2011年度ADA糖尿病诊疗标准执行纲要中英文对照.docVIP

2011年ADA糖尿病诊疗标准王新军译 目前糖尿病的诊断标准 A1C6.5%。试验用National Glycohemoglobin Standardization Program，NGSP）认证的方法进行。并Diabetes Control and Complications Trial，DCCT）的检测进行标化 空腹血糖（FPG）7.0 mmol/L。空腹的定义是至少8小时未摄入热量 OGTT 2h血糖11.1 mmol/L。试验应按照世界卫生组织（WHO）的标准进 行，用75 g无水葡萄糖溶于水作为糖负荷 有高血糖的症状或高血糖危象，随机血糖11.1 mmol/L 如无明确的高血糖症状，结果应重复检测确认。 Current criteria for the diagnosis of diabetes ● A1C6.5%. The test should be per- formed in a laboratory using a method thatisNationalGlycohemoglobinStan- dardization Program (NGSP)-certified and standardized to the Diabetes Con- trol and Complications Trial (DCCT) assay ● fasting plasma glucose (FPG)126 mg/dl (7.0 mmol/l). Fasting is defined as no caloric intake for at least 8 h, or ● 2-h plasma glucose200 mg/dl (11.1 mmol/l) during an oral glucose toler- ance test (OGTT). The test should be performed as described by the World Health Organization, using a glucose load containing the equivalent of 75 g anhydrous glucose dissolved in water ● in a patient with classic symptoms of hyperglycemiaorhyperglycemiccrisis, a random plasma glucose200 mg/dl (11.1 mmol/l) ● intheabsenceofunequivocalhypergly- cemia, result should be confirmed by repeat testing. 在无症状患者中进行糖尿病筛查 超重或肥胖（BMI25kg/m2）并有一个以上其他糖尿病危险因素，应该筛查糖尿病评估将来糖尿病的风险。没有危险因素的人群，应45岁开始。（B） 如果结果正常，至少每3年复查。（E） 为糖尿病或评估未来糖尿病的风险，A1C、?FPG2h 75g OGTT均是的。（B）确定未来糖尿病风险增加的，应该并治疗其他心血管疾病（CVD）危险因素。（BTesting for diabetes in asymptomatic patients ● Testing to detect type 2 diabetes and assess risk for future diabetes in asymptomatic people should be considered in adults of any age who are overweight or obese (BMI _25 kg/m2) and who have one or more additional risk factors for diabetes (see Table 4 of the “Standards of Medical Care in Diabetes—2011”). In those without these risk factors, testing should begin at age 45 years. (B) ● If tests are normal, repeat testing carried out at least at 3-year intervals is reasonable. (E) ● To test for diabetes or to assess risk of future diabetes, A1C, FPG, or 2-h 75-g OGTT are appropriate. (B) ●