ADA, AACE等对DM的诊断和控制有不同guidelines，我们PCPs 一般follow ADA，见内

 

皮卡大哥好，

1，以 ADA criteria for the diagnosis of diabetes mellitus 为例，

*We need  two abnormal tests from same or different tests*

 

Fasting plasma glucose ≥126 

OR

2hr plasma glucose ≥200 during an Oral glucose test

OR

A1C ≥6.5%

OR

Classic DM symptoms + random plasma glucose (finger stick) ≥200

 

 

2，具体blood sugar standard chart见下，普通正常人和糖尿病人对blood sugar 控制要求是不一样的。

*ADA 2022 guidelines*

 

 

 

*糖尿病人与普通人的控制要求*

 

3，

The ADA/EASD guidelines 与AACE/ACE guidelines的区别：

In practice, the ADA/EASD guidelines tend to be more user-friendly for general practitioners because of the simple stepwise intensification regimen, whereas the AACE/ACE guidelines are more commonly followed by specialists (endocrinologists) because of the more aggressive A1C targets.

 

 

4, 不同权威机构对糖尿病人血糖控制目标（与非糖尿病人诊断标准是不同的概念），