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. 2020 Jan 4;11(2):387–409. doi: 10.1007/s13300-019-00743-7

Table 1.

Diagnostic criteria for type 1 diabetes mellitus in adults recommended by the American Diabetes Association

Diagnostics Diagnostic criteria [8]
Diagnostic tests

• FPG ≥ 126 mg/dL (7.0 mmol/L), with no caloric intake for at least 8 ha

  or

• 2-h PG ≥ 200 mg/dL (11.1 mmol/L) during OGTT, using a glucose load with the equivalent of 75 g of anhydrous glucose dissolved in watera

  or

• HbA1c ≥ 6.5% (48 mmol/mol) performed using an NGSP-certified method standardized to the DCCT assaya

  or

Random PG ≥ 200 mg/dL (11.1 mmol/L) in patients with classic symptoms of hyperglycemia or hyperglycemic crisis

Other diagnostic criteria

• Multiple autoantibodies (islet cell, GAD65, ZnT8, IA-2, anti-insulin)

• Undetectable or low C-peptide

• Family history/co-existence of other autoimmune diseases

Clinical symptoms

• Hyperglycemia

• Polyuria/polydipsia

• Unexplained weight loss

• Diabetic ketoacidosis

Pathophysiology • Beta cell destruction (occasionally dysfunction of remnant beta cells)

DCCT Diabetes Control and Complications Trial, FPG fasting plasma glucose, GAD65 glutamic acid decarboxylase, HbA1c glycated hemoglobin, IA-2 islet antigen-2, NGSP National Glycohemoglobin Standardization Program, OGTT oral glucose tolerance test, PG plasma glucose, ZnT8 zinc transporter 8

aResults should be confirmed by repeat testing in the absence of unequivocal hyperglycemia