Diagnosing Diabetes in Adults
The diagnosis of diabetes is frequently missed or overlooked; clinicians should be vigilant in evaluating clinical presentations suggestive of diabetes. Test all patients with overt symptoms, non specific symptomatology, glycosuria, recurrent infections including uro-genital candidiasis, urine and skin infection.
Annual re-testing of those with IFG, IGT or previous GDM is essential.
Whole population screening for diabetes is NOT recommended. Active case finding is encouraged.
Maintain a high index of suspicion in people with combinations of the following:
Age >40 years
Overweight (BMI 25 kg/m2*)
Family history of diabetes (i.e., parents or siblings with diabetes)
History of vascular disease
For diagnosing diabetes in pregnancy- please refer to the ‘Pregnancy section’