Many thanks for your prompt replies:
Further information: A comment was sent out as GTT c/w diabetes
mellitus if symptomatic. As patient was asymptomatic the GP decided to repeat
GTT and the results were:
Fasting glucose 6.1 mmol/L; 2h post-glucose 8.2 mmol/L; and
HbA1c 6.1%.
Now, is the patient diabetic or not? or shall we go for
a third GGT?
Below are the nine comments from colleagues in order of
receiving them:
1. 30 - 40% of
diabetic have either normal or impaired fasting glucose
2. I would add C/W
DM.
3. "The 2 hour post glucose
load confirms the diagnosis of Diabetes mellitus, IF symptoms present. If
symptoms not present please repeat the OGTT on another day.
WHO criteria
fasting glucose > or = 7.0 mmol/L, and/or 2-hour post glucose > or =
11.1 mmol/L."
4.
This is DM
WHO
says 2 hr post load glucose takes precedence.
5. 2 hour glucose
result suggests diabetes mellitus
6.
GTT consistent with diabetes
7.
GTD
8. Diabetic
results
9. 2hr post load
>11 = diabetic, doesn't it?
Best wishes
Mohammad