Diagnosis of diabetes

Diabetes is diagnosed as follows: 3

1. If symptomatic (at least two of polydipsia, polyuria, frequent skin infections or frequent genital thrush).

o fasting venous plasma glucose (VPG) > 7.0 mmol/L o random VPG (at least 2 hours after last eating) > 11.1 mmol/L

2. If asymptomatic:

At least 2 separate elevated values, either fasting, 2 or more hours postprandial, or the 2 values from an oral glucose tolerance test (OGTT).

Note: If random or fasting VPG lies in uncertain range (5.5-11.0 mmol/L) in either a symptomatic patient or a patient with risk factors (over 50 years, overweight, blood relative with NIDDM or high blood pressure)

perform an OGTT. The cut-off point for further testing has now been reduced to 5.5 mmol/L. 4

The OGTT should be reserved for true borderline cases and for gestational diabetes. A screening test at

26-30 weeks gestation is recommended.

The diagnostic criteria after a 75 g load of glucose are:

Venous plasma glucose

Fasting

2 hours later

Normal

< 5.5

< 7.0

Impaired tolerance

5.5-7.8

> 7.0-11.1

Diabetes

> 7.0

> 11.1

Gestational diabetes

> 5.5

> 7.0

Urinalysis is unreliable in diagnosis since glycosuria occurs at different plasma glucose values in patients with different renal thresholds.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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