What question did this study set out to answer?

To update and standardize the clinical classification system and diagnostic thresholds for diabetes mellitus and gestational diabetes mellitus, emphasizing the formal inclusion of hemoglobin A1c.

October 1, 2010Journal of Diabetes InvestigationOpen Access

Report of the Committee on the Classification and Diagnostic Criteria of Diabetes Mellitus

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Authors

YSYutaka SeinoKansai Electric Power (Japan)KNKishio NanjoWakayama Rosai Hospital NTNaoko TajimaNihon University

Discussion

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Implication

Consensus guideline establishes revised diagnostic thresholds and classification schemes for individuals with glucose metabolism disorders, highlighting hemoglobin A1c integration.

Key Points

To update and standardize the clinical classification system and diagnostic thresholds for diabetes mellitus and gestational diabetes mellitus, emphasizing the formal inclusion of hemoglobin A1c.
Convened an expert committee consensus to establish an etiology-based classification scheme and pathophysiological staging for glucose metabolism disorders.
Defined specific diagnostic thresholds using fasting plasma glucose, 75 g oral glucose tolerance testing, casual plasma glucose, and standardized hemoglobin A1c (HbA1c).
Classified glucose metabolism disorders into four primary groups: type 1 diabetes, type 2 diabetes, diabetes due to other specific mechanisms or diseases, and gestational diabetes mellitus.
Defined diabetic type by fasting plasma glucose ≥126 mg/dL (≥7.0 mmol/L), 2-h oral glucose tolerance test value ≥200 mg/dL (≥11.1 mmol/L), casual plasma glucose ≥200 mg/dL (≥11.1 mmol/L), or HbA1c ≥6.5%.
Established gestational diabetes mellitus diagnostic criteria during a 75 g oral glucose tolerance test as fasting plasma glucose ≥92 mg/dL, 1-h value ≥180 mg/dL, or 2-h value ≥153 mg/dL.

Cite This Study

Seino et al. (2010) studied this question.

synapsesocial.com/papers/69dab119615cc0c8eaa3ccab https://doi.org/10.1111/j.2040-1124.2010.00074.x

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Implication

Consensus guideline establishes revised diagnostic thresholds and classification schemes for individuals with glucose metabolism disorders, highlighting hemoglobin A1c integration.

Report of the Committee on the Classification and Diagnostic Criteria of Diabetes Mellitus

Discussion

Member takes

Implication

Key Points

Cite This Study

Report of the Committee on the Classification and Diagnostic Criteria of Diabetes Mellitus

Discussion

Member takes

Implication

Key Points

Cite This Study

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