LAB INVESTIGATIONS AND DIAGNOSIS

Diabetes Mellitus

WHO criteria for diagnosis of metabolic syndrome is-

Any one of the following Any two of the following

DM Blood pressure: ≥ 140/90

Impaired fasting glucose TG >150 and HDL <35 M & < 40F

Impaired glucose tolerance WHR >0.9 M & >0.85 F or BMI >30

Insulin resistance urinary albumin excretion ≥ 20 µg/min or albumin : creatinine ratio ≥ 30 mg/g

Diagnostic criteria for DM

Any one of the following is diagnosticA. Glucose

1. Fasting plasma glucose ≥126 mg% or2. Symptoms of hyperglycemia and casual plasma glucose ≥200mg% or3. During an OGTT 2 hour plasma glucose ≥ 200mg%

B. HbA1c ≥ 6.5 mg%

others

MicroalbuminuriaEvaluating complications- lipid profile,

ketone bodies, electrolytes, lactate etc.HOMA-IR = insulin (mU/L) * glucose (mg%) /

405C-peptide assessment.

Thank you…