Transcription of MANAGEMENT OF DIABETES MELLITUS
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MANAGEMENT OF DIABETES MELLITUS
WHO-EM/DIN6/E/GMANAGEMENT OF DIABETES MELLITUSSTANDARDS OF CAREANDCLINICAL PRACTICE GUIDELINESE dited byDr AlwanRegional Adviser, Noncommunicable DiseasesWHO Regional Office for the Eastern MediterraneanWHO-EM/DIN6/E/GINTRODUCTION A vailable data from many countries of the Eastern Mediterranean Region (EMR) indicate that DIABETES MELLITUS has become a problem of great magnitude and a major public health concern. Studies have demonstrated that, in some countries, DIABETES affects up to 10% of the population aged 20 years and older. This rate may be doubled if those with impaired glucose tolerance (IGT) are also manifestations of DIABETES cause considerable human suffering and enormous economic costs. Both acute and late diabetic complications are commonly encountered.
diagnostic range shown in Table 1, an oral glucose tolerance test (OGTT) is not required. In such instances however, a confirmatory test should be performed as incomplete fasting may give rise to spurious diagnosis. The diagnosis can also be established if a random blood glucose estimation exceeds the diagnostic values indicated in Figure 1.
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