SCREENING & TESTING DIABETES

Doctor may test for diabetes if one has symptoms such as thirst, frequent urination, bladder infection, or vaginal yeast infection. Doctor will measure blood glucose level, and if it is 200 milligrams per deciliter (mg/dl) or higher, then you have diabetes and no further testing is necessary. If your glucose level is less than 200 mg/dl, then additional tests may be necessary. 

Screening for Diabetes

  • Start screening at the age of forty five. If the test is normal, repeat every three years. 
  • Screen adults younger than forty five if they are overweight and have one or more of the following risk factors: 
    • Have a parent, sibling, or child with diabetes 
    • Are physically inactive 
    • Belong to an ethnic group in which there is higher risk for diabetes 
    • Had diabetes during pregnancy. 
    • Blood pressure readings are 140/90 or higher 
    • Have an abnormal lipid profile with a low level of HDL cholesterol (less than 35 mg/dl) and/or a high level of triglycerides (more than 250 mg/dl) 
    • Have a medical condition called polycystic ovary syndrome. 
    • Have had previous blood glucose testing that indicated the presence of pre-diabetes. 
    • Have circulatory problems. 

There are two screening tests for diabetes, and either is acceptable:

  • A fasting glucose level after an overnight fast 
  • An oral glucose tolerance test (OGTT), in which you drink 75 grams of glucose after an overnight fast and your glucose level is measured two hours later 

The doctors use the fasting glucose test because it is easier to do. If the fasting glucose level is abnormal, but not squarely in the diabetes range, your doctor may go on to do an OGTT.