2012
骞?/p>
ADA
绯栧翱鐥呰瘖鐤楁寚鍗?/p>
缇庡浗绯栧翱鐥呭崗浼?/p>
鐩墠绯栧翱鐥呯殑璇婃柇鏍囧噯
A1C
鈮?/p>
6.5%
銆?/p>
璇?/p>
楠?/p>
搴?/p>
璇?/p>
鐢?/p>
缇?/p>
鍥?/p>
绯?/p>
鍖?/p>
琛�
绾?/p>
铔?/p>
鐧?/p>
鏍?/p>
鍑?/p>
鍖?/p>
璁?/p>
鍒?/p>
缁?/p>
缁?/p>
锛?/p>
National
Glycohemoglobin Standardization Program
锛?/p>
NGSP
锛夎璇佺殑鏂规硶杩涜锛屽苟涓庣硸
灏跨梾鎺у埗鍜屽苟鍙戠棁鐮旂┒锛?/p>
Diabetes Control and Complications Trial
锛?/p>
DCCT
锛?/p>
鐨勬娴嬭繘琛屾爣鍖栥�傛垨绌鸿吂琛�绯栵紙
FPG
锛夆墺
7.0 mmol/L
銆傜┖鑵圭殑瀹氫箟鏄嚦灏?/p>
8
灏忔椂
鏈憚鍏ョ儹閲忋�傛垨
OGTT
2h
琛�绯栤墺
11.1
mmol/L
銆傝瘯楠屽簲鎸変笘鐣屽崼鐢熺粍缁囷紙
WHO
锛夌殑
鏍囧噯杩涜锛岀敤鐩稿綋浜?/p>
75 g
鏃犳按钁¤悇绯栨憾浜庢按浣滀负绯栬礋鑽枫�傛垨鍦ㄦ湁楂樿绯栫殑鍏稿瀷
鐥囩姸鎴栭珮琛�绯栧嵄璞＄殑鎮ｈ�咃紝闅忔満琛�绯栤墺
11.1 mmol/L
銆傚鏃犳槑纭殑楂樿绯栵紝缁撴灉
搴旈噸澶嶆娴嬬‘璁ゃ�?/p>
鍦ㄦ棤鐥囩姸鎮ｈ�呬腑杩涜绯栧翱鐥呯瓫鏌?/p>
鍦ㄦ棤鐥囩姸鐨勬垚浜猴紝
濡傝秴閲嶆垨鑲ヨ儢
锛?/p>
BMI
鈮?/p>
25kg/m2
锛?/p>
骞舵湁涓�涓互涓婂叾浠栫硸灏跨梾
鍗遍櫓鍥犵礌锛堣鈥?/p>
2012
骞寸硸灏跨梾璇婄枟鏍囧噯鈥濅腑鐨勮〃
4
锛?/p>
锛屽簲璇ヤ粠浠讳綍骞撮緞寮�濮嬬瓫鏌?/p>
绯栧翱鐥呭苟璇勪及灏嗘潵绯栧翱鐥呯殑椋庨櫓銆傚娌℃湁杩欎簺鍗遍櫓鍥犵礌鐨勪汉缇わ紝搴斾粠
45
宀佸紑濮?/p>
绛涙煡銆?/p>
锛?/p>
B
锛?/p>
濡傛灉妫�鏌ョ粨鏋滄甯革紝鑷冲皯姣?/p>
3
骞村鏌ヤ竴娆°�?/p>
锛?/p>
E
锛変负绛涙煡绯栧翱鐥呮垨璇?/p>
浼版湭鏉ョ硸灏跨梾鐨勯闄╋紝
A1C
銆?/p>
FPG
鎴?/p>
2h 75g OGTT
鍧囧彲浣跨敤銆?/p>
锛?/p>
B
锛?/p>
