Type 2 & other diabetes

International Diabetes Federation Position Statement on the 1-hour post-load plasma glucose for the diagnosis of intermediate hyperglycaemia and type 2 diabetes

Diabetes Res Clin PractPublished Position statement

Recommendations

As issued by the authors

  1. Health services should consider developing a policy for screening for IH based on local human and technical resources.

  2. 1-h plasma glucose (PG) ≥ 155 mg/dL (8.6 mmol/L): considered IH; prescribe lifestyle intervention and refer to a diabetes prevention program.

  3. 1-h PG ≥ 209 mg/dL (11.6 mmol/L): considered T2D; repeat test to confirm diagnosis, then refer for further evaluation and treatment.

  4. Use a 1-h oral glucose tolerance test (OGTT) subsequent to screening with a non-laboratory diabetes risk tool, and intervene early.

  5. Redefine current diagnostic criteria for IH and T2D by adding the 1-h PG.

Original publication

International Diabetes Federation Position Statement on the 1-hour post-load plasma glucose for the diagnosis of intermediate hyperglycaemia and type 2 diabetes. Diabetes Res Clin Pract. Published 7 March 2024. doi:10.1016/j.diabres.2024.111589

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