Early diagnosis of T2DM using high sensitive tests in the mandatory medical examinations for fishers, seafarers and other transport workers

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

doi:10.1016/j.pcd.2021.12.018

Early diagnosis of T2DM using high sensitive tests in the mandatory medical examinations for fishers, seafarers and other transport workers

Prim Care Diabetes. 2022 Feb;16(1):211-213. doi: 10.1016/j.pcd.2021.12.018. Epub 2022 Jan 4.

Affiliations

¹ Centre for Maritime Health and Society, Department of Public Health, University of Southern Denmark, Esbjerg, Denmark; University of Cadiz FUECA, Spain. Electronic address: [email protected].
² Caja Seguro Social, Vacamonte, Rep. of Panamá; Universidad Metropolitana de Educación Ciencia y Tecnología. Facultad de las Ciencias y Tecnología, City of Panamá, Rep. of Panamá. Electronic address: [email protected].
³ Department of Public Health, University of Southern Denmark, Esbjerg, Denmark. Electronic address: [email protected].
⁴ University of Cadiz FUECA, Spain; Sociedad Española de Medicina Marítima (SEMM)/Sanidad Marítima, Tarragona, Spain. Electronic address: [email protected].
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: [email protected].
⁶ Regional Medical Office German Embassy Moscow, Russia. Electronic address: [email protected].
⁷ London School of Hygiene and Tropical Medicine, London, United Kingdom; University of the Philippines Open University, Philippines. Electronic address: [email protected].
⁸ Clinical Research, Steno Diabetes Center Copenhagen, Denmark. Electronic address: [email protected].
⁹ Clinical Research, Steno Diabetes Center Copenhagen, Denmark. Electronic address: [email protected].
¹⁰ Clinical Research, Steno Diabetes Center, Greenland. Electronic address: [email protected].
¹¹ National Research Center for Work Environment, Copenhagen & Occup. Med. Clinic, Bispebjerg Hospital, Denmark. Electronic address: [email protected].

PMID: 34996691
DOI: 10.1016/j.pcd.2021.12.018

Abstract

Transport workers like seafarers, truck-, bus-, train- and taxi drivers and fishers have a known great inequity in health at work including high risk of developing type 2 diabetes. Their routine mandatory medical examinations use urine glucose for diabetes check with more than 50% false negatives, which should be replaced by high sensitive tests for diabetes-2, like A1C, Fasting Glucose (FPG) or Oral Glucose Tolerance Test (OGTT).

Keywords: Air pilots; Bus drivers; Diabetes type 2; Early diagnosis; Fishers; Fit for duty; Medical examination; Seafarers; T2DM; Taxi drivers; Truck drivers.

MeSH terms

Blood Glucose
Diabetes Mellitus, Type 2* / diagnosis
Early Diagnosis
Fasting
Glucose Tolerance Test
Glycated Hemoglobin / analysis
Humans

Substances

Blood Glucose
Glycated Hemoglobin A