Development of a Dutch diabetes risk score

Background

Prevalence of type 2 diabetes is rapidly increasing as a result of aging and the higher prevalence of obesity. In current practice, type 2 diabetes is often diagnosed in a stage of the disease when complications are already present. It has been shown that lifestyle intervention is an effective tool in primary prevention of diabetes in individuals with impaired glucose regulation. Therefore, attention is nowadays focussed on detection of individuals at high risk for type 2 diabetes.
Evidence-based risk scores to detect high risk individuals for cardiovascular disease do exist (the Framingham and the European Heart score). These scores are used in clinical practice and in scientific research for comparison of populations. For incident diabetes, two risk scores are available (Finnish risk score and American risk score), but the Finnish risk score is based on diabetes diagnosed in clinical practice.