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Diabetes Mellitus, Type 1 > Diagnosis Author: Maureen D. Passaro, MD; Robert E. Ratner, MD
Editorial changes - 2010-02-17
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Quality Measures Quality Measures

Rationale:

  • Although most patients with type 1 diabetes are symptomatic at presentation, laboratory evaluation is required to confirm the diagnosis and document complications.

Evidence:

Comments:

  • Fingerstick technologies (e.g., the use of reflectance meters, glucometers, etc.) are not approved for the diagnosis of diabetes. Measurement of glycated proteins (e.g., hemoglobin A1c, fructosamine) is also not appropriate to make the diagnosis.

FAQs
Abd Tahrani, MD, editorial consultant, has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Maureen D. Passaro, MD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Robert E. Ratner, MD, is a consultant for Amylin Pharmaceuticals, AstraZeneca, GlaxoSmithKline, Lifescan, Inc., NovoNordisk, Sanofi-Aventis, Takeda, owns stocks in Merck, Johnson & Johnson, Abbott, received grants from Amylin, AstraZeneca, Bayhill Therapeutics, Boehringer Ingelheim, Conjuchem, Inc., Eil Lilly, GlaxoSmithKline, Merck, NovoNordisk, Pfizer, Sanofi-Aventis, Takeda.
Darren B. Taichman, MD, PhD, Editor, PIER, has received grant support from Actelion Pharmaceuticals Ltd , and honoraria for continuing medical education grand rounds and lectures given.


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