ADA Officially Endorses HbA1c for Diagnosis of Diabetes
Other significant changes from the ADA's 2009 Standards of Medical Care include the following:
▸ The section “Antiplatelet agents” has been extensively revised to reflect recent trial data that call into question the benefit of aspirin for primary cardiovascular disease prevention in moderate- or low-risk patients.
▸ The section “Retinopathy screening and treatment” has been updated to include a recommendation on use of fundus photography as a screening strategy.
▸ The section “Diabetes care in the hospital” has been extensively revised to reflect new evidence calling into question very tight glycemic control goals in critically ill patients.
Both Dr. Bloomgarden and Dr. Davidson stated that they have no financial disclosures.
'Unfortunately, the ADA kept the glucose criteria,' so some people may be diabetic by one criterion but not the other.
Source DR. DAVIDSON
The Diagnostic Criteria in Brief
1. Hemoglobin A1c 6.5% or greater.
OR
2. FPG 126 mg/dL or greater (fasting is defined as no caloric intake for at least 8 hours).
OR
3. Two-hour plasma glucose of 200 mg/dL or greater during an oral glucose tolerance test.
OR
4. In a patient with classic symptoms of hyperglycemia or hyperglycemic crisis, a random plasma glucose of 200 mg/dL or greater.
Source: Diabetes Care 2010 (
