Type 2 diabetes – diagnosis

Tests - criteria to establish Type 2 diabetes Fasting plasma glucose of > 7.0 mmol / L or more Fasting is defined as no caloric intake for atleast 8 hrs

Random Blood glucose > 11.1 mmol /L , And presence of symptoms of diabetes including polyuria , polydipsia and unexplained weight loss

If the person is symptomatic - a single HbA1c or fasting plasma glucose level can be used , although repeat testing is sensible to confirm diagnosis

If the person is asymptomatic - do not diagnose diabetes on the basis of a single abnormal HbA1c or plasma glucose resultRepeat the test preferably the same one to confirm diagnosis ( if repeat test normal -monitor )

HbA1c of 48 mmol /mol ie 6.5 % or more HbA1c may lack accuracy ( specificity / and or sensitivity ) in the following group age < 18 yrs acute - onset glycemic states such as post-traumatic type 2 diabetes ( e,g pancreatitis ) rapid onset of glycemia with sepsis and steroid useie severe glycemia when a person is acutely unwell is not diagnostic of diabetes on long term medications which can cause hyperglycemia as steroids pregnant women or 2 months post partum people...