open access

Vol 3, No 2 (2002): Practical Diabetology
Review articles (translated)
Published online: 2002-05-13
Get Citation

How do we diagnose diabetes and measure blood glucose control? View 1 (diagnosing) A clinical basis for the diagnosis of diabetes

Mayer B. Davidson
Diabetologia Praktyczna 2002;3(2):109-114.

open access

Vol 3, No 2 (2002): Practical Diabetology
Review articles (translated)
Published online: 2002-05-13

Abstract

In 1979, criteria for the diagnosis of diabetes were selected based on levels of glycemia on the oral glucose tolerance test (OGTT) that were associated with the subsequent development of retinopapthy. Since then, five long-term studies have demonstrated that when HbA1c levels are maintained below 7% (normal 6%), development of retinopathy and microalbuminuria is practically nil. Approximately 60% of people with fasting plasma glucose (FPG) concentrations of 126–139 mg/dl and 70% of those with 2-h values on the OGTT of 200–239 mg/dl have normal HbA1c levels, with another third having values between 6 and 7%. This article offers an alternative approach to diagnosis using both FPG and HbA1c values.

Abstract

In 1979, criteria for the diagnosis of diabetes were selected based on levels of glycemia on the oral glucose tolerance test (OGTT) that were associated with the subsequent development of retinopapthy. Since then, five long-term studies have demonstrated that when HbA1c levels are maintained below 7% (normal 6%), development of retinopathy and microalbuminuria is practically nil. Approximately 60% of people with fasting plasma glucose (FPG) concentrations of 126–139 mg/dl and 70% of those with 2-h values on the OGTT of 200–239 mg/dl have normal HbA1c levels, with another third having values between 6 and 7%. This article offers an alternative approach to diagnosis using both FPG and HbA1c values.
Get Citation

Keywords

criteria for diabetes diagnosis; HBA1c; fasting plasma glucose; diabetes

About this article
Title

How do we diagnose diabetes and measure blood glucose control? View 1 (diagnosing) A clinical basis for the diagnosis of diabetes

Journal

Clinical Diabetology

Issue

Vol 3, No 2 (2002): Practical Diabetology

Pages

109-114

Published online

2002-05-13

Bibliographic record

Diabetologia Praktyczna 2002;3(2):109-114.

Keywords

criteria for diabetes diagnosis
HBA1c
fasting plasma glucose
diabetes

Authors

Mayer B. Davidson

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