Research Summary
Analyzed using Evidence Intelligence™

Glycated Hemoglobin Screening Improves Diabetes Identification in South Asians

Last updated July 18, 2026

Key finding

Response rate in the glycated hemoglobin group was 29.2% (CI 27.6–30.8) versus 24.6% (CI 23.1–26.1) in the OGTT group (p = 0.0002).

This study compared the effectiveness of glycated hemoglobin measurement and oral glucose tolerance test for screening in South Asian individuals, finding higher response and participation rates for the former.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Extended (5–20+ y)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study compared the effectiveness of glycated hemoglobin measurement and oral glucose tolerance test for screening in South Asian individuals, finding higher response and participation rates for the former.

Clinical relevance

These findings are significant for public health strategies aimed at improving diabetes screening in South Asian populations, who are at higher risk for diabetes. By identifying a more effective screening method, healthcare providers can enhance participation rates, potentially leading to earlier diagnosis and better management of diabetes in this demographic.

Keep in mind

The study design was non-randomized, which may introduce bias. Results may not be generalizable beyond South Asian populations. Potential confounding factors were not fully controlled.

Published in

Journal Reference

Publication details and source links for this paper.

Irene GMVV, Everlina MAV, Vera N, Barend JCM, Karien S, Alberico C. Direct comparisons of the effect of a glycated haemoglobin measurement or an oral glucose tolerance test on the uptake and yield of screening in people of South Asian origin have not been made. PLOS ONE. 2015;10(8):e0136734. doi:10.1371/journal.pone.0136734

Main Effects

Glycated hemoglobin group had a response rate of 29.2% compared to 24.6% in the OGTT group (p = 0.0002).

Participation rate was significantly higher in the glycated hemoglobin group at 23.9% versus 19.3% in the OGTT group (p<0.0001).

The adjusted odds ratio for response was 1.30 for the glycated hemoglobin group compared to 1.00 for the OGTT group.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Glycated Hemoglobin Screening, Oral glucose tolerance test and Odds ratio for response in glycated hemoglobin screening, Participation rate in glycated hemoglobin screening, Response rate.

Primary intervention

Glycated Hemoglobin Screening

Primary outcomes

  • Odds ratio for response in glycated hemoglobin screening
  • Participation rate in glycated hemoglobin screening
  • Response rate

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

6
Evidence pairs
6
Relationships
0
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 50

0

Related topics

6

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

Odds ratio for response in glycated hemoglobin screening

Glycated Hemoglobin Screening → Odds ratio for response in glycated hemoglobin screening

Glycated Hemoglobin Screening → Odds ratio for response in glycated hemoglobin screening

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Participation rate in glycated hemoglobin screening

Glycated Hemoglobin Screening → Participation rate in glycated hemoglobin screening

Glycated Hemoglobin Screening → Participation rate in glycated hemoglobin screening

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Response rate

Glycated Hemoglobin Screening → Response rate

Glycated Hemoglobin Screening → Response rate

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Odds ratio for response in glycated hemoglobin screening

Oral glucose tolerance test → Odds ratio for response in glycated hemoglobin screening

Oral glucose tolerance test → Odds ratio for response in glycated hemoglobin screening

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Participation rate in glycated hemoglobin screening

Oral glucose tolerance test → Participation rate in glycated hemoglobin screening

Oral glucose tolerance test → Participation rate in glycated hemoglobin screening

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Response rate

Oral glucose tolerance test → Response rate

Oral glucose tolerance test → Response rate

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Glycated hemoglobin measurement increased response rates by 4.6% compared to OGTT.
  • Participation rates improved by 4.6% in the glycated hemoglobin group.
  • The odds of response were 30% higher in the glycated hemoglobin group.
who this applies

Who this applies to

  • Individuals of South Asian origin at risk for diabetes.
  • Adults aged 18 and older participating in diabetes screening.
keep in mind

Keep in Mind

  • The study's non-randomized design may limit the reliability of the findings.
  • Results are specific to South Asian populations and may not apply to others.
  • Further research is needed to confirm these findings in diverse populations.
between the lines

Between the Lines

  • The study design was non-randomized, which may introduce bias.
  • Results may not be generalizable beyond South Asian populations.
  • Potential confounding factors were not fully controlled.

Evidence Library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Glycated Hemoglobin Screening and Odds ratio for response in glycated hemoglobin screening, Glycated Hemoglobin Screening and Participation rate in glycated hemoglobin screening.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

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Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Glycated Hemoglobin Screening improve odds ratio for response in glycated hemoglobin screening?

Emerging Evidence

Glycated Hemoglobin Screening appears to improve Odds ratio for response in glycated hemoglobin screening.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Odds ratio for response in glycated hemoglobin screening

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Glycated Hemoglobin Screening improve participation rate in glycated hemoglobin screening?

Emerging Evidence

Glycated Hemoglobin Screening appears to improve Participation rate in glycated hemoglobin screening.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Participation rate in glycated hemoglobin screening

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Glycated Hemoglobin Screening improve response rate?

Emerging Evidence

Glycated Hemoglobin Screening appears to improve Response rate.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Response rate

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Oral glucose tolerance test improve participation rate in glycated hemoglobin screening?

Emerging Evidence

Oral glucose tolerance test appears to improve Participation rate in glycated hemoglobin screening.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Participation rate in glycated hemoglobin screening

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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