Screening

A. All adults should be screened for diabetes at regular intervals. Factors that confer an increased risk for development of diabetes include impaired glucose tolerance, hypertension, lipid disorders, coronary artery disease, obesity, and physical inactivity.

B. A fasting plasma glucose test is recommended for screening. A level of 110 to 125 mg/dL is considered to represent "impaired fasting glucose, and a value of greater than or equal to 126 mg/dL, if confirmed on repeat testing, establishes the diagnosis of diabetes. If a patient is found to have a random plasma glucose level over 160 mg/dL, more formal testing with a fasting plasma glucose should be considered. In cases in which an initial abnormal value is not confirmed on repeat testing, a glucose tolerance test may be administered.

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