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Diagnosis and risk factors
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> 5% IFG progress to diabetes each year (40% of IFG and IGT progress) high BMI is more significant than FH ''Metabolic syndrome definition'' central obesity - waist >94 men (>90 asian) >80 women with 2 or more of Triglyceride >1.7 HDL <1.03 men 1.29 women BP >130/85 or pt on Rx fasting glc >5.6 or on Rx ''To diagnose ...'' Fasting >7.0 or random (or 2hr post 75g glc) >11.1 If aSx - needs these readings on 2 occasions OR HbA1C >6.5% (48) - diagnostic (below that doesn't exclude it) - beware inc red cell turn over HbA1C6.0-6.4 (42-47) diagnoses pre-diabetes Impaired fasting glucose - 6.1-7.0 Impaired glucose tolerance - 2hr post 75g load glc - 7.8-11.1 to diagnose diabetes in aSx pt - need 2 abN readings Risk - male, black caribbean/Indian ''Inc red cell turnover'' (can't use HbA1C to diagnose) haemoglobinopathies haemolytic anaemia untreated iron deficiency anaemia suspected gestational diabetes children HIV CKD
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Diabetes