Monday, July 12, 2010

Postprandial blood glucose Gaoyao "cored"

The general blood sugar control mainly depends on fasting and postprandial blood glucose levels, both of compliance, be considered a good control, but all diabetics know, to let the two goals are to meet the requirements, is not an easy thing .

Diabetes in particular the development of type 2 diabetes is a long process, early to go through with impaired glucose tolerance (IGT) stage, two-hour postprandial blood glucose ≥ 7.8 mmol / l and <11.1 mmol / L phase. Postprandial hyperglycemia with the high incidence of impaired glucose tolerance to type 2 diabetes, the percentage of change on high, and the occurrence of major cardiovascular and cerebrovascular disease risk factors. IGT in the population and thus were detected, active control, the reduction of type 2 diabetes and macrovascular complications, with important strategic significance.

Abnormal glucose metabolism in a large number of long-term prospective study of the confirmed diagnosis of postprandial plasma glucose levels were consistent with diabetes-prone diabetes microangiopathy (retinopathy, nephropathy), when postprandial blood glucose> 11.1 mmol / l, if the meal two-hour glucose of 2 mmol / L, total mortality can be reduced by 1 / 3. Which is consistent with IGT, diabetes microangiopathy rare, but large vessel disease and related risk factors had emerged at this stage. When the postprandial blood glucose> 7.8 mmol / l, postprandial blood glucose two hours of 2 mmol / L, total mortality can be reduced about 1 / 4. Present study found that postprandial hyperglycemia is an independent risk factor for cardiovascular death. Postprandial blood glucose levels two hours better than the fasting glucose to predict the incidence of coronary heart disease, and all-cause mortality and cardiovascular disease mortality increased in the.

In the IGT stage, if taken to a number of interventions, can make the IGT to diabetes is not converted, or even a return to normal glucose tolerance. In the IGT population control postprandial hyperglycemia can reduce the incidence of myocardial infarction.

Most common two-hour postprandial blood glucose lowering the simple way is to change the way of life: a reasonable scientific diet, doing exercises, weight reduction diet are light, in particular, to reduce abdominal fat, is a fundamental measure for prevention and treatment IGT. If not controlled by the treatment of postprandial blood glucose, you need to increase use of medication.

The general blood sugar control mainly depends on fasting and postprandial blood glucose levels, both of compliance, be considered a good control, but all diabetics know, to let the two goals are to meet the requirements, is not an easy thing .

Most people with diabetes, and even doctors, are often only concerned with fasting blood glucose at the expense of postprandial blood glucose control. Recognizing the importance of postprandial blood glucose control on the overall blood sugar control is very helpful.

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