Definition-diabetes mellitus

(Diabetes Care 2022;45:S256)

• HbA1c ≥6.5
• fasting glc ≥126 mg/dL
• glc 2 h after OGTT ≥200 mg/dL × 2 (for any test) or
• single random glc ≥200 mg/dL w/ classic sx of hyperglycemia; all tests equally reasonable (nb, may be ⊕ on one test but not another);
• OGTT preferred during preg

Blood glc higher than normal,

• but not frank DM (“prediabetics,” ~40% U.S. population)

Definition:

• HbA1c 5.7–6.4% impaired fasting glc (IFG) 100–125 mg/dL, or 2 h prandial glc 140–199.
• Preventing progression to DM: diet/exercise (58% ↓), metformin (31% ↓; NEJM 2002;346:393)
• Reduction in the Incidence of Type 2 Diabetes with Lifestyle Intervention or Metformin

Explain by ChatGPT

• The first line states that diabetes mellitus is a condition where the blood glucose is higher than normal.
• The second line says that this condition can be caused by impaired fasting glucose (IFG) or 2 hour prandial glucose.
• The third line says that diet and exercise can help prevent this condition from progressing to diabetes mellitus.
• The fourth line says that the study found that lifestyle intervention or metformin can help reduce the incidence of type 2 diabetes.

窩的英文不太好

• 第一行指出糖尿病是一种血糖高於正常水平的疾病。第二行表示這種情況可能是由空腹血糖 (IFG) 或 2 小時餐時血糖受損引起的。第三行說飲食和運動可以幫助防止這種情況發展為糖尿病。第四行說研究發現生活方式乾預或二甲雙胍有助於降低2型糖尿病的發病率。