Diagnosis

The American Diabetes Association recommends that all adults over
forty-five be screened for type 2 diabetes at least every three years, and
that people with several risk factors be screened yearly.

Diabetes is diagnosed by the results of blood tests. There are several
different types of blood tests that may be used:
  • Fingerstick. This type of test is often used as a screener in the doctor’s
    office. The doctor pricks the patient’s fingertip with a needle
    and touches a test strip attached to a small handheld glucometer to
    the drop of blood, which provides a blood sugar reading within a
    few seconds. This method is used by diabetic patients at home
    to monitor their blood sugar levels.
  • Fasting blood glucose test. The patient has blood drawn first thing
    in the morning after having eaten nothing since midnight of the
    previous night. A score over 126 milligrams per deciliter (mg/dL)
    indicates possible diabetes.
  • Glucose tolerance tests. In this test, the patient has blood drawn
    twice, the first time after fasting for eight hours and the second
    time two hours later, after drinking a very sweet drink. A score
    over 200 mg/dL suggests diabetes.
  • Hemoglobin A1c test. This test is used to monitor blood sugar
    control in people known to have diabetes. It measures the amount
    of blood sugar attached to the hemoglobin in red blood cells. If
    more than 7 percent of the hemoglobin has excess sugar attached
    to it, the person needs to get better control over their blood sugar
    levels.

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