Executive Summary
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Executive summary
- Procedures for documenting glucose intolerance includes: 2-sample oral glucose tolerance test (OGTT), fasting plasma glucose (FPG), HbA1c and random plasma glucose (RPG) with symptoms.
- Screening prediabetes/ diabetes should be considered in all asymptomatic adults ≥30 years of age, adults <30 years of age who are over-weight/obese (BMI ≥23 kg/m2) and adults <30 years of age with BMI <23 kg/m2 but have one or more risk factors.
- Screening should be considered after onset of puberty or after 10 years of age in all asymptomatic children and adolescents with BMI ≥85th percentile and before 10 years of age with BMI ≥85th percentile and who have additional risk factors for diabetes.
- If results are normal, testing should be repeated at 1-year interval or as relevant.
- Testing for prediabetes/ diabetes should be considered in all women planning pregnancy. All women should be screened at the first antenatal visit with 3 sample 75 gm OGTT, if negative, re-screen during 24-28 weeks of gestation.
Screening and diagnosis of glucose intolerance in various population can be made with different clinical scenario and laboratory tests.