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Introduction
Prevention efforts should be aimed at educating populations as to their individual and group risk for onset of diabetes. Criteria (See Table 6) for testing undiagnosed individuals is as follows:
Table 6: Criteria For Testing Undiagnosed Individuals (19)
- Test for DM for all individuals
 45 years of age, especially if BMI 25. If normal, repeat at 3-year intervals.
- Test at younger age or more frequently if BMI 25 and have additional risk factors:
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- vascular disease
- first degree relative with diabetes
- history of GDM
- HDL cholesterol
 35 mg/dl
- pre-diabetes
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- habitual physical inactivity
- delivered baby > 9 pounds
- blood pressure 140/90
- triglyceride 250 mg/dl
- polycystic ovary syndrome
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| high risk ethnic population (African American, Latino, Native American, Asian American, Pacific Islanders) |
Once the diagnosis has been made treatment goals should be directed at controlling blood glucose levels and preventing complications associated with diabetes.
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Intervention
