Diagnosis of diabetes mellitus type 1 and 2
Screening for diabetes - WHO Expert Committee recommends screening for diabetes in the following categories of citizens:
• All patients over the age of 45 years (with a negative result of the survey to be repeated every 3 years);
• Younger patients in the presence of: obesity; family history for diabetes; ethnicity / race at high risk; history of gestational diabetes; birth of a child weighing more than 4.5 kg; hypertension; hyperlipidemia; previously identified IGT or high fasting glucose. Jacob Hiller Scam
For screening (both centralized and decentralized) diabetes, WHO recommends that the definition of both glucose and A1C Hemoglobin, Glycated Hb - hemoglobin is, wherein the glucose molecule is condensed with β-terminal valine, β-chains of the hemoglobin molecule. The rate of formation depends on the HbA1c value of hyperglycemia and normalization of its level in the blood occurs within 4-6 weeks after achieve euglycemia. In this connection the content of HbA1c determined if required control of carbohydrate metabolism and its acknowledgment in diabetic compensate for a long time. Recommended by the WHO (2002), determination of glycosylated hemoglobin in the blood of patients with diabetes should be one every quarter. This index is widely used for screening the population and pregnant women are held to identify disorders of carbohydrate metabolism, and to monitor treatment of patients with diabetes.