Table 4 Impact of the subject misclassification secondary to analytical and biological variation alone on the potential increase in the prevalence of various diagnostic categories.

From: Impact of analytical and biological variations on classification of diabetes using fasting plasma glucose, oral glucose tolerance test and HbA1c

Potential increase in prevalence caused by misclassified subjects

Original classification

WHO criteria

ADA criteria

Normal (%)

Impaired (%)

Diabetes (%)

Normal (%)

Impaired (%)

Diabetes (%)

Normal fasting plasma glucose

—

46.8

0

—

32.5

0

Impaired fasting plasma glucose

1.9

—

14.4

6.6

—

14.2

Diabetes

0.01

7

—

0

2.2

—

Normal oral glucose tolerance test

—

36.8

0

—

36.8

0

Impaired oral glucose tolerance test

6.2

—

26.6

6.2

—

26.6

Diabetes

0.01

6.8

—

0.01

6.8

—

Normal HbA1c (at CVa = 3.5%)

—

48

1.3

—

16.5

0

Pre-diabetes

6.4

—

31.8

25.3

—

33.1

Diabetes

0.03

4.4

—

0

1.6

—

Normal HbA1c (at CVa = 2.0%)

—

30.5

0

—

11.6

0

Pre-diabetes

5.2

—

17.9

19.5

—

18.2

Diabetes

0

3.6

—

0

1.2

—

  1. This is calculated by using the dividing the number of misclassified subjects with the original number of subjects within each diagnostic category.