IntroductionOral health professionals have animportant role in Type 2 diabetes(T2D) prevention and identification.As part of an evaluation of an oralhealthcare practice-based modelthat identifies patients with pre-diabetes or T2D (The iDENTifyproject), this study reports on theproportion of patients identifiedwith clinically confirmed T2D/pre-diabetes and barriers ofimplementation of the model.

ResultsFifty-one oral healthcare practices and 76 Oral Health Professionals (OHP) participated(60 Dentists, 8 Dental Hygienists, 8 Oral Health Therapists) in the study.801 patients were screened; 104 were low-risk; 329 intermediate-risk; and 368 high-risk for T2D. Of the 697 participants in the intermediate or high-risk groups, 384(55.1%) were referred to their GP for T2D assessment.

Of them, 96 (25.0%) results were returnedto OHPs. Of the returned results, six were(6.3%) diagnosed with pre-T2D. The post-screening survey was completed by 135patient, 38 OHPs and 5 GPs. Their feedbackindicated that the screening model wasgenerally acceptable. Several barriers forimplementation were identified, (e.g., OHPs’diabetes risk factors knowledge,management of positive cases, trainingregarding the use of the AUSDRISK).A total of 313 (44.9%) non-referredparticipants had an intermediate or highAUSDRISK score and as part of the studyrecommendations they should have beenreferred to their GP for further T2Dassessment.

Reasons not referring a patient included: ‘good oral health’, ‘fit and healthy’, because the OHP did not think the risk factors that contributed to the participants’ intermediate or high risk AUSDRISK score would contribute to the participant having T2D or prediabetes, ‘see their GP regularly for check ups’ therefore the OHP and the participant did not think it was necessary to provide a referral. Out of 76 OHPs participating in the study, 38 OHPs provided feedback on our approach for the identification of T2D and prediabetes in oral healthcare settings. The majority of OHPs were either strongly satisfied or satisfied (94.6%) with the iDENTifyapproach and ‘Would recommend’ or ‘likely recommend’ its implementation in oral healthcare settings (81.0 %).

ConclusionsPatients found to have undiagnosed T2D/prediabetes (6.3%) were within the expected range reported in the literature. Findings indicate that identifying individuals at an elevated risk of having or developing T2D is effective, feasible and could be incorporated into an oral healthcare settings. However, this integration may require additional OHP training and education to ensure that patients at elevated risk of T2Dare referred for further assessment.

AcknowledgmentsThe authors would like to acknowledge all those oral health practitioners, GPs and patients who participated in this study. This was an eviDent Foundation projectThe project was funded by an unrestricted grant from Colgate-Palmolive Pty.

Literature cited1. Australian Government Department of Health and Ageing, The Australian Type 2 Diabetes Risk Assessment Tool (AUSDRISK). 2010.

Further informationPlease see https://identifydiabetes.orgor Contact: r.marino@unimelb.edu.au

Poster #1517: Identification of undiagnosed type-2 diabetes/pre-diabetes in oral healthcare settings

Rodrigo Mariño, Andre Priede, Michelle King, Geoff Adams, Melbourne Dental School, Melbourne University, Australia

Materials and methods•Urban and rural oral healthcarepractices participated.•Enrolled practices invited patientsto participate in the screeningprogram using the Australian Type-2 Diabetes Risk Assessment Tool(AUSDRISK)(1).•Participants were categorised aslow, intermediate, or high-risk forprediabetes/T2D.•Patients in the intermediate orhigh-risk category were referredto their GP for further investigation.•Post-screening questionnaires wereused to measure acceptability,barriers and facilitators of thescreening program amongparticipants.