• Description:
  Aim:
  
  This study assessed changes in testing for blood glucose in the United States (US) from 2019 to 2021.
  
  Methods:
  
  We conducted a serial cross-sectional analysis of the 2019–2021 National Health Interview Survey by including adults aged ≥ 18 years without reported diagnosed diabetes. We estimated the prevalence of testing for blood glucose within 12 months and the difference in the testing prevalence between 2019 and 2021.
  
  Results:
  
  The study sample included 82,594 respondents without diabetes in 2019––2021, with a mean age between 46.4 and 46.8 years. Overall, the prevalence of testing for blood glucose decreased significantly from 64.2 % (95 % confidence interval [CI] 63.3 %, 65.1 %) in 2019 to 60.0 % (95 % CI 59.1 %, 60.9 %) in 2021. Among adults who met the United States Preventive Services Task Force’s 2015 screening recommendation, the prevalence decreased from 73.4 % (95 % CI 72.2 %, 74.6 %) to 69.5 % (95 % CI 68.3 %, 70.6 %). Although decreases in testing were observed in most groups, the extent of the decline differed by subgroups.
  
  Conclusions:
  
  Testing for blood glucose decreased in the US during the COVID-19 pandemic. This may have delayed diagnosis and treatment of prediabetes and diabetes, underscoring the importance of continued access to diabetes screening during pandemics.
  
  
• Subjects:
  Adolescent Adult Aged Blood Glucose COVID-19 Cross-Sectional Studies Diabetes Mellitus Female Humans Male Mass Screening Middle Aged Pandemics Prevalence SARS-CoV-2 United States Young Adult

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• Keywords:
  Diabetes Prediabetes Screening Testing
• Source:
  Diabetes Res Clin Pract. 205:110985
• Pubmed ID:
  38968092
• Pubmed Central ID:
  PMC11226753
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  205
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:9653986de041c6ac83d2a5ba5e88fd8574c1a8a28a1e03a60d476caf4ef78369
• Download URL:
  https://stacks.cdc.gov/view/cdc/158499/cdc_158499_DS1.pdf
• File Type:
  [PDF - 324.74 KB ]