OGTT, FROM THE POINT OF VIEW OF PATIENTS

Program: Abstracts - Orals, Featured Poster Presentations, and Posters
Session: SUN 807-838-Diabetes - Diagnosis, Complications & Outcomes
Clinical
Sunday, June 16, 2013: 1:45 PM-3:45 PM
Expo Halls ABC (Moscone Center)

Poster Board SUN-814
Habib Bilen*1, Puren Gokbulut2, Cigdem Ozdemir3, Volkan Gokbulut4 and Adem Gungor5
1Univ of Ataturk School of Med, Erzurum, Turkey, 2Kars Goverment Hospital, Kars, Turkey, 3University of Ataturk,School of Medicine, erzurum, Turkey, 4Kars Government Hospital, kars, Turkey, 5University of Ataturk, School of Medicine, Erzurum, Turkey
Diabetes Mellitus (DM) is a critical, life-threatening and world-wide disease with increasing incidence rate, leading to early mortality and morbidity with its complications and a financial burden for the population. The diagnosis of DM is made by fasting plasma glucose, oral glucose tolerance test (OGTT), Hb A1c and random plasma glucose measurement when the symptoms exist. Currently, The OGTT is an important diagnostic method, preferred by clinicians for the diagnosis of DM and impaired glucose intolerance (IGT) in spite of relatively easier methods.

Objective: In this study, we aimed to detect the satisfaction status of patients underwent OGTT for the diagnosis of their disease.

Research  Design and Methods: OGTT indicated, three-hundred patients applied to our clinic were admitted to our study. The standardized 75-g OGTT was performed after overnight fasting in the morning and fasting and 2-h postload venous blood glucose concentrations were measured. After the test, all the patients were asked to answer a questionnaire in order to evaluate the satisfaction status of patients about the test.

Results: Of the 300 participants, 176 subjects (58.6%) were male, 124 subjects (41.4%) were female. Seventy percent of all patients reported that if it could be possible, they would not prefer OGTT to be performed for the diagnosis of their disease. The reasons for being unwilling to the procedure were; the complaints occurred during the test, being functionless and immobile without eating or drinking anything for two hours and being required to stay in a partially fixed place along the test. During the test, nausea occurred in 126 subjects (42%), vomitting occurred in 27 subjects (9%), sweating occurred in 66 subjects (22%)  and palpitation occurred in 79 subjects (%26.3). Among 300 patients, 266 subjects complained from the difficulty in drinking test fluid and of these patients 180 subjects (85.5%) reported to choose another test different from OGTT. The factors positively influencing the patient’s opinion were being informed in details about the test before performing and politeness of the health care providers. Favorable perception about the test was associated with the test place if it is wide, well-lighted and equipped with TV, computer and similar equipments that will prevent from feeling uncomfortable throughout the test.

Conclusions: OGTT is the ‘gold standard’ method in diagnosis of IGT and DM, even though there are easily performable and practical methods such as Hb A1c and fasting plasma glucose measurements. Nevertheless, taking into account the results of our study, we suggest that it will be more benefical if any other diagnostic method that is more actual, easily applicable and repeatable, better tolerated and standardized can be developed.

Stern MP et al. Ann Intern Med 2002; 16: 136.

Nothing to Disclose: HB, PG, CO, VG, AG

*Please take note of The Endocrine Society's News Embargo Policy at http://www.endo-society.org/endo2013/media.cfm