THE PREVALANCE OF DIABETES AMONG EMERGENCY DEPARTMENT PATIENTS WITH NO PREVIOUS

这个子项目是许多研究子项目中的一个 由NIH/NCRR资助的中心赠款提供的资源。子项目和 研究者（PI）可能从另一个NIH来源获得了主要资金， 因此可以在其他CRISP条目中表示。所列机构为 研究中心，而研究中心不一定是研究者所在的机构。 主要目的是确定急诊科（艾德）就诊的急性疾病和血糖升高的患者中有多少人患有未诊断的糖尿病或糖代谢受损。通过评估血糖正常和升高的患者，我们将确定一个阈值，可用于识别患糖尿病的风险。 第二个目的是确定HbA 1c与艾德随机葡萄糖水平的组合是否增强临床医生区分糖尿病或葡萄糖代谢受损与“应激性高血糖症”的能力。我们还将确定将这些信息与其他容易获得的变量（例如体重指数，年龄，既往病史）相结合是否会增加糖尿病或糖耐量受损风险分层的准确性。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. The main objective is to determine what portion of patients presenting to the emergency department (ED) with acute illness and elevated blood sugar have undiagnosed diabetes or impaired glucose metabolism. By evaluating patients with both normal and elevated blood sugars, we will then determine a threshold that can be used to identify risk of having diabetes. The second objective is to determine whether the HbA1c in combination with the ED random glucose level enhances the clinician's ability to differentiate diabetes or impaired glucose metabolism from 'stress hyperglycemia'. We will also determine whether combining this information with other easily obtained variables (e.g. body mass index, age, past medical history) increases the precision of risk stratification for diabetes or impaired glucose tolerance.