Diagnose of diabetes is complicated. There are a few test must be taken, and no one of them would be complete to diagnose diabetes.
CTT Test - is Carbohudrates Tolerance test.
Fasting sugar level, then two hours after meal contaning 100 gm carbohydrates. In non diabetic level of sugar retutns back to normal level after two hours. If sugar is still abnormally high then diabetes must be considered.
SGTT test - is Standart Glucose Tolerance Test.
This test is given to see how blood sugar going after carbohydrates intake
30 min, 60 min, 90 min, 120 min, and if it is necessary up to 6 hours. This test is more expensive, and usually only one test used, CTT to diagnose diabetes. At the same time this test is more acceptable to diagnose mild diabetes.
Nether one of those test is complete and accurate. There are different factors must be considered to interpreter the results of the test.
1st factor is the difference in testing from one author to another.
2nd factor is age. In spite of the fact that in aged population level of sugar is higher after 2 hours after meal. still it is not diabetes, but some other problem. Insulin is not in deficit but rather delayed to be used.
3rd factor is fluctuation in glucose level. One time this can be normal, in another time is may be abnormal. In extreme situation the total remission of diabetes observed after being normal with some treatments such as diet and work outs.
4th factor is souse of blood sample, if it is capillarity test or venous test.
There are just a few factors to lead to different interpretation of test in diagnose of diabetes. In other words, diagnose of diabetes is very liberal. In one patient very high level of sugar would be diagnosed as normal, no diabetes, and in other clinic the normal non diabetic level of sugar will be diagnosed as patient being diabetic. There are no standard criteria to diagnose diabetes. The blood is different at every moment and there is no way to say if today it is diabetes or not when doctor insist, there is no diabetes according to the blood work.
The problem with diagnostic lead to the fact that in America today out of the 30.3 million adults with diabetes, 23.1 million were diagnosed, and 7.2 million were undiagnosed., according to ADA statistic.
CTT Test - is Carbohudrates Tolerance test.
Fasting sugar level, then two hours after meal contaning 100 gm carbohydrates. In non diabetic level of sugar retutns back to normal level after two hours. If sugar is still abnormally high then diabetes must be considered.
SGTT test - is Standart Glucose Tolerance Test.
This test is given to see how blood sugar going after carbohydrates intake
30 min, 60 min, 90 min, 120 min, and if it is necessary up to 6 hours. This test is more expensive, and usually only one test used, CTT to diagnose diabetes. At the same time this test is more acceptable to diagnose mild diabetes.
Nether one of those test is complete and accurate. There are different factors must be considered to interpreter the results of the test.
1st factor is the difference in testing from one author to another.
2nd factor is age. In spite of the fact that in aged population level of sugar is higher after 2 hours after meal. still it is not diabetes, but some other problem. Insulin is not in deficit but rather delayed to be used.
3rd factor is fluctuation in glucose level. One time this can be normal, in another time is may be abnormal. In extreme situation the total remission of diabetes observed after being normal with some treatments such as diet and work outs.
4th factor is souse of blood sample, if it is capillarity test or venous test.
There are just a few factors to lead to different interpretation of test in diagnose of diabetes. In other words, diagnose of diabetes is very liberal. In one patient very high level of sugar would be diagnosed as normal, no diabetes, and in other clinic the normal non diabetic level of sugar will be diagnosed as patient being diabetic. There are no standard criteria to diagnose diabetes. The blood is different at every moment and there is no way to say if today it is diabetes or not when doctor insist, there is no diabetes according to the blood work.
The problem with diagnostic lead to the fact that in America today out of the 30.3 million adults with diabetes, 23.1 million were diagnosed, and 7.2 million were undiagnosed., according to ADA statistic.
via Ravenvoron
No comments:
Post a Comment