title: Comparison of ADA 1997 and WHO 1985 criteria for diabetes in south Indians--the Chennai Urban Population Study. American Diabetes Association.
abstract: OBJECTIVE
  To compare the American Diabetes Association (ADA) fasting criteria and World Health Organization (WHO) 2-h criteria for diabetes in an urban south Indian population.
  
  
  METHODS
  Subjects were drawn from the Chennai Urban Population Study. Of the 1001 subjects studied, 52 (5.2%) were diagnosed as having diabetes according to WHO 2-h criteria and 32 (3.2%) according to the ADA fasting criteria.
  
  
  RESULTS
  Twenty-five (48%) of the subjects diagnosed with diabetes by the WHO 2-h criteria were not classified as having diabetes by the ADA fasting criteria. Similarly, of the 78 subjects (7.8%) classified as having impaired glucose tolerance (IGT), only eight (10.3%) had impaired fasting glucose (IFG) according to the ADA fasting criteria. The overall agreement between the WHO 2-h criteria and ADA fasting criteria was poor (kappa = 0.40).
  
  
  CONCLUSIONS
  Use of the ADA fasting criteria results in a lower prevalence rates of diabetes in this lean urban south Indian population.
authors.affiliation: Madras Diabetes Research Foundation, Chennai, India.
authors.forename: R
authors.initials: R
authors.lastname: Deepa
authors.forename: S
authors.initials: S
authors.lastname: Shanthi Rani
authors.forename: G
authors.initials: G
authors.lastname: Premalatha
authors.forename: V
authors.initials: V
authors.lastname: Mohan
mesh_terms: D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D015992:Body Mass Index; D003920:Diabetes Mellitus / Q000175:diagnosis* / Q000453:epidemiology; D005215:Fasting; D005260:Female; D005951:Glucose Tolerance Test; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009765:Obesity; D012955:Societies, Medical; D014481:United States; D014944:World Health Organization
chemical_list: D001786:Blood Glucose