IDENTIFICATION OF RISK GROUPS FOR TYPE 2 DIABETES MELLITUS BASED ON FINDRISС QUESTIONNAIRE

Abstract

Background: Prevalence of type 2 diabetes mellitus (T2DM) has reached an epidemic level worldwide and continues to increase steadily.Aim: To assess appropriateness of FINDRISC questionnaire to identify groups with high risk of T2DM in the population of theMoscowregion.Materials and methods: Four hundred and four subjects aged above 18 years in the Lukhovitsy district of theMoscowregion were screened for disturbances of carbohydrate metabolism. All participants filled in the questionnaire of the Finnish Diabetes Association, FINDRISC (the Finnish Diabetes Risk Score). An oral glucose tolerance test was performed in all subjects. Results: Prevalence of carbohydrate metabolism disorders in the study sample was 36.1%. Among them, newly diagnosed T2DM was found in 6.1%, impaired glucose tolerance, in 14.4%, impaired fasting glycaemia, in 18.5%, both impaired glucose tolerance and fasting glycaemia, in 5.7%. Detection of T2DM and early disorders of carbohydrate metabolism was higher in subjects with higher FINDRISC scores. The screening model that includes diagnostic assessment of subjects with a score of≥12 of this questionnaire has adequate sensitivity and specificity to detect T2DM. This model allows for reduction of the necessary sample to 37.5%. Prevalence of cardiovascular risk factors is higher in the subjects with a high FINDRISC score, compared to those with the minimal score.Conclusion: Active implementation of FINDRISC questionnaire among the population of theMoscowregion would allow for timely detection of those with T2DM risk for further screening for disorders of carbohydrate metabolism and introduction of activities to prevent T2DM.

Keywords

• сахарный диабет 2-го типа, нарушения углеводного обмена, скрининг, опросник findrisc