PubMed · 3593502
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R M McNamara. 1987. Serum glucose changes.. https://doi.org/10.1016/0735-6757(87)90376-7
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Of the approximately 300,000 diabetics in Sweden, about 15 per cent have type I or juvenile diabetes, and the remainder type II or diabetes of maturity. Naturally, this is a gross over-simplification of the situation, and reflects our predilection for classification rather than our knowledge of the aetiology and heterogeneity of the disease. Not only is there a broad indeterminate zone between the two main types, but during recent years a number of genetically determined forms have also been described. Accordingly, the World Health Organisation has recently proposed changes in the classification of diabetes and in the diagnostic criteria. The new proposals are reviewed in the article.
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That type 2 diabetes is a disease fulfilling most of the criteria justifying screening is argued in the article. Currently there are probably 50-100,000 cases of undiagnosed type 2 diabetes in Sweden, i.e., 6-12 per 1,000 of the population, a figure that could be substantially reduced by more consistent use of opportunistic screening in primary care. With good organisation of daily work routines, the screening itself need not require significantly more resources. However, satisfactory management of newly diagnosed patients may require further resources and other, more effective reception facilities, particularly if the more stringent diagnostic criteria adopted in the USA in 1997 are ratified by inclusion the WHO recommendations soon to be published.