Guideline

National Cholesterol Education Programme (NCEP) guidelines

(a) Adult Treatment Panel III (ATP III) classification of LDL,Total and HDL Cholesterol (mg/dl) :--

LDL Cholesterol

< 100 Optimum

100-129 Near or above optimum

130-159 Borderline high

160-189 High

>= 190 Very high

Total Cholesterol

< 200 Desirable

200-239 Borderline high

>= 240 High

HDL Cholesterol

< 40Low

>= 60 High

(b) Categories of Risk for LDL Cholesterol Goals :--

Risk Category LDL goals (mg/dl)

CHD and CHD risk equivalents < 100

Multiple (2+) risk factors < 130

0-1 risk factor < 160

(c) Major Risk Factors (Exclusive of LDL Cholesterol) :--

Cigarette smoking

Hypertension (BP >=140/90 mmHg or on Antihypertensive medication)

Low HDL cholesterol ( < 40 mg/dl)

Family history of premature CHD

Age (men >=45 years, women >=55 years)

American Diabetes Association (ADA) Guidelines

Diabetes Mellitus :- (any one of the following is diagnostic)

a) Classic symptoms of diabetes & casual plasma glucose concentration >=200 mg/dl

b) Fasting plasma glucose >=126 mg/dl

c) 2-hours postload plasma glucose concentration >=200 mg/dl during the OGTT

Impaired Fasting Glucose :-

Fasting plasma glucose between 110 and 125 mg/dl

Impaired Glucose Tolerance :-

Two criteria must be met :

(a) Fasting plasma glucose < 126 mg/dl

(b) 2-hours OGTT plasma glucose concentration is between 140 and 199 mg/dl

HbA1c Reference range :-

Normal healthy people : 4 - 6%

Good diabetic control : 6 - 7%

Fair diabetic control : 7 - 8%

Poor diabetic control : > 8%