Purpose: Implement a confidential and low cost method to identify employees with undiagnosed diabetes. Methods:Blood samples from fasting plasma glucose measurements obtained by a third party vendor from the annual employee health risk assessment data were re-run at a cut-point of 117 mg/dL or greater to obtain a hemoglobin A1c (A1c) value. Individual letters were sent from the third party vendor to employees with a HbA1c value of 5.7% or greater informing them of an employee diabetes management program. Results: 1611 of 3044 (53%) employees participated in the annual health risk assessment; 87 employees demonstrated a fasting plasma glucose >117 mg/dL; 27 employees had a A1c of 5.7-6.3%; and 16 employees had an A1c > 6.5%; 9 employees volunteered to participant in the diabetes management program. The employer spent a total of $783 to find 16 employees with undiagnosed diabetes and 27 employees with undiagnosed pre-diabetes. Conclusion: The process used by this employer maintained confidentiality and was considered a low cost means of finding employees with undiagnosed diabetes.
Lenz T, Gillespie N, Monaghan M. Finding Employees with Undiagnosed Diabetes. The Internet Journal of Allied Health Sciences and Practice. 2013 Apr 01;11(2), Article 6.