个 糖尿病的诊断标准 Criteria for Diagnosis(WHo1999)(★★★) The diagnosis of diabetes depends on the symptoms and blood glucose levels
The diagnosis of diabetes depends on the symptoms and blood glucose levels 糖尿病的诊断标准 Criteria for Diagnosis (WHO1999)（★ ★ ★ ）
Clinical Presentation 个 Hyperglycemia leads to: ·Polyuria(多尿)：hyperglycemia acts as osmotic diuretic(渗透性利 尿) ·Polydipsia(烦渴)：thirst from dehydration(脱水)from polyuria ·Polyphagia(多食)：hunger and eats more since cell cannot utilize glucose Weight loss(体重减轻)：body breaking down fat and protein to restore energy source
Clinical Presentation Hyperglycemia leads to： • Polyuria（多尿） ：hyperglycemia acts as osmotic diuretic（渗透性利 尿） • Polydipsia （烦渴）：thirst from dehydration（脱水） from polyuria • Polyphagia（多食） ：hunger and eats more since cell cannot utilize glucose • Weight loss（体重减轻） ：body breaking down fat and protein to restore energy source
Clinical Presentation Malaise and fatigue(疲劳)：from decrease in energy ·Blurred vision(视物模糊) ):swelling of lenses(晶体) from osmotic effects ·Glycosuria(糖尿)：renal threshold for glucose:180mg/dL ·tch(搔痒)
Clinical Presentation • Malaise and fatigue（疲劳）：from decrease in energy • Blurred vision（视物模糊） ：swelling of lenses（晶体） from osmotic effects • Glycosuria （糖尿）：renal threshold for glucose: 180 mg/dL • Itch（搔痒）
Criteria for Diagnosis(WHo1999)(★★☆) Criteria for Diagnosis Plasma glucose level (mmol/L)* 1)Symptoms of diabetes Casual ≥11.1 plasma glucose Symptoms Tests Diagnosis ·Thirsty ·FBG:26mmol/L ·Urination ·Losing weight Joe
Criteria for Diagnosis Plasma glucose level （mmol/L）* 1）Symptoms of diabetes + Casual plasma glucose ≥11.1 Criteria for Diagnosis (WHO1999)（★ ★ ★ ） ➕ • FBG: 26 mmol/L Tests： Diagnosis： Joe 01 • Thirsty • Urination • Losing weight Symptoms ：
Criteria for Diagnosis(WHo1999)(★★★) 个 Criteria for Diagnosis Plasma glucose level (mmol/L) 2)FPG(空腹血糖) ≥7.0 or 3)OGTT2-hPG（餐后2小时血糖) ≥11.1 oGTT(▣服葡萄糖耐量试验)：Give75 g of glucose dissolved in 300ml of water for people after an overnight fasting(空腹服用75g糖水). ELEV证n 仅一次血糖值达到糖尿病诊断标准者，须在另一天复查核实
Criteria for Diagnosis Plasma glucose level （mmol/L）* 2）FPG(空腹血糖） ≥7.0 or 3）OGTT 2-hPG （餐后2小时血糖） ≥11.1 Criteria for Diagnosis (WHO1999)（★ ★ ★ ） OGTT (口服葡萄糖耐量试验）: Give 75g of glucose dissolved in 300ml of water for people after an overnight fasting （空腹服用75g糖水）. 仅一次血糖值达到糖尿病诊断标准者，须在另一天复查核实