Definition, diagnosis and classification of diabetes mellitus and its complications part 1: Diagnosis and classification of diabetes mellitus - Provisional report of a WHO consultation
Definition, diagnosis and classification of diabetes mellitus and its complications part 1: Diagnosis and classification of diabetes mellitus - Provisional report of a WHO consultation
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DOI：
10.1002/(sici)1096-9136(199807)15:7
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发表时间：
1998-07-01
影响因子：
3.5
通讯作者：
Zimmet, PZ
中科院分区：
文献类型：
--
作者：
Alberti, KGMM;Zimmet, PZ
1979年和1980年，美国国家糖尿病数据组以及世界卫生组织糖尿病专家委员会第二次会议对糖尿病的分类及其诊断所采用的检测方法进行了规范。除了世界卫生组织在1985年进行的微小修订外，从那时起基本没有变化。然而，关于不同类型糖尿病的病因有了大量新知识，并且对于不同血糖值对糖尿病并发症的预测价值也有了更多信息。因此，世界卫生组织进行了一次协商，同时美国糖尿病协会专家委员会也提交了一份报告，以重新审视诊断标准和分类。本文件包含了前者的结论，旨在广泛分发和讨论，然后再将最终提案提交给世界卫生组织批准。提议的主要变化如下：诊断性空腹血浆（血液）血糖值已降至≥7.0 mmol/L（原6.1 mmol/L）。糖耐量受损（IGT）根据新的空腹血糖水平进行了调整。提出了一个新的类别——空腹血糖受损（IFG），其涵盖的血糖值高于正常但低于糖尿病的诊断临界值（血浆≥6.1 mmol/L至……）
The classification of diabetes mellitus and the tests used for its diagnosis were brought into order by the National Diabetes Data Group of the USA and the second World Health Organization Expert Committee on Diabetes Mellitus in 1979 and 1980. Apart from minor modifications by WHO in 1985, little has been changed since that time. There is however considerable new knowledge regarding the aetiology of different forms of diabetes as well as more information on the predictive value of different blood glucose values for the complications of diabetes. A WHO Consultation has therefore taken place in parallel with a report by an American Diabetes Association Expert Committee to re-examine diagnostic criteria and classification. The present document includes the conclusions of the former and is intended for wide distribution and discussion before final proposals are submitted to WHO for approval. The main changes proposed are as follows. The diagnostic fasting plasma (blood) glucose value has been lowered to greater than or equal to 7.0 mmol l(-1) (6.1 mmol l(-1)). Impaired Glucose Tolerance (IGT) is changed to allow for the new fasting level. A new category of Impaired Easting Glycaemia (IFG) is proposed to encompass values which are above normal but below the diagnostic cut-off for diabetes (plasma greater than or equal to 6.1 to