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. 2020 Sep 19;17(4):462–469. doi: 10.4103/jmas.JMAS_19_20

Ad-DiaRem (Advanced- DiaRem) scoring system[11]

Factor Score
Age (years)
 15-41 0
 42-52 3
 53-69 5
HbA1C (%)
 4.5-6.9 0
 7.0-7.4 2
 7.5-18.4 4
Treatment with insulin
 No 0
 Yes 3
Other glucose lowering agents*
 No 0
 Yes 1
Number of glucose lowering agents**
 0 0
 1 1
 2 2
 >3 3
Duration of DM (years)
 0-6.9 0
 7.0-13.9 3
 >14 5
Total score 0-21

ISA: Insulin-sensitizing agent. *includes sulfonylurea and ISA other than metformin, **includes all glucose-lowering agents (including insulin)