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WHO diagnostic criteria for diabetes more accurate than ADA standards

Published in Medical Letter on the CDC and FDA, June 30th, 2002

by Maria G. Essig, MS, ELS, senior medical writer - American Diabetes Association (ADA) criteria for diagnosing diabetes in obese patients underestimate the prevalence of the disease, according to a comparison by researchers in France.

The World Health Organization (WHO) and ADA provide diagnostic guidelines for diabetes and pre-diabetes conditions. The two organizations differ significantly in their reliance on the oral glucose tolerance test (OGTT) as a diagnostic tool. ADA recommends that fasting plasma glucose values are sufficient for diagnosis and discourages OGTT. WHO, on the other hand, argues strongly to retain routine OGTT in diagnostic situations unless...

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