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Dental Visits Proposed for Rapid HbA1c Screening to Catch Undiagnosed Diabetes

Researchers report a 35% detection rate in a hospital cohort, prompting calls for government funding to roll out testing in community practices.

Overview

  • Analysis of 911 patients at Guy's Dental Hospital found that among those without a prior diagnosis, 35% had HbA1c levels consistent with diabetes or prediabetes.
  • The recommended chairside test is a non-fasting, finger-prick HbA1c check that returns results in about six minutes.
  • Researchers advise offering the test to patients with risk factors such as older age, higher BMI, or gum disease, which was present in 83% of the cohort.
  • Elevated results would trigger referral to a GP for full assessment, with study authors noting many patients were unaware of their high HbA1c.
  • The British Dental Association welcomed the approach but said it will stall without government investment and clear referral pathways, with national estimates pointing to 1.3 million undiagnosed type 2 cases and over six million with prediabetes.