A pragmatic and scalable strategy using mobile technology to promote sustained lifestyle changes to prevent type 2 XXXX in India-Outcome of screening.

@entity1 @entity4051 @entity28 @entity5710 @entity6 @entity413
AIMS: We describe a two-step screening approach using non-invasive risk assessment and glycated hemoglobin (HbA1c) to identify @entity1 for a @entity6 prevention trial. METHODS: A total of 6030 non-diabetic @entity1 of 35-55 years were screened using risk assessment for @entity6 . Those with three or more risk factors were screened using point of care HbA1c test. For this study, @entity1 in @entity4051 c categories of 6.0% (42.1mmol/mol)-6.4% (46.4mmol/mol) were selected and their characteristics were analyzed. RESULTS: Among 6030 @entity1 , 2835 (47%) had three or more risk factors for @entity6 . Among those screened with HbA1c, 43.2% (1225) had @entity4051 c values of <6.0% (42.1mmol/mol), 46.8% (1327) had @entity4051 c values between 6.0% (42.1mmol/mol) and  <=6.4% (46.4mmol/mol) and 10% (283) had undiagnosed @entity6 with >= 6.5% (47.5mmol/mol). Positive family history was present in 53.2%, 81.7% were @entity28 and 14.8% were overweight. CONCLUSIONS: Opportunistic screening using a two-step approach: @entity6 risk profile and HbA1c measurement detected a large percentage of individuals with @entity5710 . Prediabetic @entity1 recruited to the trial had higher percentage of @entity28 and presence of positive family history than those who had lower HbA1c values. Outcomes from this trial will enable comparisons with the previous prevention studies that used blood @entity413 levels as the screening criteria.
