+ symptoms of diabetes

OGTT, oral glucose tolerance test.

a Any combination of two abnormal tests performed at different points in time is diagnostic for diabetes. Fasting is defined as no caloric intake for at least 8h. Random glucose is defined as any time of day without regard to time since last meal. Symptoms of marked hyperglycemia include polyuria, polydipsia, weight loss, sometimes with polyphagia, and blurred vision.

Table 3 Diagnostic criteria for metabolic syndrome


WHO diagnostic criteria

(insulin resistance + >2 of the following)

ATP III diagnostic criteria (>3 of the following)

Abdominal/central obesity

Waist-to-hip ratio: >0.90 for men >0.85 for women

Waist circumference: >102 cm (40 in.) in men >88 cm (35 in.) in women


Body mass index (BMI) >30kgm - 2 >150 mgdL -1 (> 1.7 mmol L - 1)

>150 mgdL - 1 (>1.7 mmol L - 1)

HDL cholesterol

<35mgdL-1 (<0.9mmolL-1) for men <39 mgdL-1 (<1.0 mmol L-1) for women

<40 mgdL-1 (< 1.036mmol L-1) for men <50 mgdL-1 (< 1.295 mmol L-1) for women

Blood pressure

> 140/90 mmHg or documented use of antihypertensive therapy

> 130/85 mmHg or documented use of antihypertensive therapy

Fasting glucose

Impaired glucose tolerance Impaired fasting glucose Diabetes

>110 mgdL - 1 (>6.1 mmol L - 1)a

Urinary microalbumin

Urinary albumin/creatinine ratio: 30mgg -1 Albumin excretion rate: 20 mgmin- 1

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