ADA criteria for DM diagnosis

1. A1C ≥6.5 percent. The test should be performed in a laboratory using a method that is NGSP certified and standardized to the DCCT assay.

OR

2. FPG ≥126 mg/dL (7.0 mmol/L). Fasting is defined as no caloric intake for at least eight hours.

OR

3. Two-hour plasma glucose ≥200 mg/dL (11.1 mmol/L) during an OGTT. The test should be performed as described by the World Health Organization, using a glucose load containing the equivalent of 75-gram anhydrous glucose dissolved in water.

OR

4. In a patient with classic symptoms of hyperglycemia or hyperglycemic crisis, a random plasma glucose ≥200 mg/dL (11.1 mmol/L).

* In the absence of unequivocal hyperglycemia, criteria 1-3 should be confirmed by repeat testing.

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