How is Diabetes diagnosed?

['Ivwilila ku chihanda chino']

Kuchi akuwanyina yikola yacho?

Musongo wa shuga kakuunyingika ha kuhengwola manyinga hanga uwane chize manyinga ali.

Yipikalo yize akuzachisa hanga awane yikola yacho yili:

1. U kweseka ni plasma ya glucose (FPG): Eseka lino kakuzachisa manyinga ja glucose hakubula kulia ha mawola 8.

Nyi manyinga mu manyinga kali ni 126 mg/dL (7 mmol/L) hanji kuhianaho, chinalumbunuka ngwo uli ni yikola ya shuga.

2. Cheseko cha kunwa Glucose (OGTT): Cheseko chino chakukekesa manyinga ja glucose shimbu kanda mutu anakamwe chize meya azuka ni ha mawola 2 muze anakamwecha.

Nyi manyinga mu manyinga kali ni glicemia ya 2000 mg/dL (111 mmol/L) hanji kuhianaho, chinalumbunuka yikola ya shuga.

3. Kuhehwojola cha plasma Glucose: Kuhehwojola chacho chakulingiwa ha shimbu lieswe nawa kuchishi kufupiwa kufunga.

Nyi manyinga mu manyinga kali ni glicemia ya 2000 mg/dL (111 mmol/L) hanji kuhianaho, chinalumbunuka yikola ya shuga.

4. Kuhehwojola cha Glycated Hemoglobin (A1C): Kuhehwojola chacho chakusolola chize manyinga apema apwile ha tukweji 2-3.

A1C ya 6.5% hanji kuhiana yinasolola yikola ya shuga.

Chili chilemu kunyingika ngwo, ha matangwa akwo, twatamba kulinga yikuma yino hanga tuwanyine ushindakenyo.

Nawa yuma yikwo ngwe yilungo, yikola ni kuhengwola mujimba, mahasa kuyula ha kukwata chinyingi.

Nyi uli ni yipuliso hakutwala ku yikola ya musongo wa shuga, watamba kuya ni ndotolo.

['Kuhanjika']

PubMed/Medline https://www.nlm.nih.gov/databases/download/pubmed_medline.html

RefinedWeb https://arxiv.org/abs/2306.01116

Ding L, Xu Y, Liu S, Bi Y, Xu Y: Hemoglobin A1c and diagnosis of diabetes. J Diabetes. 2018, 10 (5): 365-372.

Kalra S, Gupta Y: Diagnosis of diabetes. J Pak Med Assoc. 2015, 65 (3): 336-7.

Higgins T: HbA1c for screening and diagnosis of diabetes mellitus. Endocrine. 2013, 43 (2): 266-73.

Ko GT: Diagnosing diabetes mellitus in the Asian population. Hong Kong Med J. 2000, 6 (1): 53-9.

Li HY, Ma WY, Wei JN, Lin MS, Shih SR, Hung CS, Hua CH, Chuang LM: Hemoglobin A1c for the diagnosis of diabetes: To replace or to guide oral glucose tolerance tests? J Diabetes Investig. 2012, 3 (3): 259-65.

Hill J: How to diagnose diabetes. Nurs Times. , 101 (16): 28-30.

Hessler KL, Dunemn K: Laboratory diagnosis of overt type 2 diabetes in the first trimester of pregnancy. J Am Assoc Nurse Pract. 2017, 29 (9): 521-526.

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['Sango jacho katambile kujizachisa hanga awane hanji awahise yikola, nawa waze anafupu yiyulo ya mandotolo katamba kuya kuli ndotolo.']

['Tala ha makina yize yakukwasa hanga uwane kumbululo lia yihula, hi yikalu ko muze anavuluka unji wa atu waze ali ni yikola.']

