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Accession number;99A0300737
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| Title;Comparison of Diabetic Diagnostic Categories in Japanese Subjects According to the New American Diabetes Association Criteria and Japanese Diabetes Society Criteria. |
| Author;
MARUNO YOSHIKO
(Saitama Med. Sch.)
KASHIWABARA HIDEYUKI
(Saitama Med. Sch.)
INABA MUNEMICHI
(Saitama Med. Sch.)
NEGISHI KIYOHIKO
(Saitama Med. Sch.)
KATAYAMA SHIGEHIRO
(Saitama Med. Sch.)
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Journal Title;Journal of the Japan Diabetic Society
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Journal Code:Z0279B
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ISSN:0021-437X
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VOL.42;NO.1;PAGE.25-28(1999)
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| Figure&Table&Reference;TBL.1, REF.6 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;We surveyed consecutively 622 (male: 524, female: 98) Japanese subjects who visited a private primary health clinic (Group 1) and 379 (male: 166, female: 213) patients who visited our hospital (Group 2). Plasma glucose(PG) levels were determined at fasting, and 2h after a 75g oral glucose tolerance test(OGTT) and the number of diabetes cases was calculated according to Japanese Diabetes Society(JDS) criteria or the new American Diabetes Association(ADA) criteria. Seven out of 622 (1.1%) in Group 1 had fasting PG levels of 126 to 140mg/dl and 2h OGTT PG levels of more than 200mg/dl; these results showed no change in the number of diabetes mellitus cases (28, 4.5%) based on either criteria. In Group 2, the number of the patients with fasting PG levels from 126 to 140mg/dl was 25/379 (6.6%), of which 8 patients did not have 2h OGTT PG levels of more than 200mg/dl. Lowering fasting PG cut off points for diagnosis did not dramatically increase the number of diabetic patients, however, the sensitivity of diagnosis according to fasting PG did decrease in these subjects. These results suggest that not only fasting PG but also 2h OGTT PG levels should be strongly recommended for diagnosis of diabetes mellitus. (author abst.) |
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