2011年ADA糖尿病诊疗标准执行纲要中英文对照

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 T rial (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

2）并有一个以上其他糖尿病危险因素（见●在无症状的成人，如超重或肥胖（BMI≥25kg/m

“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

diab etes (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)

●In those identified with increased risk

for future diabetes, identify and, if appropriate

appropriate,

treat other cardiovascular

disease (CVD) risk factors. (B)

妊娠期糖尿病的筛查和诊断

●在有危险因素的个体中，产前首次就诊时用标准的诊断标准筛查未诊断的2型糖尿病。

（B）

●在未知是否具有糖尿病的怀孕妇女中，在妊娠24~28周用75g 2h OGTT筛查妊娠糖尿病，

诊断切点见“2011年糖尿病诊疗标准”表6。（B）

Detection and diagnosis of

gestational diabetes mellitus (GDM)

● Screen for undiagnosed type 2 diabetes

at the first prenatal visit in those with

risk factors, using standard diagnostic

criteria. (B)