The changing classification and diagnosis of diabetes

BMJ 1998;317:359-360 ( 8 August )

Editorials

The changing classification and diagnosis of diabetes

New classification is based on pathogenesis, not insulin dependence

Papers p 371 General practice p 390

The first 150 words of the full text of this article appear below.

At its annual meeting in June 1997 the American Diabetes Association announced the conclusions of an expert committee, whichrecommended changes to the way that diabetes is classified andto the choice of diagnostic method and cut off value that shouldbe used to define the disease.¹ A provisional report from aWorld Health Organisation consultation group, with some overlapin members with the American committee, has recently been published.² These recommendations could have important epidemiological implications,but they will also affect individual patients.

The previous classification of diabetes was based on the extent to which a patient was dependent on insulin.³ Although this was a logical distinction that separated the two main formsof diabetes, it gave rise to clumsy and sometimes confusing subcategories. Both the reports of the American Diabetes Association and theWHO recommend altering the classification to define four mainsubtypes of diabetes. Type 1 includes immune mediated . . . [Full text of this article]

CiteULike

Complore

Connotea

Del.icio.us Add to Digg

Digg

StumbleUpon Add to Technorati

Technorati What's this?

Relevant Articles

Extending the boundaries
BMJ 1998 317: 0. [Full Text]

Extending the boundaries
BMJ 1998 317: 0. [Full Text]

Will new diagnostic criteria for diabetes mellitus change phenotype of patients with diabetes? Reanalysis of European epidemiological data: DECODE Study Group
BMJ 1998 317: 371-375. [Abstract] [Full Text] [PDF]

Diabetes care in general practice: meta-analysis of randomised control trials • Commentary: Meta-analysis is a blunt and potentially misleading instrument for analysing models of service delivery: Simon Griffin and Trisha Greenhalgh
BMJ 1998 317: 390-396. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

Baeroe, K (2009). Priority-setting in healthcare: a framework for reasonable clinical judgements. J. Med. Ethics 35: 488-496 [Abstract] [Full text]
Resnick, H. E, Harris, T. B, Harris, T., Cook, D., Cappuccio, F. P, Davies, M., Wiener, K, Roberts, N B, Famuyiwa, O., Borch-Johnsen, K., Tuomilehto, J., Qiao, Q., Balkau, B. (1999). New diagnostic criteria for diabetes mellitus. BMJ 318: 531-531 [Full text]