瀵逛簬閭ｄ簺宸茬粡鏄庣‘鏈潵绯栧翱鐥呴闄╁鍔犵殑浜虹兢锛?/p>
搴旇杩涗竴姝ヨ瘎浼板苟娌荤枟鍏朵粬蹇?/p>
琛�绠＄柧鐥咃紙
CVD
锛夊嵄闄╁洜绱犮�?/p>
锛?/p>
B
锛?/p>
濡婂鏈熺硸灏跨梾鐨勭瓫鏌ュ拰璇婃柇
鍦ㄦ湁鍗遍櫓鍥犵礌鐨勪釜浣撲腑锛?/p>
浜у墠棣栨灏辫瘖鏃剁敤鏍囧噯鐨勮瘖鏂柟娉曠瓫鏌ユ湭璇婃柇鐨?/p>
2
鍨嬬硸灏跨梾銆?/p>
锛?/p>
B
锛夋湭鐭ユ槸鍚﹀叿鏈夌硸灏跨梾鐨勫瓡濡囷紝鍦ㄥ濞?/p>
24~28
鍛ㄧ敤
75g 2h OGTT
绛涙煡濡婂绯栧翱鐥咃紝璇婃柇鍒囩偣瑙佲�?/p>
2012
骞寸硸灏跨梾璇婄枟鏍囧噯鈥濊〃
6
銆?/p>
锛?/p>
B
锛?/p>
濡婂绯栧翱
鐥呯殑濡囧コ鍦ㄤ骇鍚?/p>
6~12
鍛ㄧ敤闄?/p>
A1C
浠ュ鐨勬柟娉曠瓫鏌ユ案涔呮�х硸灏跨梾銆?/p>
锛?/p>
E
锛?/p>
鏈夊濞?/p>
绯栧翱鐥呯梾鍙茬殑濡囧コ搴旇嚦灏戞瘡
3
骞寸瓫鏌ユ槸鍚﹀彂灞曚负绯栧翱鐥呮垨绯栧翱鐥呭墠鏈熴�?/p>
锛?/p>
B
锛?/p>
濡傚彂鐜版湁濡婂绯栧翱鐥呯梾鍙茬殑濡囧コ涓虹硸灏跨梾鍓嶆湡锛?/p>
搴旀帴鍙楃敓娲绘柟寮忓共棰勬垨浜岀敳
鍙岃儘娌荤枟浠ラ闃茬硸灏跨梾锛?/p>
A
锛?/p>
棰勯槻
/
寤剁紦
2
鍨嬬硸灏跨梾
瀵逛簬绯栬�愰噺寮傚父
锛?/p>
IGT
锛?/p>
锛?/p>
A
锛?/p>
銆?/p>
绌鸿吂琛�绯栧彈鎹?/p>
锛?/p>
IFG
锛?/p>
锛?/p>
E
锛?/p>
鎴?/p>
A1C
鍦?/p>
5.7
锝?/p>
6.4%
涔嬮棿锛?/p>
E
锛夌殑鎮ｈ�咃紝搴旇浆璇婂埌鍏锋湁鏈夋晥鎸佺画鏀寔璁″垝鐨勫崟浣嶏紝浠ュ噺杞讳綋閲?/p>
7%
锛屽
鍔犱綋鍔涙椿鍔紝姣忓懆杩涜鑷冲皯
150
鍒嗛挓涓瓑寮哄害锛堝姝ヨ锛夌殑浣撳姏娲诲姩銆?/p>
锛?/p>
B
锛夊畾鏈?/p>
闅忚鍜ㄨ瀵规垚鍔熼潪甯搁噸瑕併�?/p>
锛?/p>
B
锛?/p>
鍩轰簬绯栧翱鐥呴闃茬殑鑺辫垂鏁堢泭姣旓紝杩欑鍜ㄨ鐨勮垂鐢ㄥ簲鐢辩涓夋柟鏀粯銆?/p>
锛?/p>
E
锛?/p>
瀵逛簬
IGT
锛?/p>
A
锛?/p>
銆?/p>
IFG
锛?/p>
E
锛夋垨
A1C
鍦?/p>
5.7
锝?/p>
6.4%
涔嬮棿锛?/p>
E
锛?/p>
锛岀壒鍒槸閭ｄ簺
BMI