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Thursday, 28 November 2013

Diabetes – The Diagnosis

Diabetes is defined as a condition caused by insufficient insulin entering the bloodstream to regulate the glucose. It is either caused by cells in pancreas dying off or receptor sites clogged up by fat and cholesterol. In some cases, diabetes is also caused by allergic reactions of cells in the immune system.
III. Diagnosis and Management
A. Diagnosis
If you are experience certain symptoms above, you may be diabetic. After recording your physical exam and family history of the diseases, the tests which your doctor  ordered include
1. Glycated hemoglobin (A1C) test
it is the yest to measure and identify the average plasma glucose concentration over a periods of 2-3 months. Abnormal amount of glycated haemoglobin such as  A1c ≥ 48 mmol/mol (≥6.5%) may be an indication of diabetes. A1C ≥6.5%: The test should be performed in a laboratory using a method that is National Glycohemoglobin Standardization Program (NGSP) certified and standardized to the Diabetes Control and Complications Trial (DCCT) assay, according to American diabetes association(42).
2. Fasting blood sugar test
It is a test to measures blood glucose after you have not eaten for at least 8 hours, but no more than 16 hours. A fasting blood sugar level between 6.0 and 6.9 mmol/L is considered prediabetes. If it’s 7 mmol/L or over on two separate tests, you’ll be diagnosed with diabetes.
3. Etc.

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