Massari V, Eschwège E, Valleron A J
Diabetologia. 1983 Feb;24(2):100-6. doi: 10.1007/BF00297390.
Subjects selected from a centre specializing in diabetes detection have been classified using nine different methods of diagnosis including the recent criteria of the National Diabetes Data Group and the World Health Organization. The applicability of these two new criteria have been evaluated and compared with seven other previous criteria. The agreements and discrepancies between these criteria have been assessed. Application of the new criteria result in a major redistribution of subjects with abnormal glucose tolerance into a rare category of diabetes mellitus and a large category of 'impaired glucose tolerance'. An important percentage of our population (33%) is excluded from the three clinical classes circumscribed by the criteria of the National Diabetes Data Group. Among these subjects, two-thirds correspond to the subjects named 'non-diagnostic' by these authors and one-third are not classifiable. The need to allow for all possible oral glucose tolerance test responses is emphasized.
从一家专门从事糖尿病检测的中心选取的受试者，已使用九种不同的诊断方法进行分类，包括美国国家糖尿病数据组和世界卫生组织的最新标准。已对这两种新标准的适用性进行评估，并与其他七种先前的标准进行比较。已评估了这些标准之间的一致性和差异。应用新标准会导致糖耐量异常的受试者大幅重新分配到罕见的糖尿病类别和一大类“糖耐量受损”类别中。我国相当一部分人口（33%）被排除在由美国国家糖尿病数据组标准划定的三个临床类别之外。在这些受试者中，三分之二对应于这些作者所称的“无法诊断”的受试者，三分之一无法分类。强调需要考虑所有可能的口服葡萄糖耐量试验反应。
