Diagnostic Criteria for Diabetes Mellitus and Prediabetes*

Diagnostic Criteria for Diabetes Mellitus and Prediabetes*

Test

Normal

Prediabetes (Impaired Glucose Regulation)

Diabetes

FPG (mg/dL [mmol/L])

< 100 (< 5.6)

100–125 (5.6–6.9)

126 (7.0)

OGTT (mg/dL [mmol/L])†

< 140 (< 7.8)

140–199 (7.8–11.0)

200 ( 11.1)

HbA1C (%)

< 5.6 (less than or equal to)

5.7–6.4

≥ 6.5

Random glucose (mg/dL [mmol/L])

< 200 (< 11.1)

> 200 (> 11.1) in a patient with symptoms

* See also American Diabetes Association Professional Practice Committee. 2. Diagnosis and Classification of Diabetes: Standards of Care in Diabetes-2025. Diabetes Care. 2025;48(Supplement_1):S27-S49. doi:10.2337/dc25-S002

† An oral glucose tolerance test is not required and should not be performed if diabetes can be diagnosed by other criteria. When needed, the test should be done using 1.75 g/kg (maximum 75 g) glucose dissolved in water; a positive result is a 2-hour plasma glucose level ≥ 200 mg/dL (11.1 mmol/L).

FPG = fasting plasma glucose; HbA1C = glycosylated hemoglobin; OGTT = oral glucose tolerance test, 2-hour glucose level.

* See also American Diabetes Association Professional Practice Committee. 2. Diagnosis and Classification of Diabetes: Standards of Care in Diabetes-2025. Diabetes Care. 2025;48(Supplement_1):S27-S49. doi:10.2337/dc25-S002

† An oral glucose tolerance test is not required and should not be performed if diabetes can be diagnosed by other criteria. When needed, the test should be done using 1.75 g/kg (maximum 75 g) glucose dissolved in water; a positive result is a 2-hour plasma glucose level ≥ 200 mg/dL (11.1 mmol/L).

FPG = fasting plasma glucose; HbA1C = glycosylated hemoglobin; OGTT = oral glucose tolerance test, 2-hour glucose level.