2011年ADA糖尿病诊疗标准执行纲要中英文对照.docVIP

2011年ADA糖尿病诊疗标准执行纲要 美国糖尿病协会 王新军 于文 译 滨州医学院附属滨州市人民医院内分泌科，滨州，256610 目前糖尿病的诊断标准 A1C≥6.5%。试验应该用美国糖化血红蛋白标准化计划组织（National Glycohemoglobin Standardization Program，NGSP）认证的方法进行。并与（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，或 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 有高血糖的典型症状或高血糖危象，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. new new 在无症状患者中进行糖尿病筛查 在无症状的成人，如超重或肥胖（BMI≥25kg/m2）并有一个以上其他糖尿病危险因素（见“2011年糖尿病诊疗标准”中的表4），应该从任何年龄开始筛查糖尿病并评估将来糖尿病的风险。对没有这些危险因素的人群，应从45岁开始筛查。（B） 如果检查结果正常，至少每3年复查一次。（E） 为筛查糖尿病或评估未来糖尿病的风险，A1C、?FPG或2h 75g OGTT均是适用的。（B） 对于那些已经确定未来糖尿病风险增加的人群，应该进一步评估并治疗其他心血管疾病（CVD）危险因素。（B） Testing 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 le