譬如，种族因素，BMI等相关risk factors 考虑 ADA Guidelines (american diabetes association ) 如果要筛查Type 2 diabetes annually should be considered in overweight adults (BMI ≥ 25) who have 1 or more of the following risk factors； - 1st degree relative - high risk ethnicity - CVD - HTN - HDL - Polycystic ovary syndrome
而对于亚裔，ADA RecommendationTesting for diabetes should be considered for all Asian American adults who present with a BMI of ≥23 kg/m2;
因为与非西班牙裔美国白人相比，亚裔美国人被认为患 2 型糖尿病的风险更高。 Asian criteria-based BMI was used as follows: <18.5 for underweight, 18.5-22.9 for normal-weight, 23.0-27.5 for overweight, and >27.5 for obese women.
The association of obesity with type 2 diabetes has been recognized for decades, and the major basis for this link is the ability of obesity to engender insulin resistance; (肥胖是导致胰岛素抵抗的主要原因之一）
In practice, the ADA/EASD guidelines tend to be more user-friendly for general practitioners because of the simple stepwise intensification regimen, whereas the AACE/ACE guidelines are more commonly followed by specialists (endocrinologists) because of the more aggressive A1C targets.
上个月，去年底买的一直没启用过的这个测血糖仪终于被我太太想起来用了。
说起这个小玩意，还是在黑色星期五大采购时买的，当时在买了空气炸锅、粉碎料理机和养生壶后，我太太担心我会多吃多喝，引起血糖异常。 由于我老父亲是糖尿病并发症去世的，最近我在上海的姐姐也被带上了糖尿病的帽子，所以太太担心我会有家族遗传因素。
其实我对自己的身体状况一直很有信心，历年常规体检，指标都不带箭头的（不超标），这两年在马里兰体检也是正常，总觉得是多此一举，但领导圣旨一下，只能照办。
那天早晨一起来，匆匆忙忙就按照油管上的视频依样画葫芦，用仪器附带的针刺了一下手指，把血涂到试剂上，几秒钟后屏幕就显示出95，太太一看，吓了一大跳，惊呼“侬得糖尿病了，哪能嘎结棍的（厉害的）”，我说不会吧，我老爸老糖尿病了，也就十几而已，怎么会到95呢？如果稍微超标一点我相信有可能，如此悬殊的指标肯定是计量单位有问题。
我也无心去吃早餐了，静下心来，在网上马上搜索了一下，才知道美国的血糖指标用的单位和中国不一样，我们以前在国内看到的血糖指标都是毫摩尔/每升（mmol/L），而美国的血糖单位是毫克/分升mg/dl，两者可以简单换算的，95就相当于中国的5.28，属于正常范围，原来是一场虚惊的乌龙，真是孤陋寡闻了。
为了让太太彻底打消顾虑，接下来我又连续测了一星期，无论是餐前还是餐后，血糖指标均属正常范围。现在疑虑已消失，该吃吃，该喝喝，当然为了健康，适当的节制饮食也是必要的。
随着年龄的上升，时刻关注自己身体状况，对自己对家人都是必须的，在当前疫情尚未结束的情况下尤显重要。
愿我们大家平平安安地去享受美好的夏日生活吧！
皮卡大哥好，
1，仅以ADA criteria for the diagnosis of diabetes mellitus:
*We need two abnormal tests from same or different tests*
Fasting plasma glucose ≥126
OR
2hr plasma glucose ≥200 during an Oral glucose test
OR
A1C ≥6.5%
OR
Classic DM symptoms + random plasma glucose (finger stick) ≥200
2，具体blood sugar standard chart见下，普通正常人和糖尿病人对blood sugar 控制要求是不一样的。
*ADA 2022 guidelines*
*糖尿病人与普通人的控制要求*
譬如，种族因素，BMI等相关risk factors 考虑
ADA Guidelines (american diabetes association ) 如果要筛查Type 2 diabetes annually should be considered in overweight adults (BMI ≥ 25) who have 1 or more of the following risk factors；
- 1st degree relative
- high risk ethnicity
- CVD
- HTN
- HDL
- Polycystic ovary syndrome
而对于亚裔，ADA RecommendationTesting for diabetes should be considered for all Asian American adults who present with a BMI of ≥23 kg/m2;
因为与非西班牙裔美国白人相比，亚裔美国人被认为患 2 型糖尿病的风险更高。
Asian criteria-based BMI was used as follows: <18.5 for underweight, 18.5-22.9 for normal-weight, 23.0-27.5 for overweight, and >27.5 for obese women.
The association of obesity with type 2 diabetes has been recognized for decades, and the major basis for this link is the ability of obesity to engender insulin resistance;
(肥胖是导致胰岛素抵抗的主要原因之一）
A1c (HbA1c) test measures the amount of blood sugar (glucose) attached to your hemoglobin。因为正常红血细胞平均寿命120天, 查A1C可以更准确追踪血糖控制。
不好意思，太忙了，鸡毛信上来看云儿姐姐的民间高手，碰巧看到皮卡大哥，快速打几个字。
周末愉快！
In practice, the ADA/EASD guidelines tend to be more user-friendly for general practitioners because of the simple stepwise intensification regimen, whereas the AACE/ACE guidelines are more commonly followed by specialists (endocrinologists) because of the more aggressive A1C targets.