Type 2 & other diabetes

Novel time-saving oral glucose tolerance test (OGTT) sparing HbA1c-HOMA2 based algorithm for the diagnosis of cystic fibrosis-related diabetes

Diabetes Res Clin PractPublished Diagnostic accuracy study

Authors' conclusion

The composite index DIPIc is a suitable, less invasive screening method for CFRD, which enables to avoid many OGTTs.

Study context

Population
Patients with cystic fibrosis screened for cystic fibrosis-related diabetes (CFRD), single centreHOMA indices recovered
Participants
72 patients
Comparison
HbA1c and HOMA2 indices vs OGTT as gold standard for CFRD screening
Outcome
CFRD screening accuracy vs OGTT (gold standard) and OGTT sparing with stepwise DIPIc algorithm
Methodological detailsretrospective, cross-sectional, single-centre
  • Retrospective
  • Cross-sectional
  • Single-centre

Performance

As reported in the abstract

Sensitivity of CFRD exclusion cutoff less than −1.7445

98 %

Specificity of CFRD diagnostic threshold greater than 0.4543

98 %

OGTT sparing with exclusion cutoff and diagnostic threshold combined

71 %

Original publication

Novel time-saving OGTT sparing HbA1c-HOMA2 based algorithm for the diagnosis of cystic fibrosis-related diabetes. Diabetes Res Clin Pract. Published 2 February 2024. doi:10.1016/j.diabres.2024.111124

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