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2010年美国糖尿病学会指南推行用糖化血红蛋白筛查和诊断糖尿病的背景 被引量：13

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摘要 美国糖尿病学分会(ADA)2010年指南[1]重新修订了诊断糖尿病的标准,除了过去的空腹血糖(FBG)≥7.0 mmol/L,或餐后血糖、随机血糖≥11.1mmol/L这些诊断标准之外,提出了糖化血红蛋白(HbAlc)≥6.5%可以纳入糖尿病的诊断标准,而HbAlc为5.7%～6.1%可以作为可能罹患糖尿病的高危标志,并认为HbAlc可以弥补以上诊断标准的一些不足,是一个方便准确的方法,这无疑是对糖尿病诊断标准的一个突破.以下将介绍推行糖化血红蛋白筛查和诊断糖尿病的背景.
作者 吴捷 邹大进
机构地区 上海第二军医大学附属长海医院内分泌代谢科
出处 《中华糖尿病杂志》 CAS 2010年第3期-,共3页 CHINESE JOURNAL OF DIABETES MELLITUS
分类号 R5 [医药卫生—内科学]
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参考文献16

  • 1American Diabetes Association. Executive summary:standards of medical care in diabetes-2010[J].Diabetes Care,2010,(suppl 1):S4-10.
  • 2Barr RG,Nathan DM,Meigs JB. Tests of glycemia for the diagnosis of type 2 diabetes mellitus[J].Annals of Internal Medicine,2002.263-272.
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  • 4Saudek CD,Herman WH,Sacks DB. A new look at screening and diagnosing diabetes mellitus[J].Journal of Clinical Endocrinology and Metabolism,2008.2447-2453.
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  • 7周翔海,纪立农.空腹血糖和糖化血红蛋白用于筛查糖尿病的研究[J].中华糖尿病杂志（1006-6187）,2005,13(3):203-205. 被引量：157
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二级参考文献10

  • 1Is fasting glucose sufficient to define diabetes? Epidemiological data from 20 European studies. The DECODE-study group. European Diabetes Epidemiology Group. Diabetes Epidemiology: Collaborative analysis of Diagnostic Criteria in Europe. Diabetologia, 1999, 42: 647-654.
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  • 3Gomez-Perez FJ, Aguilar-Salinas CA, Lopez-Alvarenga JC, et al. Lack of agreement between the World Health Organization Category of impaired glucose tolerance and the American Diabetes Association category of impaired fasting glucose. Diabetes Care, 1998, 21: 1886-1888.
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  • 6Kilpatrick ES, Maylor PW, Keevil BG. Biological variation of glycated hemoglobin. Implications for diabetes screening and monitoring. Diabetes Care, 1998, 21: 261-264.
  • 7Rohlfing CL, Little RR, Wiedmeyer HM, et al. Use of GHb (HbA1c) in screening for undiagnosed diabetes in the US population. Diabetes Care, 2000, 23: 187-191.
  • 8Wiener K, Roberts NB. The relative merits of haemoglobin A1c and fasting plasma glucose as first-line diagnostic tests for diabetes mellitus in non-pregnant subjects. Diabet Med, 1998, 15: 558-563.
  • 9Davidson MB, Schriger DL, Peters AL, et al. Relationship between fasting plasma glucose and glycosylated hemoglobin: potential for false-positive diagnoses of type 2 diabetes using new diagnostic criteria. JAMA, 1999, 281: 1203-1210.
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共引文献156

同被引文献111

引证文献13

二级引证文献71

中华糖尿病杂志
2010年 第3期

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