Criteria for the diagnosis of diabetes, recently revised by the American Diabetes Association, are given in Table 2 (27). Earlier criteria differed between children and adults, but the rationale for this difference was never clear (28). The new criteria were based on epidemiologic evidence of risk thresholds for the long-term complications among several populations including Pima Indians, other Americans participating in the National Health and Nutrition Survey (NHANES) and Egyptians. These risk relationships should also apply to a largely adolescent population developing type 2 diabetes.
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