Hi all,

I see there are a few different standards for diagnosing diabetes / pre-diabetes.

1) ADA

FPG: 5.6 to 6.9 = Pre-Diabetic; => 7.0 = Diabetic
HBA1C: 5.7% to 6.4% = Pre-Diabetic; => 6.5% = Diabetic

2) WHO

FPG: 6.1 to 6.9 = Pre-Diabetic; => 7.0 = Diabetic
HBA1C: 5.7% to 6.4% = Pre-Diabetic; => 6.5% = Diabetic

3) Malaysian Clinical Practice Guidelines (issued by MOH)

FPG: 6.1 to 6.9 = Pre-Diabetic; => 7.0 = Diabetic
HBA1C: 5.7% to 6.2% = Pre-Diabetic; => 6.3% = Diabetic

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As can be seen from above, there are 3 different standards with varying cut-off thresholds for diabetic and pre-diabetic diagnosis. Different labs in Malaysia seem to follow different standards. I have seen one following the Malaysian CPG standards, and another following the ADA standards.

1) By law, which standards should Malaysians follow for a diabetic or pre-diabetic diagnosis?

2) Which standards do Malaysian insurance companies follow to classify you as a diabetic patient?

3) Do Malaysian insurance companies consider a pre-diabetic diagnosis, and if so, which standard is followed?

Thanks!