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Diagnostic Criteria For Diabetes Mellitus According To American Diabetes Association

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Diagnosis Of Type 2 Diabetes Mellitus

There is a continuum of risk for poor patient outcomes as glucose tolerance progresses from normal to overt type 2 diabetes. AACE-defined glucose tolerance categories are listed in Table 1.1 Table 1. Glucose Testing and Interpretation1 Normal High Risk for Diabetes Diabetes FPG < 100 mg/dL IFG FPG ≥100-125 mg/dL FPG ≥126 mg/dL 2-hour PG <140 mg/dL (measured with an OGTT performed 2 hours after 75 g oral glucose load taken after 8-hour fast) IGT 2-hour PG ≥140-199 mg/dL 2-hour PG ≥200 mg/dL Random PG ≥200 mg/dL plus symptoms of diabetes (polyurea, polydipsia, or polyphagia) A1C < 5.5% 5.5% to 6.4% For screening of prediabetesa ≥6.5% Secondaryb Abbreviations: A1C = hemoglobin A1C; FPG = fasting plasma glucose; IFG = impaired fasting glucose; IGT = impaired glucose tolerance; PG = plasma glucose. a A1C should be used only for screening prediabetes. The diagnosis of prediabetes, which may manifest as either IFG or IGT, should be confirmed with glucose testing. b Glucose criteria are preferred for the diagnosis of DM. In all cases, the diagnosis should be confirmed on a separate day by repeating glucose or A1C testing. When A1C is used for diagnosis, follow-up glucose testin Continue reading >>

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Popular Questions

  1. jameshallam

    Hi all,
    After a particular vicious game of squash, I managed to quite badly bruise my big toe - so much so it had already turned black with in a couple of minutes of doing it.
    That was last Wednesday, I couldn't walk on it for the first 24 hours, the build up of blood underneath the nail was causing it to throb quite badly. Then, after fiddling with it for a bit, it started bleeding underneath the nail (quite alot!) and now it doesn't hurt as much
    I can walk fine, playing squash again tomorrow so I will see if i can still run/change direction without too much pain.
    It still 'weeps' a bit if i fiddle with the nail. I am expecting it to drop off sooner or later...
    So you have had the intro! I started wondering earlier that diabetics often have problems with their feet, I wondered if this could cause me problems? I haven't had T1 long, and have good BG control - on the flip side, I have never had any experience of foot problems or what to expect etc.
    Has anyone every had this happen to them before, any thing I should look out for?
    I haven't been to my doctor or DSN, is it worth a visit or not worth the hassle?
    Cheers,
    James

  2. catherinecherub

    Hi James,
    IMHO you should get your toe seen to by a professional. It may get better on it's own but it may get worse. You cannot see what is going on under that nail. You may need some antibiotics. Better to be safe than sorry.

  3. candyfloss

    I'm T2. Same thing happened to me about 5 months ago when I was playing badminton probably due to wearing a pair of worn socks and old shoes. Anyhow big toenail went black, but didnt bleed. Saw the doctor and she said it will heal. Very slowly it has. Happened to a friend of mine and he said it took almost a year for it to heal completely.
    If its worry, go and see your doctor for reassurance.

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