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Per the American Diabetes Association (ADA) Standards of Care in Diabetes—2026, diagnosis is confirmed by one of four criteria: fasting plasma glucose ≥126 mg/dL, 2-hour plasma glucose ≥200 mg/dL during a 75-g OGTT, A1C ≥6.5% (using an FDA-approved CLIA-certified method), or a random plasma glucose ≥200 mg/dL in a patient with classic hyperglycemia symptoms