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There has been much debate about the effect of postprandial glucose levels on diabetes outcomes and the necessity of treating postprandial hyperglycemia in patients with type 2 diabetes.
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American Diabetes Association: Postprandial blood glucose (Consensus Statement). Diabetes Care 24: 775-778,2001 ... Buse J: Should postprandial glucose be routinely measured and treated to a particular target? No! Diabetes Care 26:1615 -1618, 2003...
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Post-prandial glucose - Wikipedia, the free encyclopedia
A blood glucose test measures the amount of a type of sugar, called glucose, in your blood. Glucose comes from carbohydrate foods. It is the main source of energy used by the body. Normally, your bloo...
en.wikipedia.org/wiki/Post-prandial_glucose |
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Postprandial glucose may have a direct toxic effect on the vascular endothelium, mediated by oxidative stress that is independent of other cardiovascular risk factors such as hyperlipidemia. Postprandial hyperglycemia also may exert its effects through its substantial contribution to total glycemic exposure.
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In the progression from normal glucose tolerance to diabetes, postprandial glucose (PPG) levels often rise before fasting plasma glucose (FPG) levels increase above 126 mg/dL (7.0 mmol/L).
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Fasting glucose is a measure of glucose in a person's blood before a meal. Postprandial glucose is the measure of a person's blood glucose after a meal. Glycated hemoglobin (A1C) is a long-term measure of blood glucose control.
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"Epidemiological evidence suggests that there are a lot of people out there who don't have diabetes and who don't have pre-diabetes but have abnormal postprandial glucose levels," Ganda tells WebMD. "And based on a number of studies in the U.S. and Europe, they may be at an increased risk of cardiovascular disease."
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