Changed criteria for diabetes need further research

Changed criteria for diabetes need further research

In 1997 the American Diabetes Association changed the diagnostic fasting plasma value for glucose from 7.8 to 7.0 mmol/l.For screening and epidemiological studies they no longer recommendedthe standard 75 g oral glucose tolerance test recommended by theWHO. The DECODE Study Group's reanalysis of epidemiological studiesin eight European countries $---$ more than 26 000 patients $---$ found thatthe two diagnostic criteria agreed in only 431 of 1517 peopleclassified as diabetic (p 371). Because of this reclassificationthe group says that the WHO should wait for results of furtherreanalyses, with focus on prognostic impact, before it considersadopting the ADA criteria.

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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]