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Diabetes Type 2
. Reviewed by the Faculty of Harvard Medical School

Tests To Detect Diabetes

Diabetes is easily diagnosed by a blood test. The test measures your blood sugar (glucose). In most cases, there are three ways that your glucose test can fit a diagnosis of diabetes:

  1. You don't eat and don't drink anything but water for eight hours before the test. The test shows a glucose level of at least 126 milligrams per deciliter (mg/dl). This is called a fasting plasma glucose test.
  2. You have symptoms that suggest diabetes. Your glucose with or without eating is at least 200 mg/dl. This is called a random plasma glucose test.
  3. You are given a 75-gram sugar drink by your doctor. Two hours later, your glucose level is at least 200 mg/dl. This is called an oral glucose tolerance test.

A woman who is pregnant can be diagnosed with a special form of diabetes called gestational diabetes. The cutoffs for diagnosing this form of diabetes are different. That's because glucose levels usually are lower during pregnancy.

Generally, you have to have blood tests on two separate days to be diagnosed with diabetes. Both tests must fit the criteria above.

Your doctor usually can tell you the type of diabetes that you have based on your medical history, family history and a physical examination. Most people diagnosed as adults (except during pregnancy) have type 2 diabetes.

If your glucose level is above normal but not high enough for a diagnosis of diabetes, you may have pre-diabetes. A glucose level in this range does not usually cause sugar-related symptoms, such as frequent urination, extra thirst or blurred vision. It does increase the chance that you will eventually develop diabetes. Even before diabetes develops, high blood sugar increases your risk of long-term complications.

Don't be confused! The numbers that are used for diagnosing diabetes are different than the numbers that are used as goals for treatment in diabetes.



Last updated November 19, 2007


   
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