Detecting type 2 diabetes and prediabetes among asymptomatic adults in the United States: modeling American Diabetes Association versus US Preventive Services Task Force diabetes screening guidelines

Table 5 Health care use patterns by predicted undetected diabetes and prediabetes status

		Average annual visits
Scenario	Population in 2010¹(in thousands)	Primary care office visits²	Non-primary care office visits³	Outpatient visits⁴	Emergency visits⁴	Hospital admissions⁴	Total
Predicted probability of undetected diabetes
<0.05	155,511	1.00	3.19	0.29	0.13	0.05	4.67
0.05 to <0.10	37,462	2.01	5.72	0.67	0.21	0.15	8.76
≥0.10	10,652	2.39	6.32	1.51	0.22	0.22	10.67
Predicted probability of undetected prediabetes
<0.10	13,904	0.93	2.62	0.16	0.11	0.03	3.85
0.10 to <0.15	21,019	0.69	2.09	0.19	0.13	0.03	3.12
0.15 to <0.20	19,964	0.67	2.69	0.24	0.11	0.03	3.74
0.20 to <0.25	17,790	0.86	2.79	0.22	0.15	0.04	4.06
0.25 to <0.30	21,049	0.97	3.45	0.40	0.14	0.06	5.01
0.30 to <0.35	17,511	1.26	4.12	0.72	0.15	0.09	6.34
0.35 to <0.40	23,528	1.59	4.72	0.46	0.18	0.10	7.05
≥0.40	68,860	1.75	4.91	0.59	0.18	0.13	7.56
ADA	86,292	1.59	4.39	0.58	0.18	0.11	6.85
USPSTF	59,064	2.14	5.77	0.79	0.23	0.16	9.09
Diagnosed diabetes	20,458	2.81	7.21	1.08	0.31	0.28	11.69

Note: Analysis of the 2010 Medical Expenditure Panel Survey. ¹Population analyzed is 202 million non-diabetic, non-pregnant adults age 18 or older in the US in 2010. Representative sample of the non-institutionalized population in the US excluding pregnant women. ²Office visit to a general or family practice or general internal medicine practice. ³Visits to non-primary care providers (excluding obstetrician-gynecologist visits). ⁴Hospital outpatient or emergency visit, or hospitalization for any reason.

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