Investigations

Testing for hyperglycemia is recommended for patients with classic symptoms of diabetes mellitus, and screening is recommended for asymptomatic patients who are at high risk of prediabetes or diabetes (e.g., patients with obesity and additional risk factors). The diagnosis is made based on blood glucose or HbA1c levels.

DiagnosisDiabetesPrediabetes
1.Glycated
haemoglobin
(HbA1c)
48 mmol/mol (6.5%)
or more
42 to 46 mmol/mol
(6.0 to 6.4%
2.Fasting Blood
Glucose (FBG)
7 mmol/L or more6.1 to 6.9 mmol/L
3.Random Blood
Glucose (RBG)
11.1 mmol/L or
more
Not defined;
consider further
diagnostic testing if
between 7.8 and
11 mmol/L
4.. Oral glucose
tolerance test
(OGTT)
BGC 2 hours after
a 75 g oral
glucose tolerance
test
11.1 mmol/L or
more
7.8 to 11 mmol/L

Who is Pre-Diabetic?
A patient who has not yet met the thresholds for type 2 diabetes but has blood glucose
concentrations above the normal range