Health state | Diagnostic test | Diagnostic criteria | Prevalence | Annual incidence of T2DM | Annual cost of care (£, 2015) | Utility (QALYs) |
---|---|---|---|---|---|---|
Normoglycaemia (NGT) | Any of fasting blood glucose, post-load glucose or glycated haemoglobin | Fasting glucose: <5.6 mmol/L Post-load glucose: <7.0 mmol/L HbA1c: <6.0 mmol/mol |  |  | £773 [Gamma distribution, SE: £102.63] | 0.768 [Beta distribution, SE: 0.10] |
Impaired fasting glucose (IFG) | Fasting blood glucose: blood glucose test after a period of fasting (typically overnight) | Fasting glucose: 5.6-6.9 mmol/L | Isolated IFG: 12.76% IFG + IGT: 1.49% IFG + HbA1c: 6.61% IFG + IGT + HbA1c: 1.06% | 3.55% [Beta distribution, SE: 0.006] | £869 [Gamma distribution, SE: 104.56] | 0.759 [Beta distribution, SE: 0.11] |
Impaired glucose tolerance (IGT) | Post-load glucose: blood glucose test 2 hours after consuming a drink containing 75 g of sugar | 2 hour post-load glucose: 7.0-11.1 mmol/L | Isolated IGT: 7.50% IGT + HbA1c: 3.31% | 4.54% [Beta distribution, SE: 0.004] | £946 [Gamma distribution, SE: 101.52] | 0.746 [Beta distribution, SE: 0.10] |
HbA1c | Glycated haemoglobin: blood test which estimates blood glucose levels over previous 2-3 months | 6.0-6.4 mmol/mol | Isolated HbA1c: 7.53% | 3.56% [Beta distribution, SE:0.017] | £869 [Gamma distribution, SE: 104.56] | 0.759 [Beta distribution, SE: 0.11] |
Type 2 Diabetes Mellitus (T2DM) | Any of fasting blood glucose, post-load glucose or glycated haemoglobin | Fasting glucose: >6.9 mmol/l 2 hour post-load glucose: >11.1 mmol/L |  |  | £1,179-£2,939 Increasing linearly from Year 1-15 [Gamma distribution, SE: 270.00] | 0.738 [Beta distribution, SE: 0.12] |