Comparison of ADA 1997 and WHO 1985 criteria for diabetes in south Indians--the Chennai Urban Population Study. American Diabetes Association

Diabet Med. 2000 Dec;17(12):872-4. doi: 10.1046/j.1464-5491.2000.00385.x.


Aims: 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.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Blood Glucose / analysis
  • Body Mass Index
  • Diabetes Mellitus / diagnosis*
  • Diabetes Mellitus / epidemiology
  • Fasting
  • Female
  • Glucose Tolerance Test
  • Humans
  • India / epidemiology
  • Male
  • Middle Aged
  • Obesity
  • Societies, Medical*
  • United States
  • World Health Organization*


  • Blood Glucose