Diagnozing Diabetes
Click here to load reader
-
Upload
arpanbhattacharya -
Category
Health & Medicine
-
view
357 -
download
0
Transcript of Diagnozing Diabetes
![Page 1: Diagnozing Diabetes](https://reader038.fdocuments.in/reader038/viewer/2022100603/5596678c1a28ab79128b45b8/html5/thumbnails/1.jpg)
DIABETES MELLITUSDIABETES MELLITUS Current diagnostic criteriaCurrent diagnostic criteria
Diabetes symptoms (polyuria, polydipsia, unexplained weight loss) plus: – Random venous plasma glucose 200 mg/dl or– Fasting venous plasma glucose 126 mg/dl or – 2 hour venous plasma glucose 200 mg/dl (after 75 g glucose in
OGTT)
No symptoms: at least two glucose tests on different days within diabetic range
WHO definition, diagnosis and classification of diabetes mellitus and its complications. http://www.diabetes.org.uk/healthcare/5/sum.htm
![Page 2: Diagnozing Diabetes](https://reader038.fdocuments.in/reader038/viewer/2022100603/5596678c1a28ab79128b45b8/html5/thumbnails/2.jpg)
Classic symptoms of DiabetesClassic symptoms of Diabetes
Excess urine (Polyuria), Excess drinking water
(Polydipsia), Recent weight loss, Blurring of vision, Genital infection
– Balanoposthitis in man,– Vulvovaginitis in women.
![Page 3: Diagnozing Diabetes](https://reader038.fdocuments.in/reader038/viewer/2022100603/5596678c1a28ab79128b45b8/html5/thumbnails/3.jpg)
Fasting and RandomFasting and Random
FASTING– Overnight fast,– Sample in the morning,– No diet restriction,– Venous blood.
RANDOM– Anytime of the day,– Helpful for
epidemiological purpose,
– No diet restriction,– Venous blood.
![Page 4: Diagnozing Diabetes](https://reader038.fdocuments.in/reader038/viewer/2022100603/5596678c1a28ab79128b45b8/html5/thumbnails/4.jpg)
GTT - GTT - Diagnostic CriteriaDiagnostic Criteria
Normal– 2h value <140 mg
Borderline– 2h value 140 – 199 mg
Diabetes– 2h 200 mg or more.
![Page 5: Diagnozing Diabetes](https://reader038.fdocuments.in/reader038/viewer/2022100603/5596678c1a28ab79128b45b8/html5/thumbnails/5.jpg)
Glucose Tolerance Test -Glucose Tolerance Test -ProcedureProcedure
Normal diet for at least 3 days, Overnight fasting, Blood sample for fasting glucose, 75 Gm glucose in 300 ml water to drink over 5 min, Blood sample after 2hr for glucose, Delayed breakfast.
Should not be admitted, No smoking Free from stress Six wks from significant medical illness.
![Page 6: Diagnozing Diabetes](https://reader038.fdocuments.in/reader038/viewer/2022100603/5596678c1a28ab79128b45b8/html5/thumbnails/6.jpg)
Why the diagnose delayed?Why the diagnose delayed?
Awareness is sub-optimum,
Negligence, Economic restraint, Access to medical
service, Non-specific
presentation.