Clinical Application of Blood Glucose and Urine Glucose Test in the Diagnosis of Diabetes Mellitus

2021 ◽  
2016 ◽  
Vol 01 (01) ◽  
pp. 12-19
Author(s):  
Dessy Nelciani Timuneno ◽  
◽  
Deviarbi Sakke Tira ◽  
Imelda F. E Manurung ◽  

2012 ◽  
Vol 36 (3) ◽  
Author(s):  
Theodor Koschinsky ◽  
Peter B. Luppa

ZusammenfassungFür die Durchführung und Bewertung der Blutglukose (BG)-Messung bei der primären Diabetesdiagnostik sind neue DDG (Deutsche Diabetes-Gesellschaft)- und AWMF (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften)-Leitlinien-Standards festgelegt worden. Diese betreffen folgende Bereiche: Abgrenzung zur HbA


2013 ◽  
Vol 36 (2) ◽  
Author(s):  
Theodor Koschinsky ◽  
Peter B. Luppa

AbstractNew DDG (Deutsche Diabetes-Gesellschaft) and AWMF (Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften) guidelines have been established for the diagnosis of diabetes mellitus and gestational diabetes. These are relevant for blood glucose (BG) measurements with reference to: distinction from HbA


1995 ◽  
Vol 5 (4) ◽  
pp. 277-280
Author(s):  
QING QLAO ◽  
LIISA HIL TUNEN ◽  
SIRKKA KEINA¨NEN-KIUKAANNIEMI ◽  
KEIJO KOSKI ◽  
HEIKKI LUUKINEN ◽  
...  

2021 ◽  
Vol 7 (2) ◽  
pp. 304-317
Author(s):  
Dudi Hardianto

Diabetes mellitus is a metabolic disorder characterized by hyperglycemia. In general, diabetes is classified into type 1 diabetes mellitus (T1DM), type 2 diabetes mellitus (T2DM), gestational, and other specific diabetes. The causes of diabetes are genetic disorders and environmental. Common symptoms of diabetes include: polydipsia, polyphagia, glycosuria, polyuria, dehydration, fatigue, weight loss, reduced vision, cramps, constipation, and candida infection. Test for diagnosis of diabetes include: fasting plasma glucose test, plasma glucose test after 2 hours of 75 g oral glucose administration, the glycated hemoglobin test (HbA1C), and random blood glucose test. Prevention of T1DM is still difficult because of the limited knowledge of metabolic, genetic, and immunological processes in the development of T1DM. T2DM is prevented by lifestyle and medical intervention. Insulin is the only drug for T1DM, whereas T2DM is treated with metformin as drug’s primary choice for reducing blood glucose levels. Diabetes melitus merupakan penyakit kelainan metabolisme yang ditandai dengan hiperglikemia. Secara umum, diabetes diklasifikasikan menjadi: diabetes melitus tipe 1 (DMT1), diabetes melitus tipe 2 (DMT2), gestasional, dan diabetes spesifik lain. Penyebab diabetes adalah kelainan genetik dan lingkungan. Gejala umum diabetes antara lain: polidipsia, polifagia, glikosuria, poliuria, dehidrasi, kelelahan, penurunan berat badan, daya penglihatan berkurang, kram, konstipasi, dan infeksi candida. Pemeriksaaan untuk diagnosis diabetes meliputi: pemeriksaan glukosa plasma saat puasa, pemeriksaan glukosa plasma setelah 2 jam pemberian glukosa oral 75 g, pemeriksaan hemoglobin terglikasi (HbA1C), dan pemeriksaan glukosa darah acak. Pencegahan DMT1 masih sulit karena terbatasnya pengetahuan proses metabolisme, genetik, dan imunologi pada perkembangan DMT1. DMT2 dicegah dengan intervensi gaya hidup dan intervensi medis. Insulin merupakan satu-satunya obat untuk DMT1, sedangkan DMT2 diobati dengan metformin sebagai pilihan utama dan non obat untuk menurunkan kadar glukosa dalam darah.


2016 ◽  
Vol 53 (3) ◽  
pp. 483-492 ◽  
Author(s):  
Ruben Tavares ◽  
Marc Duclos ◽  
Marie-Josée Brabant ◽  
Daniella Checchin ◽  
Nevzeta Bosnic ◽  
...  

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e019924 ◽  
Author(s):  
Helen, L Storey ◽  
Maurits H van Pelt ◽  
Socheath Bun ◽  
Frances Daily ◽  
Tina Neogi ◽  
...  

ObjectiveScreening for diabetes in low-resource countries is a growing challenge, necessitating tests that are resource and context appropriate. The aim of this study was to determine the diagnostic accuracy of a self-administered urine glucose test strip compared with alternative diabetes screening tools in a low-resource setting of Cambodia.DesignProspective cross-sectional study.SettingMembers of the Borey Santepheap Community in Cambodia (Phnom Penh Municipality, District Dangkao, Commune Chom Chao).ParticipantsAll households on randomly selected streets were invited to participate, and adults at least 18 years of age living in the study area were eligible for inclusion.OutcomesThe accuracy of self-administered urine glucose test strip positivity, Hemoglobin A1c (HbA1c)>6.5% and capillary fasting blood glucose (cFBG) measurement ≥126 mg/dL were assessed against a composite reference standard of cFBGmeasurement ≥200 mg/dL or venous blood glucose 2 hours after oral glucose tolerance test (OGTT) ≥200 mg/dL.ResultsOf the 1289 participants, 234 (18%) had diabetes based on either cFBG measurement (74, 32%) or the OGTT (160, 68%). The urine glucose test strip was 14% sensitive and 99% specific and failed to identify 201 individuals with diabetes while falsely identifying 7 without diabetes. Those missed by the urine glucose test strip had lower venous fasting blood glucose, lower venous blood glucose 2 hours after OGTT and lower HbA1c compared with those correctly diagnosed.ConclusionsLow cost, easy to use diabetes tools are essential for low-resource communities with minimal infrastructure. While the urine glucose test strip may identify persons with diabetes that might otherwise go undiagnosed in these settings, its poor sensitivity cannot be ignored. The massive burden of diabetes in low-resource settings demands improvements in test technologies.


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