Abstract
Objective In order to encourage medical consultations, the characteristics of subjects requiring medical consultation due to hyperglycemia were investigated using health check records at Tokai University Hospital (Survey 1). Among the examinees who underwent annual health checkups for two consecutive years and required a medical consultation at the first visit, we investigated how many of those subjects were treated at the second visit (Survey 2).
Methods Survey 1: 13,474 subjects (7,554 men and 5,920 women) who underwent health checkups at Tokai University Hospital in fiscal 2015 were enrolled. Survey 2: Among 13,765 subjects who underwent health checkups in fiscal 2014, 10,780 (78.3%, 6,157 men and 4,623 women) who also visited the next year were enrolled. The numbers of diabetic and/or hyperglycemic subjects and their A1c levels were analyzed by sex and age.
Results Survey 1: The percentage of subjects receiving diabetes treatment was 7.1% in men and 3.3% in women. The percentage requiring medical consultation due to hyperglycemia was 1.9% in men and 0.9% in women. Although the overall average A1c was 7.3% in those requiring medical consultation due to hyperglycemia, A1c levels were higher in younger productive subjects than in elderly retired subjects. Survey 2: Among the subjects requiring medical consultation due to hyperglycemia in the first year, 51.5% of men and 58.3% of women were receiving diabetes treatment the next year. In particular, most of the younger subjects with higher A1c were found to be receiving treatment at the next visit.
Conclusion The key role of health checkups is early detection of disease, so it is particularly important for examinees to receive medical consultation immediately after the checkup. The subjects requiring medical consultation due to hyperglycemia were successfully encouraged to start diabetes treatment through explanation of the results by doctors on the day of the health checkup.
