Global Research Initiative for Patients Screening on MASH

Inclusion Criteria

• •Newly diagnosed subjects should fulfil criteria for diagnosis of type 2 diabetes mellitus or metabolic syndrome or obesity or arterial hypertension, following the study definitions.
• •Subjects that are currently being treated for type 2 diabetes mellitus or metabolic syndrome or obesity or arterial hypertension, should have had a prior diagnosis based on study definitions.
• •Study definitions:
• •Type 2 diabetes mellitus
• •At least 2 times a fasting glucose \> 7,0 mmol/L
• •Or elevated non-fasting glucose \>11,1 mmol/L 2 hrs after OGTT
• •Or HbA1c ≥48 mmol/mol (≥6.5%)
• •Or being actively treated for previously diagnosed type 2 diabetes by a health care provider
• •Obesity
• •Body mass index (BMI) \> 30
• •Or waist circumferences Caucasian: male ≥ 94 cm, female ≥ 80 cm South-Asian/Chinese: male ≥90 cm, female ≥80 cm Japanese: male ≥85 cm, female ≥90 cm
• •Arterial hypertension
• •Systolic BP ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg
• •Or being actively treated for previously diagnosed arterial hypertension by a health care provider
• •Metabolic syndrome
• •\- Central obesity defined as waist circumference (see above), if BMI is \>30 kg/m2, central obesity can be assumed and waist circumference does not need to be measured
• •AND any two of the following:
• •Raised triglycerides: ≥ 150 mg/dL (1.7 mmol/L), or specific treatment for this lipid abnormality
• •Reduced HDL cholesterol: \< 40 mg/dL (1.03 mmol/L) in males, \< 50 mg/dL (1.29 mmol/L) in females, or specific treatment for this lipid abnormality
• •Raised blood pressure (BP): systolic BP ≥ 130 or diastolic BP ≥ 85 mm Hg, or treatment of previously diagnosed hypertension
• •Raised fasting plasma glucose (FPG): FGP ≥ 100 mg/dL (5.6 mmol/L), or previously diagnosed type 2 diabetes (if above \>5.6 mmol/L or 100 mg/dL, an oral glucose tolerance test is strongly recommended, but is not necessary to define presence of the syndrome)