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February 2, 2000

Glycosylated Hemoglobin as a Diagnostic Test for Type 2 Diabetes Mellitus—Reply

Author Affiliations

Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor

JAMA. 2000;283(5):605-607. doi:10.1001/jama.283.5.601

In Reply: We agree with Dr Rayburn that we should have been more explicit about diagnostic criteria. Since the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus did not recommend using the OGTT for routine clinical use, our assumption was that the new criteria required only measurement of the FPG concentration for the diagnosis of diabetes mellitus. The 2-hour FPG concentration on the OGTT was considered only to judge what the diagnosis would have been if the criteria in place before the Expert Committee's report had been used.

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