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The role of fasting capillary glycemia in the diagnosis of diabetes mellitus: correlation with cardiovascular risk factors

Diabetes mellitus (DM) is a very prevalent disease worldwide. To assess the role of fasting capillary glycemia (FCG) in the diagnosis of early DM, 277 subjects (202F/75M) were studied. Volunteers were apparently healthy, older than 30 years of age, and were recruited in a clinic where they came accompanying patients or to undergo a routine blood analysis. Pregnant women and patients with previous diagnosis of DM were excluded. After an anthropometric evaluation, a FCG was obtained. Cases with FCG >96mg/dl underwent fasting plasma glycemia repeated 2 hours after ingestion of 75g dextrosol. FCG was <FONT FACE=Symbol>£</FONT>96mg/dl in 187 cases (67.5%), and >96 mg/dl in 90 (32.5%). When age, weight, body mass index, abdominal waist and hip/waist of the 2 groups were compared, values were all statistically higher (p< 0.01) in cases with FCG >96mg/dl. The incidence of DM was 7.2%; glucose intolerance was present in 4.3%. In conclusion, FCG was found to be a precious tool for the diagnosis of early DM.

Type 2 diabetes mellitus; Capillary glycemia; Obesity; Hyperglycemia


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