Diabetes Mellitus
Diabetes mellitus may be diagnosed if any of the following is present.
- Casual plasma glucose =/> 11.1mmol/L
- Fasting plasma glucose =/> 7.0mmol/L
- 2-hour post prandial plasma glucose =/> 11.1mmol/L
Pre-diabetes is defined by glucose levels that are higher than normal but lower than diabetes thresholds. Pre-diabetes states include impaired fasting glucose (IFG) and impaired glucose tolerance (IGT).
| Pre-diabetes | Fasting plasma glucose (mmol/L) | 2-hr post-prandial glucose (mmol/L) |
| IFG | 6.1 – 6.9 | < 7.8 |
| IGT | < 7.0 | 7.8 – 11.0 |
Chronic diabetes is associated with long-term complications resulting from damages to various organ and tissues, especially the kidneys, eyes, nerves, heart and blood vessels.
Our diabetes chronic care programme will also look at following:
Diabetes mellitus
| Essential care component | Recommended frequency | |
| 1 | Fasting glucose & glycated haemoglobin (HBA1C) | 6 monthly |
| 2 | Blood pressure measurement | 6 monthly |
| 3 | Weight & BMI assessment | 6 monthly |
| 4 | Lipid profile | Annually |
| 5 | Renal function, eGFR, Urine albumin-creatinine (uACR) | Annually |
| 6 | Eye assessment | Annually |
| 7 | Foot assessment | Annually |
| 8 | Smoking assessment | Annually |
| 9 | Cardiac assessment – ECG / others | At baseline & when indicated |
Pre-diabetes
| Essential care component | Recommended frequency | |
| 1 | Screen for CVD risk factors – BP / lipids | Annually |
| 2 | Blood glucose test-FBG, OGTT, HBA1C | 6 monthly |
| 3 | Weight & BMI assessment | 6 monthly |
| 4 | Renal function | Annually |
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