DIABETES MELLITUS: DIAGNOSIS, CLASSIFICATION AND EVALUATION GLUCOSE CONTROL
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Clinical and Biomedical Research |
Texto Completo: | https://seer.ufrgs.br/index.php/hcpa/article/view/126201 |
Resumo: | Diabetes mellitus and other categories of impaired glucose tolerance are frequent in the adult population and are associated with an increased risk for cardiovascular disease and microvascular complications. The diagnosis of these entities should be performed early and using sensitive and accurate methods, since lifestyle changes and correction of hyperglycemia may delay the incidence of diabetes and its complications. Glucose tolerance test is the reference method and the diagnosis of diabetes and impaired glucose tolerance are established when the 2 h plasma glucose after the oral intake of 75 g of glucose is ≥ 200 mg/dl or ≥ 140and < 200 mg/dl, respectively. When it is not possible to perform this test, fasting plasma glucose levels ≥ 126 mg/dl or ≥ 110 and < 126 mg/dl, respectively, are used to establish the diagnosis of diabetes and impaired fasting plasma glucose. Glycohemoglobin should not be used for the diagnosis but it is the reference method for evaluation of the long term glucose control. The etiological classification of diabetes mellitus includes 4 categories: type 1 diabetes, type 2 diabetes, other specific types of diabetes and gestational diabetes. The assignment of the patient in each category usually is made on clinical grounds, however in some case could be necessary the measurement of C-peptide and auto antibodies. |
id |
UFRGS-20_a3d1cd9a62f7e44a8d45a16e3d8b7c3d |
---|---|
oai_identifier_str |
oai:seer.ufrgs.br:article/126201 |
network_acronym_str |
UFRGS-20 |
network_name_str |
Clinical and Biomedical Research |
repository_id_str |
|
spelling |
DIABETES MELLITUS: DIAGNOSIS, CLASSIFICATION AND EVALUATION GLUCOSE CONTROLDIABETE MELITO: DIAGNÓSTICO, CLASSIFICAÇÃO E AVALIAÇÃO DO CONTROLE GLICÊMICOdiabete melitodiabete tipo 1diabete tipo 2critérios diagnósticosteste oral de tolerância à glicoseglicose plasmática de jejumglico-hemoglobinadiabetes mellitustype 1 diabetestype 2 diabetesdiagnostic criteriaoral glucose tolerance testfasting plasma glucoseglycohemoglobinDiabetes mellitus and other categories of impaired glucose tolerance are frequent in the adult population and are associated with an increased risk for cardiovascular disease and microvascular complications. The diagnosis of these entities should be performed early and using sensitive and accurate methods, since lifestyle changes and correction of hyperglycemia may delay the incidence of diabetes and its complications. Glucose tolerance test is the reference method and the diagnosis of diabetes and impaired glucose tolerance are established when the 2 h plasma glucose after the oral intake of 75 g of glucose is ≥ 200 mg/dl or ≥ 140and < 200 mg/dl, respectively. When it is not possible to perform this test, fasting plasma glucose levels ≥ 126 mg/dl or ≥ 110 and < 126 mg/dl, respectively, are used to establish the diagnosis of diabetes and impaired fasting plasma glucose. Glycohemoglobin should not be used for the diagnosis but it is the reference method for evaluation of the long term glucose control. The etiological classification of diabetes mellitus includes 4 categories: type 1 diabetes, type 2 diabetes, other specific types of diabetes and gestational diabetes. The assignment of the patient in each category usually is made on clinical grounds, however in some case could be necessary the measurement of C-peptide and auto antibodies. Diabete e alterações da tolerância à glicose são freqüentes na população adulta e estão associados a um aumento da mortalidade por doença cardiovascular e complicações microvasculares. O diagnóstico destas situações deve ser feito precocemente, utilizando métodos sensíveis e acurados, já que mudanças no estilo de vida e a correção da hiperglicemia podem retardar o aparecimento do diabete ou de suas complicações. O teste oral de tolerância à glicose é o método de referência, considerando-se a presença de diabete ou tolerância à glicose diminuída quando a glicose plasmática de 2 h após a ingestão de 75 g de glicose for≥ 200 mg/dl ou ≥ 140 e < 200 mg/dl, respectivamente. Quando este teste não puder ser realizado, utiliza-se a medida da glicose plasmática em jejum, considerando-se como diabete ou glicose alterada em jejum quando os valores forem ≥ 126 mg/dl ou ≥ 110 e < 126 mg/dl, respectivamente. A medida da glico-hemoglobina não deve ser utilizada para o diagnóstico, mas é o método de referência para avaliar o grau de controle glicêmico a longo prazo. A classificação etiológica proposta atualmente para o diabete melito inclui 4 categorias: diabete melito tipo 1, diabete melito tipo 2, outros tipos específicos de diabete e diabete gestacional. A classificação do paciente é usualmente feita em bases clínicas, mas a medida de autoanticorpos e do peptídeo C pode ser útil em alguns casos.HCPA/FAMED/UFRGS2022-09-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed Article"A Convite dos Editoresapplication/pdfhttps://seer.ufrgs.br/index.php/hcpa/article/view/126201Clinical & Biomedical Research; Vol. 23 No. 1 - 2 (2003): Revista HCPAClinical and Biomedical Research; v. 23 n. 1 - 2 (2003): Revista HCPA2357-9730reponame:Clinical and Biomedical Researchinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSporhttps://seer.ufrgs.br/index.php/hcpa/article/view/126201/85685Copyright (c) 2022 Jorge L. Gross, Sandra P. Silveiro, Joíza L. Camargo, Angela J. Reichelt, Mirela J. de Azevedohttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessL. Gross, Jorge P. Silveiro, Sandra L. Camargo, Joíza J. Reichelt, Angela J. de Azevedo, Mirela 2022-09-27T20:38:15Zoai:seer.ufrgs.br:article/126201Revistahttps://www.seer.ufrgs.br/index.php/hcpaPUBhttps://seer.ufrgs.br/index.php/hcpa/oai||cbr@hcpa.edu.br2357-97302357-9730opendoar:2022-09-27T20:38:15Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.none.fl_str_mv |
