Position Statement Executive Summary: Guidelines and Recommendations for Laboratory Analysis in the Diagnosis and Management of Diabetes Mellitus
Sacks, David B. ; Arnold, Mark ; Bakris, George L. ; Bruns, David E. ; Horvath, Andrea Rita ; Kirkman, M. Sue ; Lernmark, Åke LU
; Metzger, Boyd E.
and Nathan, David M.
(2011)
In Diabetes Care
34(6).
p.1419-1423
- Abstract
- BACKGROUND-Multiple laboratory tests are used in the diagnosis and management of patients with diabetes mellitus. The quality of the scientific evidence supporting the use of these assays varies substantially. APPROACH-An expert committee compiled evidence-based recommendations for the use of laboratory analysis in patients with diabetes. A new system was developed to grade the overall quality of the evidence and the strength of the recommendations. A draft of the guidelines was posted on the Internet, and the document was modified in response to comments. The guidelines were reviewed by the joint Evidence-Based Laboratory Medicine Committee of the AACC and the National Academy of Clinical Biochemistry and were accepted after revisions by... (More)
- BACKGROUND-Multiple laboratory tests are used in the diagnosis and management of patients with diabetes mellitus. The quality of the scientific evidence supporting the use of these assays varies substantially. APPROACH-An expert committee compiled evidence-based recommendations for the use of laboratory analysis in patients with diabetes. A new system was developed to grade the overall quality of the evidence and the strength of the recommendations. A draft of the guidelines was posted on the Internet, and the document was modified in response to comments. The guidelines were reviewed by the joint Evidence-Based Laboratory Medicine Committee of the AACC and the National Academy of Clinical Biochemistry and were accepted after revisions by the Professional Practice Committee and subsequent approval by the Executive Committee of the American Diabetes Association. CONTENT-In addition to the long-standing criteria based on measurement of venous plasma glucose, diabetes can be diagnosed by demonstrating increased hemoglobin A(1c) (HbA(1c)) concentrations in the blood. Monitoring of glycemic control is performed by the patients measuring their own plasma or blood glucose with meters and by laboratory analysis of HbA(1c). The potential roles of noninvasive glucose monitoring, genetic testing, and measurement of autoantibodies, urine albumin, insulin, proinsulin, C-peptide, and other analytes are addressed. SUMMARY-The guidelines provide specific recommendations based on published data or derived from expert consensus. Several analytes are found to have minimal clinical value at the present time, and measurement of them is not recommended. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/2056719
- author
- Sacks, David B.
; Arnold, Mark
; Bakris, George L.
; Bruns, David E.
; Horvath, Andrea Rita
; Kirkman, M. Sue
; Lernmark, Åke
LU
; Metzger, Boyd E.
and Nathan, David M.
- organization
- publishing date
- 2011
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Diabetes Care
- volume
- 34
- issue
- 6
- pages
- 1419 - 1423
- publisher
- American Diabetes Association
- external identifiers
-
- wos:000291846200036
- scopus:80051988751
- pmid:21617111
- ISSN
- 1935-5548
- DOI
- 10.2337/dc11-9997
- language
- English
- LU publication?
- yes
- id
- 32e60d69-c897-451d-b574-ee3f8f5b4af0 (old id 2056719)
- date added to LUP
- 2016-04-01 13:58:16
- date last changed
- 2022-03-29 18:28:30
@article{32e60d69-c897-451d-b574-ee3f8f5b4af0,
abstract = {{BACKGROUND-Multiple laboratory tests are used in the diagnosis and management of patients with diabetes mellitus. The quality of the scientific evidence supporting the use of these assays varies substantially. APPROACH-An expert committee compiled evidence-based recommendations for the use of laboratory analysis in patients with diabetes. A new system was developed to grade the overall quality of the evidence and the strength of the recommendations. A draft of the guidelines was posted on the Internet, and the document was modified in response to comments. The guidelines were reviewed by the joint Evidence-Based Laboratory Medicine Committee of the AACC and the National Academy of Clinical Biochemistry and were accepted after revisions by the Professional Practice Committee and subsequent approval by the Executive Committee of the American Diabetes Association. CONTENT-In addition to the long-standing criteria based on measurement of venous plasma glucose, diabetes can be diagnosed by demonstrating increased hemoglobin A(1c) (HbA(1c)) concentrations in the blood. Monitoring of glycemic control is performed by the patients measuring their own plasma or blood glucose with meters and by laboratory analysis of HbA(1c). The potential roles of noninvasive glucose monitoring, genetic testing, and measurement of autoantibodies, urine albumin, insulin, proinsulin, C-peptide, and other analytes are addressed. SUMMARY-The guidelines provide specific recommendations based on published data or derived from expert consensus. Several analytes are found to have minimal clinical value at the present time, and measurement of them is not recommended.}},
author = {{Sacks, David B. and Arnold, Mark and Bakris, George L. and Bruns, David E. and Horvath, Andrea Rita and Kirkman, M. Sue and Lernmark, Åke and Metzger, Boyd E. and Nathan, David M.}},
issn = {{1935-5548}},
language = {{eng}},
number = {{6}},
pages = {{1419--1423}},
publisher = {{American Diabetes Association}},
series = {{Diabetes Care}},
title = {{Position Statement Executive Summary: Guidelines and Recommendations for Laboratory Analysis in the Diagnosis and Management of Diabetes Mellitus}},
url = {{http://dx.doi.org/10.2337/dc11-9997}},
doi = {{10.2337/dc11-9997}},
volume = {{34}},
year = {{2011}},
}