Criteria for the Screening and Diagnosis of Diabetes

DIABETES HOMEOCARE INTERNATIONAL WORLD-CLASS HOMEOPATHY CRITERIA FOR THE SCREENING AND DIAGNOSIS OF DIABETES Prediabetes Diabetes A1C 5.7-6.4%* 26.5%t FPG 100-125 mg/dL 2126 mg/dL (5.6-6.9 mmol/L)* (7.0 mmol/L)t OGTT 140-199 mg/dL 2200 mg/dL (7.8-11.0 mmol/L)* (11.1 mmol/L)t 2200 mg/dL RPG (11.1 mmol/L)* *For all three tests, risk is continuous, extending below the lower limit of the range and becomingdisproportionately greater at the higher end of the range. țin the absence of unequivocal hyperglycemia, diagnosis requires two abnormal test results from the same sample or in two separate samples. tOnly diagnostic in a patient with classic symptoms of hyperglycemia or hyperglycemic crisis. RPG, random plasma glucose. CRITERIA FOR TESTING FOR DIABETES OR PREDIABETES IN ASYMPTOMATIC ADULTS 1. Testing should be considered in overweight or obese (BMI 225 kg/m? or 223 kg/m2 in Asian Americans) adults who have one or more of the following risk factors: • First-degree relative with diabetes • High-risk race/ethnicity (e.g., African, American, Latino, Native American, Asian American, Pacific Islander) • History of CVD • Hypertension (2140/90 mmHg or on therapy for hypertension) • HDL cholesterol level <35 mg/dL (0.90 mmol/L) and/or a triglyceride level>250 mg/dL (2.82 mmol/L) • Women with polycystic ovary syndrome • Physical inactivity • Other clinical conditions associated with insulin resistance (e.g., severe obestiy, acanthosis nigricans) 2. Parents with prediabetes (A1C 25.7% [39 mmol/mol], IGT or IFG) should be tested yearly. 3. Women who were diagnosed with GDM should have lifelong testing at least every 3 years. 4. For all other patients, testing-should begin at age 45 years. 5. If results are normal, testing should be repeated at a minimum of 3 years intervals, with consideration of more frequent testing depending on initial results and risk status. INTERN