Type 2 Diabetes - Exams and Tests
If your doctor thinks that you may have diabetes, he or she will order blood tests to measure how much sugar is in your blood. The tests used are blood glucose tests and hemoglobin A1c.
To make a diagnosis of type 2 diabetes, your doctor will use your blood test results and the American Diabetes Association's criteria. He or she also will ask you questions about your medical history and do a physical exam.
If your blood sugar level is above normal but below the level for diabetes, you have prediabetes and are at risk for developing type 2 diabetes. For more information on prediabetes, see the topic Prediabetes.
Other tests
A home blood sugar test or a urine test for sugar is not the best way to learn whether you have diabetes. But after you are diagnosed, you may use home blood sugar tests to check your own blood sugar levels.
Along with your home blood sugar tests, your doctor will give you a hemoglobin A1c (glycohemoglobin) test after you start treatment for diabetes. This test finds your average blood sugar level over the previous 2 to 3 months. The A1c test adds to the information from your home blood sugar tests to help you keep track of your blood sugar control.
After you are
diagnosed with type 2 diabetes or prediabetes, you may have a thorough exam of
your cardiovascular system
to check for any heart
problems.
Early detection
You can use the American Diabetes Association's
risk test for diabetes
to see whether you are at risk for type 2
diabetes.
If you are age 45 or older, the American Diabetes Association recommends that you be tested for diabetes every 3 years.2 The United States Preventive Services Task Force (USPSTF) recommends testing for diabetes in people who have blood pressure higher than 135/80.3 Talk with your doctor about your risk factors and how often you need to be tested.
The American Diabetes Association recommends that you be tested more often or begin testing at a younger age if you are overweight (have a body mass index, or BMI, of 25 or higher) and:2
- Have a parent, brother, or sister who has type 2 diabetes.
- Are African American, Hispanic, Native American, Asian American, or Pacific Islander.
- Have prediabetes.
- Have high blood pressure.
- Have high cholesterol.
- Have a history of gestational diabetes or have delivered a baby who weighed 9 lb (4 kg) or more.
- Are physically inactive.
- Have polycystic ovary syndrome (PCOS).
- Have a history of heart disease.
WebMD Medical Reference from Healthwise

