Diabetes diagnostic thresholds and the confirmation rule (ADA Standards of Care 2026) ada2026_diabetes@1.0
1
U.S. government work
Draft · pending review draft — pending clinical and coding review
- Status
- draft — pending clinical and coding review (draft — requires clinical and coding review)
- Condition
- Diabetes mellitus
- Tier
- 1
- Licence
- U.S. government work
- confirmation counting: two results, from different tests or one test repeated: fact only citation (ADA Standards of Care 2026, Table 2.1 (numbers and rule restated))
- Source checked
- opened on 2026-11-14: NIDDK page opened 2026-11-14 in the resourcing build: HbA1c 6.5% or above, fasting 126 mg/dL or above, 2-hour 200 mg/dL or above, random 200 mg/dL or above with symptoms; matches the categories.
- Use here
- default set (diabetes)
- Edition
- NIDDK page last reviewed July 2022 (same cut-offs as ADA Standards of Care 2026) (2022)
- Second source
- none opened · not found: The WHO diabetes fact sheet (dated 11 November 2026) states no numeric thresholds; the WHO 2006/2011 reports were not opened. No independent second source was opened.
- Contested
- no: ADA thresholds match long-standing WHO thresholds for A1C and FPG, but WHO's current text was not opened; the A1C criterion is less sensitive in some populations (ADA text).
Diabetes Tests & Diagnosis
ada2026_diabetes@1.0In our words: Diabetes range: HbA1c 6.5% or higher, fasting glucose 126 mg/dL or higher, or 2-hour glucose 200 mg/dL or higher on a glucose tolerance test; two such results are needed (two different tests, or one test repeated). A random glucose of 200 mg/dL or higher counts on its own only with typical symptoms.
Usually, your doctor will use a second test to confirm you have diabetes.
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) (2022) · Section 'What test results tell me if I have diabetes or prediabetes?', table of test results · source
U.S. government work (public domain). No endorsement by the cited bodies is implied.
- 2. Diagnosis and Classification of Diabetes: Standards of Care in Diabetes—2026, American Diabetes Association Professional Practice Committee (2026), Tables 2.1 and 2.2 · link — earlier primary of this entry; numbers restated; text not reproduced (ADA: educational, non-commercial use; text and data mining need written permission)
Review
Reviewed only when both a clinical review and a coding review are recorded as approved.
Clinical review: none recorded yet.
Coding review: none recorded yet.