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. 2023 Nov 24;120(47):804–810. doi: 10.3238/arztebl.m2023.0219

eTable 3. Laboratory parameters for the diagnosis of type 2 diabetes (2).

Laboratory parameter Advantages Disadvantages
FPG – Simple to perform
– Independent of age, hemoglobinopathy, hematological disorders, and red blood cell turnover
– Individual variation from day to day
– Time-of-day fluctuations (therefore, test performed, e.g., between 7:00 am and 9:00 am)
– Uncertainty regarding fasting status
– Preanalytical pitalls (standardized processing and suitable blood collection tubes necessary)
HbA1c – Independent of time of day and fasting status
– Independent of muscle work and site of blood collection
– Low individual variation from day to day
– Reflects mean plasma glucose for the previous 8–12 weeks
– Multiple interferences
– Analytical problems (insufficiently reproducible)
– Among other factors, dependent on age and ethnic origin
oGTT – Reference test (26)
– Only test for the diagnosis of impaired glucose tolerance
– Independent of age, hemoglobinopathy, hematological disorders, and red blood cell turnover
– Lower reproducibility than FPG and HbA1c
– More complex and prone to errors
– Intraindividual fluctuations
– Preanalytical pitifalls (standardized processing and suitable blood collection tubes necessary)
CPG – Fasting status not required
– Simple to perform
– Independent of age, hemoglobinopathy, hematological disorders, and red blood cell turnover
– Intraindividual fluctuations
– Fluctuations depending on length of fasting status and the type and volume of previous food intake
– Preanalytical pitfalls (standardized processing and suitable blood collection tubes necessary)
– Not suitable for the exclusion of a diagnosis due to lack of standardization

The table is based on the clinical experience of the guideline group.

CPG, casual plasma glucose; HbA1c, hemoglobin A1c; FPG, fasting plasma glucose; oGTT, oral glucose tolerance test