Rethinking the use of urine dipstick for early diagnosis of Type 2 diabetes mellitus

Olaf C Jensen; Agnes Flores; Victoria Corman; Maria Luisa Canals; David Lucas; Ilona Denisenko; Don Eliseo-Iii Lucero-Prisno; Anna Lilja Secher; Gregers Stig Andersen; Marit Eika Jørgensen; Helena Estopà Pujol; Guido Cohen; Finn Gyntelberg

doi:10.1016/j.diabres.2022.109222

Rethinking the use of urine dipstick for early diagnosis of Type 2 diabetes mellitus

Diabetes Res Clin Pract. 2022 Feb:184:109222. doi: 10.1016/j.diabres.2022.109222. Epub 2022 Jan 31.

Affiliations

¹ Centre for Maritime Health and Society, Department of Public Health, University of Southern Denmark, Degnevej 14, 6705 Esbjerg, Denmark; University of Cadiz FUECA, Spain. Electronic address: ocj@health.sdu.dk.
² Universidad Metropolitana de Educación Ciencia y Tecnología, Facultad de las Ciencias y Tecnología, Panamá & Caja Seguro Social, Vacamonte Rep. of Panamá, Panama.
³ Department of Public Health, University of Southern Denmark, Esbjerg, Denmark. Electronic address: vicor20@student.sdu.dk.
⁴ University of Cadiz FUECA, Spain; Sociedad Española de Medicina Marítima (SEMM) /Sanidad Marítima, Tarragona, Spain; Sanidad Maritima (ISM), Barcelona, Spain.
⁵ ORPHY Laboratory, University Brest, F-29200 Brest, France; Occupational and Environmental Diseases Center, Teaching Hospital, F-29200 Brest, France; French Society of Maritime Medicine Brest, F-29200, France. Electronic address: lucas_d29@yahoo.fr.
⁶ Regional Medical Office German Embassy Moscow, Russia.
⁷ Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom; Faculty of Management and Development Studies, University of the Philippines Open University, Los Baños, Laguna, Philippines. Electronic address: don-eliseo.lucero-prisno@lshtm.ac.uk.
⁸ Clinical Research, Steno Diabetes Center Copenhagen, Denmark. Electronic address: anna.elisabet.lilja.secher@regionh.dk.
⁹ Clinical Research, Steno Diabetes Center Copenhagen, Denmark. Electronic address: gregers.stig.andersen@regionh.dk.
¹⁰ Clinical Research, Steno Diabetes Center Greenland, Greenland. Electronic address: maej@peqqik.gl.
¹¹ Sociedad Española de Medicina Marítima (SEMM) /Sanidad Marítima, Tarragona, Spain; Sanidad Maritima (ISM), Barcelona, Spain. Electronic address: helena.estopa@seg-social.es.
¹² Faculty of Medicine, Panama University, Rep. of Panamá.
¹³ National Research Center for Work Environment & Occup. Med. Clinic, Bispebjerg Hospital, Denmark.

PMID: 35114298
DOI: 10.1016/j.diabres.2022.109222

Abstract

Transport workers, seafarers and fishers have biannual mandatory fit-for duty medical examinations. Urinedipstick is used for early diagnosis of Type 2 diabetes mellitus. Due to low sensitivity with more than 80% false negatives the method should be replaced by highly sensitive blood tests, Hb1Ac or similar for diagnosis of Type 2 diabetes mellitus to pursue the UN Global Sustainable Goals, especially Goal 3: Good health and well-being for all workers and Goal 8: Decent Work and Economic Growth.

Keywords: False negatives; Hb1Ac; Screening; Sensitivity; Type 2 diabetes mellitus; Urine dipstick.

Publication types

Letter

MeSH terms

Diabetes Mellitus, Type 2* / diagnosis
Early Diagnosis
Humans
Reagent Strips
Sensitivity and Specificity

Substances

Reagent Strips