Pushing the envelope – Highlights of the China Type 2 Diabetes Guidelines (2013 Edition) Explained I

  The Chinese Medical Association Diabetes Branch recently issued the “Guidelines for the Prevention and Treatment of Type 2 Diabetes in China (2013 Edition)”. This guideline is a revision of the type 2 diabetes guideline issued in 2010. As diabetic friends may wish, we may also want to look at the new guidelines have what highlights.  1, diabetic foot is dangerous This time in the guide added the clinical characteristics of diabetic amputation in Chinese urban hospitals. For example, in 2010, there were 1,684 amputations in 39 hospitals, and nearly 30% (475 cases) were amputations due to diabetic foot, accounting for nearly 40% of non-traumatic amputations. Among these 475 patients, 65.9% were male, with an average age of 66 years and an average duration of diabetes of 130 months.  2, what kind of people are most likely to get diabetes The 2013 edition of the guidelines first proposed the Chinese diabetes risk scale, and those with a total score ≥ 25 should be screened with an oral glucose tolerance test (OGTT). We might as well do the math for ourselves and our relatives and friends in order to detect diabetes early.  3, diagnosis of diabetes by glycosylated hemoglobin (HbA1c) is premature The American Diabetes Association (ADA) and the World Health Organization (WHO) have long used an HbA1c level of ≥6.5% as a criterion for diagnosing diabetes. However, in China, there is a relative lack of information on HbA1c as a cut point for diabetes diagnosis, and the standardization of HbA1c measurement is insufficient. Therefore, HbA1c is not used to diagnose diabetes in China for the time being.