Prevalence of prediabetes and undiagnosed diabetes in a large urban middle-aged population: the CARVAR 92 cohort
Authors' conclusion
The prevalence of prediabetes and unknown diabetes remains high but decreased during a 12-year period. About one-quarter of diabetes cases remain undiagnosed. Our results highlight that there is still a room for screening and cardiovascular prevention campaigns.
Study context
- Population
- Subjects aged 40–70 screened for cardiovascular risk factors in the western suburbs of Paris (CARVAR 92), 2007–2018; median age 56 years, 45.4% male32,721 in cohort
- Participants
- 32,675 subjects
- Outcome
- Prevalence of prediabetes (fasting plasma glucose (FPG) ≥6.1 and <7 mmol/l, WHO; 5.6–6.9 mmol/l, ADA) and undiagnosed diabetes (FPG ≥7.0 mmol/l) among subjects without previous diabetes
Methodological detailsscreening campaign, 2007–2018
- Screening campaign
- 2007–2018
Main finding
As reported in the abstract
Prevalence among patients without previously known diabetes (n = 30,759)
Prediabetes (WHO criteria)
8.1%
Prediabetes (ADA criteria)
27.2%
Undiagnosed diabetes
2.3%
Observational data: associations, not effects.
Further findings
Known diabetes
- Known diabetes
- 5.9%
Characteristics of subjects with prediabetes and unknown diabetes
- More likely male, older, and overweight or obese than non-diabetic subjects
Trend in prevalence · 2007 to 2018
- Prevalence of prediabetes, unknown diabetes and known diabetes decreased, except prediabetes, stable for people aged 55-64
Original publication
Prevalence of prediabetes and undiagnosed diabetes in a large urban middle-aged population: the CARVAR 92 cohort. Cardiovasc Diabetol. Published 13 February 2023. doi:10. 1186/ s12933-023-01761-3
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