Diabetes diagnostic criteria

Diabetes diagnosis based on clinical symptoms and blood sugar. The following is the diagnostic criteria in 1999 WHO, IDF announced to be in the same year the Chinese Medical Association Diabetes Association recognition, and so on, and suggested the implementation of China.
The concentration of glucose units: mmol / l cava (whole blood) capillary veins (plasma)
(Diabetes)
Fasting ≥ 6.1 ≥ 6.1 ≥ 7.0
Sugar 2 hours after the service ≥ 10.0 11.1 ≥ 11.1
(Damage tolerance)
Fasting <6.1 <6.1 <7.0
2 hours after the serving of sugar ≥ 6.7 ≥ 7.8 ≥ 7.8
(Fasting blood glucose damage)
Fasting> 5.6 <6.1> 5.6 <6.1 ≥ 6.1 <7.0
Sugar 2 hours after the service <6.7 <7.8 <7.8
The concentration of glucose units: mg / dl vein (whole blood) capillary veins (plasma)
(Diabetes)
Fasting ≥ 110 ≥ 110> 126
Sugar 2 hours after the service ≥ 180 ≥ 200> 200
(Damage tolerance)
Fasting <110 <110 <126
Sugar 2 hours after the service ≥ 120 ≥ 140 ≥ 140
(Fasting blood glucose damage)
Fasting> 100 <110> 100 <110 ≥ 110 <126
Sugar 2 hours after the service <120 <140 <140
[Diagnosis that required a few]
(A) diagnosed with diabetes:
1, with typical symptoms of fasting blood glucose 126mg/dl (7.0 mmol / l) or postprandial blood glucose ≥ 200mg/dl (11.1 mmol / l).
2, there is no typical symptoms, only fasting blood glucose 126mg/dl (7.0 mmol / l) or postprandial blood glucose 200mg/dl (11.1 mmol / l) should like to repeat that it still amounted to more than value, can be diagnosed with diabetes.
3, there is no typical symptoms, only fasting blood glucose 126mg/dl (7.0 mmol / l) or postprandial blood glucose 200mg/dl (11.1 mmol / l) glucose tolerance test 2 hours blood glucose 200mg/dl (11.1mmol / l) can be diagnosed as Diabetes.
(B) can rule out the possibility of diabetes:
1, 2 hour glucose tolerance, such as 140-200 mg / dl (7.8-11.1 mmol / l), to reduce glucose tolerance; such as fasting blood glucose 110-126 mg / dl (6.1-7.0 mmol / l) for the fasting blood glucose Damage is not diagnosed with diabetes.
2, if the postprandial blood glucose <140mg/dl (7.8 mmol / l) and fasting blood glucose <100mg/dl (5.6mmol / l) can rule out diabetes.
[Notes]
1, a serious and obvious symptoms of high blood sugar, blood sugar level over and above the requirements of indicators can be confirmed.
2, in the acute infection, trauma, surgery or other stress situations, although clearly detected high blood sugar, can not be immediately diagnosed with diabetes.
3, who can not be silent in accordance with a diagnosis of blood sugar, must be more than another diagnostic criteria.
4, most of the children's symptoms of severe diabetes, high blood sugar, urine sugar, U-positive, do not need tolerance test a small number of symptoms were not serious, it would take fasting plasma glucose test or oral glucose tolerance test.
"The World Health Organization in 1985 to develop the criteria for diagnosis of diabetes"
In line with one of the following can be diagnosed with diabetes:
1, typical symptoms of diabetes, blood sugar is higher than any time 11.1mmol / L (200mg/dl).
2, Richard fasting blood glucose, two or more higher than 7.8mmol / L (140mg/dl).
3, fasting blood glucose less than 7.8mmol / L, suspected diabetes, do oral glucose tolerance test, sugar served more than 2 hours after glucose 11.1mmol / L. If there are no symptoms of diabetes, and another needed a blood sugar more than 11.1mmol / L. The above-mentioned value of intravenous plasma glucose concentrations of glucose.
"1997 American Diabetes Association's diagnostic criteria for diabetes"
1, there are symptoms of diabetes, blood glucose and arbitrary ≧ 11.1mmol / L.
2, fasting blood glucose ≧ 7.0mmol / L.
3, 2 hour glucose tolerance test ≧ 11.1mmol / L. OGTT still requested the World Health Organization.
Meet the above criteria, one of the patients in the other day to repeat the above checks, if still in line with one of the three criteria that were diagnosed with diabetes.
Other diagnosis
Glucose tolerance test served 2 hours after glucose ≧ 7.8mmol / L, but lower than 11.1 mmol / L for the diagnosis
Glucose tolerance. Fasting blood glucose greater than or equal to 6.1mmol / L, but lower than 7.0mmol / L for the diagnosis of impaired fasting glucose. Suspected of gestational diabetes, 100g use of oral glucose tolerance test for diagnosis. 100g glucose tolerance test according to the results of the National Diabetes Data Group O'Sulivan validation of diagnostic criteria, the diagnostic criteria in Table 1.
Table 1 O'Sullivan diagnostic criteria (intravenous plasma)
Serving time on an empty stomach 100g sugar 1 hour 2 hours 3 hours
Blood glucose (mmol / l) 5.9 10.6 9.2 8.1
Blood sugar (mg / dl) 105 190 165 145
The establishment of the diagnosis of two or more blood sugar, meet or exceed the value of the value of the above
Gestational diabetes to take the World Health Organization in 1985 to develop the criteria for diagnosis of diabetes, is also feasible.
[Common abbreviation]
WHO - World Health Organization IDF - International Diabetes Federation Diabetes Institute of the Chinese Medical Association
OGTT-tolerance test IGT - damage tolerance IFG - fasting blood glucose damage
DM --- diabetes mmol/L-- mmol per liter mg/dl-- mg dl