Contribution of evidence-based medicine to the diag nosis of diabetes and existing disaccord / 中华内分泌代谢杂志

ABSTRACT

Based on prospective epidemiologi ca l studies concerning the relationship between glycemic values during oral glucos e tolerance test (OGTT) and the incidence of diabetic retionpathy, the diagnosti c criteria recommended by National Diabetes Data Group (NDDG)/World Health Organ ization (WHO) (1979/1980) have been worldwidely accepted as the uniform diagnosi s for diabetes mellitus.According to the epidemiological data accumulated since the early eighties of the 20th century on the inter-relationship between the le vels of fasting plasma glucose (FPG) and OGTT 2 hour glycemic values, American D iabetes Association (ADA)/WHO (1997/1999) recommended the diagnostic FPG be decr eased to 7.0 mmol/L, but disaccord exists with regard to the use of OGTT for the diagnosis of diabetes. Further evidence-based medical studies are needed to so lve this problem.