comparison of venous plasma glycemia and capillary glycemia for the screening of type 2 diabetes mellitus in the japanese-brazilian community of mombuca (guatapará-sp)比较静脉血浆血糖和毛细血管血糖筛查的名巴西籍日本社区2型糖尿病的mombuca(guatapara-sp).pdfVIP

Foss-Freitas et al. Diabetology Metabolic Syndrome 2010, 2:6 /content/2/1/6 RESEARCH Open Access Comparison of venous plasma glycemia and capillary glycemia for the screening of type 2 diabetes mellitus in the Japanese-Brazilian community of Mombuca (Guatapará-SP) 1* 2 3 4 3 Maria Cristina Foss-Freitas , Regina CG de Andrade , Roberta C Figueiredo , Ana Emília Pace , Edson Z Martinez , 3 3 1 Amaury L Dal Fabro , Laércio J Franco , Milton C Foss Abstract Background: To identify the most appropriate cut-off points of fasting glycemia for the screening of diabetes mellitus type 2 (DM2) with the comparison of the properties of capillary glycemia (CG) and venous blood plasma glycemia (PG) in a population of Japanese origin from the community of Mombuca, Guatapará - SP, Brazil. Methods: This was a population-based descriptive cross-sectional study conducted on a sample of 131 individuals of both genders aged 20 years or more (66.8% of the target population). CG was measured with a glucometer in a blood sample obtained from the fingertip and PG was determined by an enzymatic method (hexokinase) in venous blood plasma, after a 10-14 hour fast in both cases. Data were analyzed by the receiver operating characteristic (ROC) curve in order to identify the best cut-off point for fasting glycemia (CG and PG) for the diagnosis of DM, using the 2-hour plasma glycemia 200 mg/dl as gold - standard. Results: The ROC curve revealed that the best cut-off point for the screening of DM was 110 mg/dl for CG and 105 mg/dl for PG, values that would optimize the relation between individuals with positive and false-positive results. The area under