Screening for Diabetes Mellitus

Screening for Diabetes Mellitus

For client 20 years and older

1. Assess family history of diabetes

2. Symptoms of diabetes

* Polyuria- Increased frequency and amount of urination

* Polydypsia- Increased thirst

* Unexplained weight loss

3. If at special risk for diabetes

*Hypertensive

*Overweight

*Women who have delivered a baby weighing over 9lbs

*Woman who have been diagnosed with gestational diabetes

Blood test for serum or plasma glucose

Fasting blood sugar (FBS) - Fasting is define as no caloric intake for atleast eight hours; this

include no food, juices, milk; only water is allowed.

Two-hour blood sugar test – Performed two hour after using 75g glucose dissolved in water of

after a good meal.

Oral Glucose a Tolerance Test (OGTT) is not recommended for routine clinical use nor

screening purposes.

Fasting Blood Sugar Values

*109mg% – Normal

*110 -125mg% – Impaired Glucose Tolerance (IGT)

*126 mg% – Possible Diabetes Mellitus

Criteria for Diagnosis of Diabetes Mellitus

1. Symptoms of diabetes plus RBS >200mg/dl (11.1 mmol/L)

2. FBS > 126 mg/dl (7.0 mmol/L)

3. two-our sugar >200mg/dl (11.1mmol/L) during an OgTTn or Oral glucose tolerance Test.

Repeat Testing on a different day should be done to confirm these criteria.

Source: Compendium of Philippine Medicine, 2000