DIABETES MELLITUS: DIAGNOSIS, CLASSIFICATION AND EVALUATION GLUCOSE CONTROL DIABETE MELITO: DIAGNÓSTICO, CLASSIFICAÇÃO E AVALIAÇÃO DO CONTROLE GLICÊMICO |
title |
DIABETES MELLITUS: DIAGNOSIS, CLASSIFICATION AND EVALUATION GLUCOSE CONTROL |
spellingShingle |
DIABETES MELLITUS: DIAGNOSIS, CLASSIFICATION AND EVALUATION GLUCOSE CONTROL L. Gross, Jorge diabete melito diabete tipo 1 diabete tipo 2 critérios diagnósticos teste oral de tolerância à glicose glicose plasmática de jejum glico-hemoglobina diabetes mellitus type 1 diabetes type 2 diabetes diagnostic criteria oral glucose tolerance test fasting plasma glucose glycohemoglobin |
title_short |
DIABETES MELLITUS: DIAGNOSIS, CLASSIFICATION AND EVALUATION GLUCOSE CONTROL |
title_full |
DIABETES MELLITUS: DIAGNOSIS, CLASSIFICATION AND EVALUATION GLUCOSE CONTROL |
title_fullStr |
DIABETES MELLITUS: DIAGNOSIS, CLASSIFICATION AND EVALUATION GLUCOSE CONTROL |
title_full_unstemmed |
DIABETES MELLITUS: DIAGNOSIS, CLASSIFICATION AND EVALUATION GLUCOSE CONTROL |
title_sort |
DIABETES MELLITUS: DIAGNOSIS, CLASSIFICATION AND EVALUATION GLUCOSE CONTROL |
author |
L. Gross, Jorge |
author_facet |
L. Gross, Jorge P. Silveiro, Sandra L. Camargo, Joíza J. Reichelt, Angela J. de Azevedo, Mirela |
author_role |
author |
author2 |
P. Silveiro, Sandra L. Camargo, Joíza J. Reichelt, Angela J. de Azevedo, Mirela |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
L. Gross, Jorge P. Silveiro, Sandra L. Camargo, Joíza J. Reichelt, Angela J. de Azevedo, Mirela |
dc.subject.por.fl_str_mv |
diabete melito diabete tipo 1 diabete tipo 2 critérios diagnósticos teste oral de tolerância à glicose glicose plasmática de jejum glico-hemoglobina diabetes mellitus type 1 diabetes type 2 diabetes diagnostic criteria oral glucose tolerance test fasting plasma glucose glycohemoglobin |
topic |
diabete melito diabete tipo 1 diabete tipo 2 critérios diagnósticos teste oral de tolerância à glicose glicose plasmática de jejum glico-hemoglobina diabetes mellitus type 1 diabetes type 2 diabetes diagnostic criteria oral glucose tolerance test fasting plasma glucose glycohemoglobin |
description |
Diabetes mellitus and other categories of impaired glucose tolerance are frequent in the adult population and are associated with an increased risk for cardiovascular disease and microvascular complications. The diagnosis of these entities should be performed early and using sensitive and accurate methods, since lifestyle changes and correction of hyperglycemia may delay the incidence of diabetes and its complications. Glucose tolerance test is the reference method and the diagnosis of diabetes and impaired glucose tolerance are established when the 2 h plasma glucose after the oral intake of 75 g of glucose is ≥ 200 mg/dl or ≥ 140and < 200 mg/dl, respectively. When it is not possible to perform this test, fasting plasma glucose levels ≥ 126 mg/dl or ≥ 110 and < 126 mg/dl, respectively, are used to establish the diagnosis of diabetes and impaired fasting plasma glucose. Glycohemoglobin should not be used for the diagnosis but it is the reference method for evaluation of the long term glucose control. The etiological classification of diabetes mellitus includes 4 categories: type 1 diabetes, type 2 diabetes, other specific types of diabetes and gestational diabetes. The assignment of the patient in each category usually is made on clinical grounds, however in some case could be necessary the measurement of C-peptide and auto antibodies. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-09-23 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article" A Convite dos Editores |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://seer.ufrgs.br/index.php/hcpa/article/view/126201 |
url |
https://seer.ufrgs.br/index.php/hcpa/article/view/126201 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://seer.ufrgs.br/index.php/hcpa/article/view/126201/85685 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
HCPA/FAMED/UFRGS |
publisher.none.fl_str_mv |
HCPA/FAMED/UFRGS |
dc.source.none.fl_str_mv |
Clinical & Biomedical Research; Vol. 23 No. 1 - 2 (2003): Revista HCPA Clinical and Biomedical Research; v. 23 n. 1 - 2 (2003): Revista HCPA 2357-9730 reponame:Clinical and Biomedical Research instname:Universidade Federal do Rio Grande do Sul (UFRGS) instacron:UFRGS |
instname_str |
Universidade Federal do Rio Grande do Sul (UFRGS) |
instacron_str |
UFRGS |
institution |
UFRGS |
reponame_str |
Clinical and Biomedical Research |
collection |
Clinical and Biomedical Research |
repository.name.fl_str_mv |
Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS) |
repository.mail.fl_str_mv |
||cbr@hcpa.edu.br |
_version_ |
1799767057555783680 |