THE ADA recently revised the criteria considered diagnostic of diabetes: 1.-Fasting blood glucose greater than or equal to 126 mgrs / dl. The determination must be made in venous plasma after eight hours of fasting and rest at night. A changed value should be confirmed on a different day. 2 .- Typical symptoms and a random blood glucose greater than or equal to 200 mg / dl (no need for a second determination.) 3.-In people with a fasting glucose between 110 and 125 mgrs / dl after 75 g oral load of glucose, two hours if blood glucose is greater than or equal to 200. Other diagnostic entities: 1.-Tolerance Impaired glucose: After oral load with 75 grams of glucose at 2 hours shows glycemia between 140 and 199 mgrs / dl There is no agreed test the systematic practice of oral glucose (European Consensus ADA). It should probably be individualized in each case, assessing risk factors for diabetes.
(19) 2 .- impaired fasting glucose: blood glucose levels between 110 and 125 mgrs / dl 3 .- CONTROL DE LA DIABETES MELLITUS diabetes treatment is not covered by this Guide. His good control is essential in the prevention of microvascular complications, neuropathy, and – although there is the same evidence "- also of macrovascular complications. (19) Recommendations of glycemic control. TABLE V Low Risk Risk Risk microvascular blood Hb A1c (%) 6.5 7.5 Blood glucose (venous plasma) Basal / preprandial home Basal 110 125 Self-analysis / prepandrial Postprandial (peak) blood glucose level 135 110 160 mgrs / dl as important as control of diabetes is the aggressive treatment of other risk factors, especially hypertension and dyslipidemia, in that therapeutic goals are very similar to those of secondary prevention.