oa CME : Your SA Journal of CPD - Diagnosis of diabetes in 2010 - : main article

Volume 29, Issue 1
  • ISSN : 0256-2170



The number of people with diabetes is expected to increase from 171 million in 2000 to 366 million in 2030. However, although almost 5% of the world's population is expected to have this disease, the methods used for its diagnosis are still being debated. Over the years the various blood glucose cut-points for the diagnosis of diabetes have been altered, with the current cut-points having been defined in 1997 and endorsed in 2003. Until now, the diagnosis of diabetes has rested upon demonstrating an elevated plasma glucose level (Table I). As this is the major problem in diabetes, a 'glucocentric' approach to its diagnosis has made sense pathophysiologically. However, many suggest that there is no threshold above which diabetes complications occur and that it is rather a continuous relationship. Notably, this year the American Diabetes Association (ADA) has, for the first time, added an HbA1c assay to its recommended methods for the diagnosis of diabetes. This has not yet been accepted by the World Health Organization (WHO) and other international diabetes regulatory bodies.

Loading full text...

Full text loading...


Article metrics loading...


This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error