['Teta mashimbu eswe kuwana yiyulo ya ndotolo we hanji umwe mukwa-kuhana yiyulo ya uhayele ha chikuma cha yikola. Kanda ulionga yiyulo ya ndotolo hanji kutohwesa kuyitanga ha mukunda wa yimwe yuma yize watanga ha site yino. Nyi wanyonga ngwo uli ni mulonga wa uhayele, shinga 911 hanji yako ha chipatulo cha usopeso chize chili hakamwihi. Kukushi usepa wa ndotolo ni ndotolo uze wakunjila ha site yino hanji ha kuzachisa site yino. Chipwe BioMedLib hanji akwa-kukalakala nayo, hanji yoze wakukwasa ha site yino, keshi kulinga nichimwe, chipwe kusolola, hakutwala ku sango jize jili ha site yino hanji ha kuzachisa site yino.']

['Uhashi wa akwa-kusoneka']

['Shimbi ya Digital Millennium Copyright Act ya 1998, 17 U.S.C. § 512 (DMCA) yinambe ngwo, waze ali ni shimbi ja akwa-kusoneka waze anafuliela ngwo yuma yize yili ha Internet yinapinjisa shimbi ja akwa-kusoneka ja mu Estados Unidos. ']

['Nyi unafuliela ni mbunge yeswe ngwo yikuma yeswe yize akuzachisa ha site yino yinapinjisa shimbi ja akwa-kusoneka, yena (mba yoze wakuzachisa) muhasa kututumina mukanda hanga ututuhwise yikuma yacho hanji kuhona kuyimona.']

['Sango jacho katamba kujituma ha mukanda ha email (tala ha chihanda cha "Contact" ha email).']

['Shimbi ya DMCA yinambe ngwo, sango je ha yize akuhanjika ngwo yapinjisa shimbi ja akwa-kusoneka yili ni sango jacho: (1) kulumbununa mulimo uze uli ni shimbi ja akwa-kusoneka uze anazangamisa; (2) kulumbununa yikuma yize anazangamisa ni sango jize jinahase kutukwasa hanga tuwane yikuma yacho; (3) kulweza yoze mutuhasa kumuheta, ngwe adresi, numero ya telefone ni email; (4) maliji waze yena musolola ngwo, yuma yize anazangamisa kuyishi ni utayizo wa mwene wa shimbi ja akwa-kusoneka, hanji yoze akuzachisa, hanji ni shimbi jize anazangamisa; ']

['(5) Sango jize yena musoneka, ni shimbi jize makahana, ngwo sango jize jili ha mukanda jili ja umwenemwene nawa uli ni ulite wakukwasa hanga akwa-kusoneka afunge shimbi jize anakwambulula ngwo jinalitepulula;']

['nawa (6) chijimbikilo cha mwata wa shindakenyo ya ulite wa yuma hanji cha muthu yoze uli ni ulite wa kulinga yuma ha jina lia mwata wa shindakenyo ya yuma.']

['Nyi kuhona kusa sango jacho mu mukanda, kuchihasa kutohwesa chikuma chikuma.']

['Kulitakana']

['Tutuminenu mukanda ni yihula ni yiyulo yenu.']

How is diabetes diagnosed?

Diabetes is diagnosed through a series of blood tests that measure the levels of glucose (sugar) in the blood.

The most common tests used to diagnose diabetes are:

1. Fasting Plasma Glucose (FPG) test: This test measures the blood glucose level after fasting for at least 8 hours.

A blood glucose level of 126 mg/dL (7 mmol/L) or higher indicates diabetes.

2. Oral Glucose Tolerance Test (OGTT): This test measures blood glucose levels before and 2 hours after drinking a sweet liquid.

A blood glucose level of 2000 mg/dL (111 mmol/L) or higher indicates diabetes.

3. Random Plasma Glucose test: This test can be done at any time and does not require fasting.

A blood glucose level of 2000 mg/dL (111 mmol/L) or higher indicates diabetes.

4. Glycated Hemoglobin (A1C) test: This test measures the average blood glucose level over the past 2-3 months.

An A1C level of 6.5% or higher indicates diabetes.

It is important to note that these tests should be repeated on a different day to confirm the diagnosis.

Additionally, other factors such as symptoms, medical history, and physical examination may also be considered in making a diagnosis.

If you have any concerns or questions about diabetes diagnosis, it is important to consult with a healthcare professional.

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