Key result
The 1997 ADA criteria show no difference in type 2 diabetes reversion versus 1980 WHO criteria.
Why the study?
The influence of the 1997 ADA criteria on the incidence and reversion rates of type 2 diabetes to nondiabetic status was uncertain, with few studies addressing reversion using previous criteria.
Population
3,682 Mexican-American and non-Hispanic white men and nonpregnant women in the San Antonio Heart Study
Comparison
1980 WHO criteria vs 1997 ADA criteria for diabetes diagnosis
Design
Cohort study
Follow-up
7 to 8 years
Authors
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Reversion rates similar across criteria; supports diagnostic consistency in this cohort but leaves broader outcome effects open.
Cohort (n=3,682)
Absolute Event Rate: 12.5% vs 11.5%
The 1997 ADA criteria for diabetes diagnosis did not significantly alter the observed incidence or reversion rates of type 2 diabetes compared to the older 1980 WHO criteria.
Burke et al. (1998) conducted a cohort in Type 2 diabetes (n=3,682). 1997 ADA criteria vs. 1980 WHO criteria was evaluated on Reversion rate for individuals with type 2 diabetes. The 1997 ADA criteria yielded a 12.5% reversion rate from type 2 diabetes to nondiabetic status, which was not significantly different from the 11.5% rate observed using the 1980 WHO criteria.
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