I make the diagnosis of diabetes mainly by examining blood sugar level by a blood test. When I do not become clear whether that blood sugar level is normal is diabetes whether it is a middle border type (impaired glucose tolerance), I drink drink including 75 g of sugar and may diagnose it (inspection called “75 g of oral glucose-tolerance test (75gOGTT )”).
Division and criteria of 1) model
[1]More than 126 mg/dl of early-morning fasting plasma glucose
[2]The two hours value of 75 g of oral glucose-tolerance tests more than 200 mg/dl
[3]More than occasional blood sugar level ※ 200 mg/dl
※I say any time after a meal at any time. It is preprandial and does not mind either.
[4]Less than 110 mg/dl of early-morning fasting plasma glucose
[5]A value is less than 140 mg/dl for two hours of 75 g of oral glucose-tolerance tests
[1]When either blood sugar level of … [3] is confirmed, I judge it to be “a diabetes type”. [4]And I judge it to be “a normalcy type” when [5] blood sugar level is confirmed. When I belong to none of the “diabetes type” “normalcy type” mentioned above, I judge it to be “a border type”.
Diagnosis of 2) diabetes糖尿病ならば
When “a diabetes type” is reconfirmed by the inspection that I performed on another day, I have a diagnosis of diabetes. But you are to be allowed to diagnose it with diabetes by one inspection when there is one of next [1] … [4] if “it is a diabetes type”.
[1]Existence of a typical symptom (口渇, excessive drinking, many urine, weight loss) of diabetes
[2]More than HbA1c ※ 6.5%
[3]Existence of certain diabetic retinopathy
[4]When there is the document which showed “a diabetes type” in the past