DIAGNOSTIC TEST FOR DIABETES
1.Fasting Plasma Glucose (FPG) Test
This test is also known
as Fasting Blood Sugar Test. The FPG test is performed after a
person has fasted for at least 8 hours. A sample of blood is taken from a vein
in the arm.
If the blood glucose level is greater than or equal to 126
mg/dl, the person is retested and, if the results are consistent then the patient
is diagnosed with diabetes. Until a few years ago, the diagnostic cut-off point
was 140 mg/dl, but the ADA lowered it because research has shown that even
people with fasting plasma glucose levels between 126 mg/dl and 140 mg/dl tend
to develop the medical complications of diabetes.
Doctors usually accept
any reading under 100mg/dl (Milligram per deciliter) as “Normal”. But this is not
the truth as the International Research has shown that people with levels under 85mg/dl lives longer and are healthier than those
with levels above 85mg/dl.
2.Glucose Tolerance Test (GTT)
If the blood glucose level
is more than 85mg/dl in the FPG Test then this test should be done.
This is the most accurate
test for Insulin resistance. The Glucose Tolerance Test is a test in
which glucose is given to the patient and blood samples are taken afterward to
determine how quickly it is cleared from the blood. It shows the sensitivity of
the Insulin response.
In this test the patient is
made to drink a 50 gm cup of glucose solution, Then after one hour blood glucose
level in the blood is tested. It determines how well the muscle responds to the Insulin.
3.HbA1c (Haemoglobin Glycation) Test
HbA1c test measures the average blood sugar in the previous 3 to 6 months to
see if it has remained within a target range.
Inside our blood are small cells called Red Blood Cells (RBCs). RBCs are made
up of haemoglobins. As these cells grow old, the hemoglobin becomes increasingly
sticky and the glucose molecules stick to it. And this process of the glucose
getting stuck to the haemoglobin is called Glycation.
The higher the glucose levels in the blood the more higher is the glycated haemoglobin,
which translates into a greater HbA1c reading. The HbA1c test show the long term Glycation
over a 3-6 months period.
Fasting is not required to do the test. It is usually recommend to do this
test every 3 to 6 months.• Normal HbA1c is 5% or less.
• An HbA1c value above 7% means diabetes is poorly controlled. Doctors advise people with diabetes to aim for an HbA1c value below 7%.
However, the usual 5% to 6% medical standard (equivalent to 100mg/dl) is not good enough. Aim for 4.7%, which is equivalent
to 85mg/dl blood glucose or better.
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