Table 6. Glucose Testing and Interpretation.
Normal | High Risk for Diabetes | Diabetes |
---|---|---|
FPG <100 mg/dL | IFG FPG ≥100-125 mg/dL |
FPG ≥126 mg/dL |
2-h PG <140 mg/dL | IGT 2-h PG ≥140-199 mg/dL |
2-h PG ≥200 mg/dL Random PG ≥200 mg/dL + symptoms |
A1C <5.5% | 5.5 to 6.4% For screening of prediabetesa |
≥6.5% Secondaryb |
Abbreviations: A1C = hemoglobin A1C; FPG = fasting plasma glucose; IFG = impaired fasting glucose; IGT = impaired glucose tolerance; PG = plasma glucose.
A1C should be used only for screening prediabetes. The diagnosis of prediabetes, which may manifest as either IFG or IGT, should be confirmed with glucose testing.
Glucose criteria are preferred for the diagnosis of DM. In all cases, the diagnosis should be confirmed on a separate day by repeating glucose or A1C testing. When A1C is used for diagnosis, follow-up glucose testing should be done when possible to help manage DM.