{"id":51,"date":"2009-02-26T01:53:04","date_gmt":"2009-02-26T01:53:04","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/dbtdiabetes\/"},"modified":"2025-05-14T21:01:23","modified_gmt":"2025-05-14T21:01:23","slug":"dbtdiabetes","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/dbtdiabetes\/","title":{"rendered":"Criteria for the Diagnosis of Diabetes Mellitus"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Diabetes is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. The chronic hyperglycemia of diabetes is associated with long-term damage, dysfunction, and failure of different organs, especially the eyes, kidneys, nerves, heart, and blood vessels.<!--more--><\/p>\n<p><strong>Criteria for the Diagnosis of Diabetes Mellitus<\/strong><\/p>\n<p class=\"MsoNormal\">1. Symptoms of diabetes plus casual plasma glucose concentration \u2265200 mg\/dl <span class=\"GramE\">(11.1 mmol\/l)<\/span>. Casual is defined as any time of day without regard to time since last meal. The classic symptoms of diabetes include polyuria, polydipsia, and unexplained weight loss.<\/p>\n<p class=\"MsoNormal\"><span class=\"GramE\">or<\/span><\/p>\n<p class=\"MsoNormal\">2. Fasting Plasma Glucose (FPG) \u2265126 mg\/dl <span class=\"GramE\">(7.0 mmol\/l)<\/span>. Fasting is defined as no caloric intake for at least 8 h.<\/p>\n<p class=\"MsoNormal\">or<\/p>\n<p class=\"MsoNormal\">3. Hemoglobin A1C \u22656.5%. The test should be performed in a laboratory using a method that is National Glycohemoglobin Standardization Program (NGSP) certified and standardized to the Diabetes Control and Complications Trial (DCCT) assay.<\/p>\n<p class=\"MsoNormal\"><span class=\"GramE\">or<\/span><\/p>\n<p class=\"MsoNormal\">4. Two-hour postload glucose \u2265200 mg\/dl (11.1 mmol\/l) during an Oral Glucose Tolerance Test (OGTT). The test should be performed as described by <span class=\"GramE\">WHO<\/span>, using a glucose load containing the equivalent of 75 g anhydrous glucose dissolved in water.<\/p>\n<p class=\"MsoNormal\">In the absence of unequivocal hyperglycemia, these criteria should be confirmed by repeat testing on a different day. The third measure (OGTT) is not recommended for routine clinical use.<\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong>References: <\/strong><\/p>\n<ol style=\"margin-top: 0cm;\">\n<li>American Diabetes Association. Diagnosis and Classification of Diabetes Mellitus. Diabetes Care. 2012 Jan;35(suppl_1):S64-S71.\u00a0<a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22187472\">[Medline]<\/a><\/li>\n<li>American Diabetes Association. 2. Classification and Diagnosis of Diabetes:\u00a0Standards of Medical Care in Diabetes-2021. Diabetes Care. 2021 Jan;44(Suppl 1):S15-S33. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33298413\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: April 16, 2005<br \/>\nUpdate: Feb 05, 2021<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[626],"tags":[16,15,211,123,13,212],"class_list":["post-51","post","type-post","status-publish","format-standard","hentry","category-diabetes","tag-criteria","tag-criterios","tag-diabetes","tag-diagnosis","tag-diagnostico","tag-mellitus"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/51","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=51"}],"version-history":[{"count":8,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/51\/revisions"}],"predecessor-version":[{"id":10044,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/51\/revisions\/10044"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=51"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=51"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=51"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}