1 / 6

DIABETES MELLITUS Current diagnostic criteria

DIABETES MELLITUS Current diagnostic criteria. Diabetes symptoms (polyuria, polydipsia, unexplained weight loss) plus: Random venous plasma glucose 200 mg/dl or Fasting venous plasma glucose 126 mg/dl or 2 hour venous plasma glucose 200 mg/dl (after 75 g glucose in OGTT)

shellie-phelps
Download Presentation

DIABETES MELLITUS Current diagnostic criteria

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. DIABETES MELLITUSCurrent diagnostic criteria • Diabetes symptoms (polyuria, polydipsia, unexplained weight loss) plus: • Random venous plasma glucose 200 mg/dl or • Fasting venous plasma glucose 126 mg/dl or • 2 hour venous plasma glucose 200 mg/dl (after 75 g glucose in OGTT) • No symptoms:at least two glucose tests on different days within diabetic range WHO definition, diagnosis and classification of diabetes mellitus and its complications. http://www.diabetes.org.uk/healthcare/5/sum.htm

  2. Classic symptoms of Diabetes • Excess urine (Polyuria), • Excess drinking water (Polydipsia), • Recent weight loss, • Blurring of vision, • Genital infection • Balanoposthitis in man, • Vulvovaginitis in women.

  3. FASTING Overnight fast, Sample in the morning, No diet restriction, Venous blood. RANDOM Anytime of the day, Helpful for epidemiological purpose, No diet restriction, Venous blood. Fasting and Random

  4. GTT - Diagnostic Criteria • Normal • 2h value <140 mg • Borderline • 2h value 140 – 199 mg • Diabetes • 2h 200 mg or more.

  5. Glucose Tolerance Test -Procedure • Normal diet for at least 3 days, • Overnight fasting, • Blood sample for fasting glucose, • 75 Gm glucose in 300 ml water to drink over 5 min, • Blood sample after 2hr for glucose, • Delayed breakfast. • Should not be admitted, • No smoking • Free from stress • Six wks from significant medical illness.

  6. Why the diagnose delayed? • Awareness is sub-optimum, • Negligence, • Economic restraint, • Access to medical service, • Non-specific presentation.

More Related