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Publicado: 28 de abril de 2012
Title: Standards of Medical Care in Diabetes—2010
Topic: General Cardiology
Date Posted: 2/12/2010
Author(s): American Diabetes Association.
Citation: Diabetes Care 2010;33:S11-S61.Clinical Trial: No | |
|Perspective: The following are 10 points to remember about standards of medical care in diabetes: |
||
|1. Criteria for the diagnosis of diabetes nowinclude glycated hemoglobin (HbA1C) ≥6.5%. The testing should be performed in a National |
|Glycohemoglobin Standardization Program–certified lab. Other criteria include fastingplasma glucose (FPG) ≥126 mg/dl (7.0 mmol/L), 2-hour plasma |
|glucose ≥200 mg/dl (11.1 mmol/L) during an oral glucose tolerance testing (OGTT) (protocol defined by World HealthOrganization), or if a patient has|
|symptoms of hyperglycemia and a random plasma glucose of ≥200 mg/dl. (Note that conditions of abnormal red cell turnover reduce accuracy of HbA1C; |
|thenglucose criteria should be used.) |
||
|2. Categories of increased risk for development of diabetes include impaired FPG(100-125 mg/dl [5.6-6.9 mmol/L]) or impaired OGTT (140-199 mg/dl |
|[7.8-11.0 mmol/L]). Such patients should have structured lifestyle interventions to improve diet and physical activityand promote weight loss if |
|warranted. |
|...
Topic: General Cardiology
Date Posted: 2/12/2010
Author(s): American Diabetes Association.
Citation: Diabetes Care 2010;33:S11-S61.Clinical Trial: No | |
|Perspective: The following are 10 points to remember about standards of medical care in diabetes: |
||
|1. Criteria for the diagnosis of diabetes nowinclude glycated hemoglobin (HbA1C) ≥6.5%. The testing should be performed in a National |
|Glycohemoglobin Standardization Program–certified lab. Other criteria include fastingplasma glucose (FPG) ≥126 mg/dl (7.0 mmol/L), 2-hour plasma |
|glucose ≥200 mg/dl (11.1 mmol/L) during an oral glucose tolerance testing (OGTT) (protocol defined by World HealthOrganization), or if a patient has|
|symptoms of hyperglycemia and a random plasma glucose of ≥200 mg/dl. (Note that conditions of abnormal red cell turnover reduce accuracy of HbA1C; |
|thenglucose criteria should be used.) |
||
|2. Categories of increased risk for development of diabetes include impaired FPG(100-125 mg/dl [5.6-6.9 mmol/L]) or impaired OGTT (140-199 mg/dl |
|[7.8-11.0 mmol/L]). Such patients should have structured lifestyle interventions to improve diet and physical activityand promote weight loss if |
|warranted. |
|...
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