Re: REVISED CLASSIFICATION AND CRITERIA FOR THE DIAGNOSIS OF DIABETES MELLITUS

[Guest guest]

That was interesting, Bill. There's no date newer than 1997 in that set of

recommendations or the References. Yet it's presented as if it is updated

every year. There have been studies since 1997 showing that the two-hour

postprandial correlates more closely with HbA1c and complications than the

fasting glucose. Yet they recommend the fasting glucose because it's simpler

and cheaper.

This is a good one to bookmark, because all the recommendations are set out.

The first recommendation is " symptoms of diabetes plus, " but in many cases

the doctor isn't familiar with many of the symptoms that we online diabetics

are aware of. They seem to see each symptom as a separate malady, and ship

you off to a specialist. One person needs to examine the blood work, eyes,

the feet, the sores, the " dirty neck, " the yeast, the family history, and

learn the more subtle aspects of diabetes complications.

1. Symptoms of diabetes plus casual plasma glucose concentration >200 mg/dL

(11.1 mmol/L). 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; or

2. FPG >126 mg/dL (7.0 mmol/L). Fasting is defined as no caloric intake for

at least 8 h.; or

3. 2hPG >200mg/dL during an OGTT. The test should be performed as described

by WHO, using a glucose load containing the equivalent of 75-g anhydrous

glucose dissolved in water.